Hasegawa Takaaki, Kawai Momoko, Kuzuya Nanori, Futamura Yohei, Horiba Akane, Ishiguro Takashi, Yoshida Tsutomu, Sawa Toshiyuki, Sugiyama Yasuyuki
Department of Respiratory Medicine and Medical Oncology
Palliative Care Center.
Respir Care. 2017 May;62(5):544-549. doi: 10.4187/respcare.05282. Epub 2017 Feb 7.
Spiritual care for patients with COPD has rarely been discussed, and thus much remains unknown about their needs. The aims of this study were to identify the factors associated with spiritual well-being and to compare the levels of spiritual well-being between subjects with advanced COPD and those with inoperable lung cancer.
A total of 96 subjects with COPD or lung cancer participated in this study, which was conducted between December 2014 and April 2016. Measures included the Japanese version of the 12-item Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being (FACIT-Sp-12) scale, the McGill Quality of Life Questionnaire (MQOL), the modified Medical Research Council (mMRC) dyspnea scale, and various other medico-social factors.
No significant differences were found between subjects with COPD and those with lung cancer in median FACIT-Sp-12 scores (COPD, 27; lung cancer, 26; = .81). However, significant differences were found in the 2 MQOL domains, suggesting that subjects with COPD had a better psychological state ( = .01) and that subjects with lung cancer had a better support state ( = .002). Multiple regression analysis revealed that mMRC was significantly associated with FACIT-Sp-12 scores in subjects with COPD.
These results suggest that subjects with advanced COPD experience spiritual well-being similar to that of subjects with inoperable lung cancer.
慢性阻塞性肺疾病（COPD）患者的精神关怀很少被讨论，因此对他们的需求仍知之甚少。本研究的目的是确定与精神健康相关的因素，并比较晚期COPD患者和无法手术的肺癌患者的精神健康水平。
共有96名COPD或肺癌患者参与了本研究，研究于2014年12月至2016年4月进行。测量指标包括日本版的12项慢性病治疗功能评估-精神健康（FACIT-Sp-12）量表、麦吉尔生活质量问卷（MQOL）、改良医学研究委员会（mMRC）呼吸困难量表以及各种其他医学社会因素。
COPD患者和肺癌患者的FACIT-Sp-12中位数得分无显著差异（COPD为27分；肺癌为26分；P = 0.81）。然而，在MQOL的两个领域发现了显著差异，表明COPD患者的心理状态更好（P = 0.01），肺癌患者的支持状态更好（P = 0.002）。多元回归分析显示，mMRC与COPD患者的FACIT-Sp-12得分显著相关。
这些结果表明，晚期COPD患者的精神健康状况与无法手术的肺癌患者相似。
