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慢性阻塞性肺疾病患者的疾病认知与生活质量

Illness perceptions and quality of life in patients with chronic obstructive pulmonary disease.

作者信息

Scharloo Margreet, Kaptein Adrian A, Schlösser Maryanne, Pouwels Harry, Bel Elisabeth H, Rabe Klaus F, Wouters Emiel F M

机构信息

Medical Psychology, Leiden University Medical Center, Leiden, The Netherlands.

出版信息

J Asthma. 2007 Sep;44(7):575-81. doi: 10.1080/02770900701537438.

Abstract

This study aimed at identifying cognitive and emotional representations relevant for improving health care communication and quality of life (QoL) in patients with chronic obstructive pulmonary disease (COPD). One-hundred-seventy-one COPD outpatients completed questionnaires on illness perceptions and QoL. After controlling for the effects of age, pulmonary function, and dyspnea, patients with decreased attention to symptoms, with more positive beliefs about the effects and outcomes of their illness, and with less strong emotional reactions to the illness, had higher QoL scores. The results of this study are discussed in relation to the associations found in other illnesses.

摘要

本研究旨在识别与改善慢性阻塞性肺疾病(COPD)患者的医疗保健沟通及生活质量(QoL)相关的认知和情感表征。171名COPD门诊患者完成了关于疾病认知和生活质量的问卷调查。在控制了年龄、肺功能和呼吸困难的影响后,对症状关注度降低、对疾病影响和结果有更积极信念且对疾病的情绪反应不那么强烈的患者,生活质量得分更高。本研究结果结合在其他疾病中发现的关联进行了讨论。

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