在患有慢性阻塞性肺病 (COPD) 的成年人中,正念与症状严重程度之间的关联
Tania T Von Visger1, Kayla Wardlaw1, Chin-Shang Li2
1The State University of New York, University at Buffalo, School of Nursing, Buffalo, NY, United State.
练习正念的慢性阻塞性肺病 (COPD) 的成年人报告的症状较少. 了解正念水平有助于量身定制基于正念的干预措施 (MBI),以更好地管理COPD症状和坚持.
科学领域:
- 肺部医学 肺部医学
- 行为科学 行为科学
- 整合性健康 整合性健康
背景情况:
- 基于正念的干预措施 (MBI) 对治疗慢性阻塞性肺病 (COPD) 的成年人治疗症状和改善生活质量充满希望.
- 在COPD患者中对正念的基础知识和实践以及它们与症状管理的相关性仍然未得到充分研究.
研究的目的:
- 为了比较COPD患者与没有正念知识和实践之间的症状严重程度 (抑郁,焦虑,呼吸困难,疲劳,失眠).
- 根据COPD患者的正念水平,开发COPD患者的表型资料.
主要方法:
- 对339名患有COPD的社区成年人进行了横截面在线调查.
- 收集的数据包括正念知识,实践,水平和COPD症状严重程度.
- 经过对多次比较进行调整后,使用统计分析 (克鲁斯卡尔-瓦利斯,费舍尔精确,奇平方测试) 来比较组.
主要成果:
- 正念知识与明显较低的呼吸障碍和疲劳严重程度相关.
- 目前的正念练习者报告说,整体症状严重程度大大降低.
- 现状特征分析显示,抑郁症状,年龄,种族,教育和COPD持续时间在正念水平之间存在显著差异;对于性别或疾病严重程度没有发现差异.
结论:
- 正念练习与COPD成年人的症状严重程度降低有关.
- 整合MBI作为一种补充方法,可以提高COPD患者的症状管理.
- 根据个人的正念水平配置文件量身定制MBI对于优化可行性,可接受性,有效性和遵守性至关重要.
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