慢性阻塞性肺病严重程度对心理和功能结果的影响:横截面分析
Alexandru Florian Crisan1,2, Camelia Corina Pescaru2,3, Adelina Maritescu2,4
1Research Center for Assessment of Human Motion, Functionality, and Disability, "Victor Babes" University of Medicine and Pharmacy Timisoara, Eftimie Murgu Square 2, 300041 Timisoara, Romania.
Journal of clinical medicine
|March 27, 2025
概括
患有严重慢性阻塞性肺病 (COPD) 的患者会经历更大的心理痛苦,包括内,焦虑和抑郁. 严重的COPD还会导致自我同情度下降,与中度COPD相比,功能能力较差.
科学领域:
- 肺部医学 肺部医学
- 心理学 心理学 心理学
- 健康 结果 研究 研究 结果
背景情况:
- 慢性阻塞性肺病 (COPD) 对患者造成了重大的身体和心理负担.
- 慢性肺炎严重程度对心理健康和功能状态的具体影响需要进一步研究.
研究的目的:
- 检查COPD疾病严重程度如何影响心理因素和功能结果.
- 为了比较中度和重度COPD患者之间的心理形象和功能能力.
主要方法:
- 一项涉及98名中度 (n=44) 或重度 (n=54) COPD 患者的横截面研究.
- 评估心理变量,包括焦虑,抑郁,内,羞耻,自我同情和对负面评价的恐惧.
- 通过六分钟步行测试 (6MWT) 评估功能能力,通过COPD评估测试 (CAT) 评估疾病影响,通过螺旋计测试评估肺功能.
主要成果:
- 与中度COPD患者相比,严重的COPD患者表现出明显更高的内,焦虑和抑郁程度.
- 患有严重COPD的患者表现出较低的自我同情,功能能力降低 (6MWT) 和更糟糕的疾病影响 (CAT,mMRC).
- 在中度和重度的COPD组中,羞耻感和对负面评估分数的恐惧是可比的.
结论:
- 严重的COPD与增加的心理痛苦有关,包括内,焦虑和抑郁.
- 减少自我同情和功能能力受损是严重COPD的特征.
- 疾病的严重程度显著影响COPD患者的心理健康和生活质量.
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