肺部康复期间COPD相关焦虑症状的变化:一个前性定量和定性研究
Ingeborg Farver-Vestergaard1,2, Eva Holmegaard Buksted3, Dorthe Sørensen3
1Department of Medicine, Lillebaelt Hospital, Vejle, Denmark.
肺部康复 (PR) 显著减少了COPD患者的焦虑. 患者利用策略,如规划和解决问题,受到PR期间互动的影响,以管理与COPD相关的焦虑.
科学领域:
- 肺部医学 肺部医学
- 心理学 心理学 心理学
- 康复科学 康复科学 康复科学
背景情况:
- 恐惧回避行为会对慢性阻塞性肺病 (COPD) 肺部康复 (PR) 的结果产生负面影响.
- 解决COPD相关的焦虑对于有效的公关至关重要.
- 这项研究前性地调查了PR期间的焦虑变化和管理.
研究的目的:
- 检查PR计划之前和之后COPD相关焦虑症状的变化.
- 探索患者如何在PR期间管理COPD相关的焦虑.
- 确定影响焦虑管理策略的因素.
主要方法:
- 这是一项前性研究,涉及72名接受9周PR计划的COPD患者.
- 在PR前后的评估包括COPD焦虑问卷 (CAF-R),6分钟步行测试 (6MWT) 和SF-12.
- 与子样本进行的半结构面试探索了焦虑管理策略.
主要成果:
- 在PR后观察到COPD相关焦虑的显著减少 (p=0.018),效果大小小.
- 减少焦虑并没有与改善残疾,生活质量或运动能力有显著的相关性.
- 他们确定了四种焦虑管理策略:计划,解决问题,接受和面对.
结论:
- 肺部康复有效地减少了COPD相关的焦虑症状.
- 患者使用的焦虑管理策略受到与医疗保健专业人员和同龄人的互动的影响.
- 了解这些策略可以为更好的公关计划设计提供信息.
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