Al-Gamal Ekhlas
The University of Jordan, Amman, Jordan.
Issues Ment Health Nurs. 2014 Oct;35(10):761-7. doi: 10.3109/01612840.2014.908440.
Chronic obstructive pulmonary disease (COPD) could have a negative impact on quality of life (QoL) and is associated with anxiety and depression in both patients and informal caregivers. The aim of this study was to examine the relationships between anxiety, depression and QoL of both Jordanian patients with COPD and their spouses. The selected design used in this study was a cross-sectional, descriptive, correlational design. A total of 67 patients and spouses were interviewed in 2011, using self-administered questionnaires. Descriptive statistical analysis was applied. Bivariate correlation analysis was undertaken to examine the relationship between variables. The results showed that patients and spouses with high levels of anxiety and depression reported a poor QoL. Patients had a lower QoL than their spouses. A better understanding of patient and spouse psychological wellbeing and QoL will provide nurses with the information needed in terms of developing strategies for reducing patients' and spouses' anxiety and depression and thus improve their QoL. The health-service agencies and government should improve policy by improving family-centred services for both patients and spouses.
慢性阻塞性肺疾病(COPD)会对生活质量(QoL)产生负面影响,并且在患者及其非正式照料者中均与焦虑和抑郁相关。本研究的目的是探讨约旦慢性阻塞性肺疾病患者及其配偶的焦虑、抑郁与生活质量之间的关系。本研究采用的选定设计为横断面、描述性、相关性设计。2011年,共对67名患者及其配偶进行了访谈,使用的是自填式问卷。应用了描述性统计分析。进行了双变量相关性分析以检验变量之间的关系。结果显示,焦虑和抑郁程度较高的患者及其配偶报告的生活质量较差。患者的生活质量低于其配偶。更好地了解患者及其配偶的心理健康和生活质量,将为护士提供制定减轻患者及其配偶焦虑和抑郁的策略所需的信息,从而改善他们的生活质量。卫生服务机构和政府应通过改善以家庭为中心的患者及其配偶服务来改进政策。