Department of Informatics and Medical Statistics, Medical University of Lublin, Lublin, Poland.
Chair of Public Health, Faculty of Health Science, Medical University of Lublin, Lublin, Poland.
Adv Exp Med Biol. 2018;1114:41-47. doi: 10.1007/5584_2018_242.
Chronic obstructive pulmonary disease (COPD) is a common illness. An individualized approach to changes caused by a chronic disease includes specific activity resulting from cognitive-emotional predispositions. The purpose of this study was to determine the influence of selected factors such as satisfaction with life, health self-assessment, duration of the illness, and the way of coping with disease on adaptive reactions in COPD patients. The study involved 109 COPD patients. The Adaptive Responses Inventory and the Satisfaction with Life Scale were used for the assessment of variables. We found that the majority of patients had low or very low satisfaction with life (63.3% and 22.0%, respectively). There was an inverse association between anxiety and satisfaction with life (r = -0.279; p < 0.003). Patients who assessed their health as good or very good showed a significantly greater satisfaction with life (p < 0.001). In the main, attitudes demonstrating a greater satisfaction with life and motivation to cope with COPD did not predominate among the patients. A poor state of mind, and stress inversely affected satisfaction. We conclude that although positive stress can mobilize to fight for better health, anxiety caused by illness has a negative connotation as it may demotivate to protect and maintain better health and consequently may reduce satisfaction with life.
慢性阻塞性肺疾病(COPD)是一种常见疾病。慢性病引起的变化的个体化方法包括认知情感倾向产生的特定活动。本研究的目的是确定生活满意度、健康自我评估、疾病持续时间和疾病应对方式等选定因素对 COPD 患者适应性反应的影响。该研究涉及 109 名 COPD 患者。使用适应性反应量表和生活满意度量表评估变量。我们发现,大多数患者对生活的满意度较低或非常低(分别为 63.3%和 22.0%)。焦虑与生活满意度呈负相关(r=-0.279;p<0.003)。将自己的健康评估为良好或非常好的患者对生活的满意度明显更高(p<0.001)。在大多数情况下,患者并不倾向于表现出对生活更满意和更有动力应对 COPD 的态度。不良心态和压力会对满意度产生负面影响。我们的结论是,尽管积极的压力可以动员起来争取更好的健康,但疾病引起的焦虑具有负面含义,因为它可能会降低保护和维持更好健康的动力,从而降低生活满意度。