社会支持,症状负担,呼吸障碍,感知压力,感知耻辱感,应对方式和稳定性COPD患者的心理痛苦之间的关系:结构方程模型
Xu Tian1, Lijuan Yi2, Xiaoling Liu3
1Division of Science & Technology and Foreign Affairs, Chongqing Center for Evidence-Based Traditional Chinese Medicine, Chongqing Traditional Chinese Medicine Hospital, Chongqing, 400020, People's Republic of China.
概括
慢性阻塞性肺病 (COPD) 患者的心理痛苦因感知到的社会支持和积极的应对方式而显著减少. 干预措施应加强这些因素,并与症状管理一起,以获得更好的患者结果.
科学领域:
- 肺部医学 肺部医学
- 精神病学是一个精神病学.
- 健康心理学 心理健康心理学
背景情况:
- 在稳定的慢性阻塞性肺病 (COPD) 患者中,心理困扰是常见的.
- 影响这种痛苦的复杂相互作用尚未完全理解.
- 了解这些因素对于疾病的管理和进展至关重要.
研究的目的:
- 调查社会支持,症状负担,呼吸困难,感知压力,耻辱和应对方式对稳定的COPD患者心理痛苦的影响.
- 通过结构方程建模 (SEM) 阐明这些变量之间的直接和间接路径.
主要方法:
- 分析了来自中国重庆三所三级医院的386名稳定COPD患者的样本.
- 经过验证的调查问卷评估了心理困扰,社会支持,症状负担,呼吸障碍,压力,耻辱和应对方式.
- 使用结构方程建模 (SEM) 来分析变量之间的关系.
主要成果:
- 感知到的社会支持和积极的应对方式直接减少了心理痛苦.
- 负面应对,症状负担,呼吸困难,感知压力和耻辱与增加的心理痛苦有关.
- 感知到的社会支持通过改善应对方式,减少症状负担,呼吸障碍和压力,显著调解了痛苦.
结论:
- 稳定的COPD的心理痛苦是多因素的,感知到的社会支持起着关键的作用.
- 建议针对应对策略,症状管理和社会支持的干预措施来缓解痛苦.
- 解决这些相互关联的因素可以改善COPD患者的生活质量.
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