da Silva Guilherme Pf, Nascimento Francisco Ab, Macêdo Tereza Pm, Morano Maria T, Mesquita Rafael, Pereira Eanes Db
Department of Clinical Medicine, Federal University of Ceará (UFC), Fortaleza.
Department of Physiotherapy, University of Fortaleza (UNIFOR), Fortaleza.
Int J Chron Obstruct Pulmon Dis. 2018 Jan 4;13:175-181. doi: 10.2147/COPD.S146400. eCollection 2018.
Religious coping (RC) is defined as the use of behavioral and cognitive techniques in stressful life events in a multidimensional construct with positive and negative effects on outcomes, while religiosity is considered a use of individual beliefs, values, practices, and rituals related to faith. There is no evidence for the effects of pulmonary rehabilitation (PR) in RC and religiosity in patients with COPD. The aims of this study were 1) to compare RC and religiosity in patients with COPD following PR and 2) to investigate associations between changes in RC, religiosity and exercise capacity, quality of life (QoL), anxiety, depression, and dyspnea.
Seventy-four patients were enrolled in this study including 38 patients in the PR group and 36 patients in the control group. PR protocol was composed of a 12-week (three sessions per week, 60 min per day) outpatient comprehensive program, and the control group was composed of patients in a waiting list for admission to PR program. RC, religiosity, exercise capacity, QoL, anxiety, depression, and dyspnea were measured before and after the study protocol.
Positive religious coping and organizational religious activities increased (=0.01; <0.001, respectively), while negative religious coping decreased (=0.03) after 12 weeks in the PR group (<0.001). Significant associations were observed between changes in RC, organizational religiosity with exercise capacity, and QoL following PR. No differences were found in the control group.
PR improves RC and organizational religiosity in patients with COPD, and these improvements are related to increases in exercise capacity and QoL.
宗教应对（RC）被定义为在多维结构的应激性生活事件中使用行为和认知技巧，对结果有积极和消极影响，而宗教虔诚被认为是对与信仰相关的个人信念、价值观、实践和仪式的运用。尚无证据表明肺康复（PR）对慢性阻塞性肺疾病（COPD）患者的宗教应对和宗教虔诚有影响。本研究的目的是：1）比较PR后COPD患者的宗教应对和宗教虔诚；2）调查宗教应对、宗教虔诚的变化与运动能力、生活质量（QoL）、焦虑、抑郁和呼吸困难之间的关联。
本研究纳入74例患者，其中PR组38例，对照组36例。PR方案包括一个为期12周（每周三次，每天60分钟）的门诊综合项目，对照组由等待进入PR项目的患者组成。在研究方案前后测量宗教应对、宗教虔诚、运动能力、生活质量、焦虑、抑郁和呼吸困难。
PR组在12周后积极宗教应对和组织性宗教活动增加（分别为=0.01；<0.001），而消极宗教应对减少（=0.03）（<0.001）。观察到PR后宗教应对、组织性宗教虔诚的变化与运动能力和生活质量之间存在显著关联。对照组未发现差异。
PR改善了COPD患者的宗教应对和组织性宗教虔诚，这些改善与运动能力和生活质量的提高有关。
