疾病感知路径分析,药物信仰,老年COPD患者吸入器坚持的家庭支持:基于三元的相互决定主义
You-Ran Liu1, Yan Wang2, Jingjing Liu3
1School of nursing, Bengbu Medical University, Bengbu, China.
Patient education and counseling
|October 19, 2024
概括
疾病感知,药物信仰和家庭支持直接影响慢性阻塞性肺病 (COPD) 的中国老年患者的吸入器坚持. 解决这些因素可以改善治疗结果.
科学领域:
- 呼吸系统医学 呼吸系统医学
- 健康心理学 心理健康心理学
- 老年学是一门学科.
背景情况:
- 在中国老年患者中,慢性阻塞性肺病 (COPD) 管理严重依赖于有效的吸入器治疗.
- 在这个人口群体中,坚持吸入器治疗是一个重大挑战,影响治疗疗效和疾病进展.
- 了解对遵守的多因素影响对于开发有针对性的干预措施至关重要.
研究的目的:
- 调查直接和间接的途径,将个人和环境因素与老年中国COPD患者的吸入器坚持联系起来.
- 探索药物信仰和家庭支持在疾病感知和坚持之间关系中的调解作用.
- 运用三元式相互决定论的原则来理解坚持行为.
主要方法:
- 一项涉及中国安305名老年COPD患者的横截面调查.
- 使用的验证仪器:吸入器坚持性测试 (TAI),关于药物的信念问卷 (BMQ),简要的疾病感知问卷 (B-IPQ) 和家庭支持量表.
- 使用AMOS 22.0的路径分析来检查拟议的关系.
主要成果:
- 疾病感知,必要性信念,担忧信念和家庭支持对吸入器坚持产生了直接的积极影响.
- 年龄间接影响了坚持.
- 需要和关注的信念显著调解了疾病感知和坚持之间的联系.
- 家庭支持调解了药物信仰和吸入器坚持之间的关系.
结论:
- 结合认知,信仰和家庭支持干预措施的多维策略对于提高老年COPD患者吸入器坚持是必不可少的.
- 医疗保健提供者应该专注于改善患者的疾病感知和药物信仰,利用家庭支持的影响.
- 研究结果为优化该群体吸入器坚持干预提供了新的见解.
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