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社会支持与囊性纤维化患者报告的症状较少和治疗负担减轻有关。

Social support is associated with fewer reported symptoms and decreased treatment burden in adults with cystic fibrosis.

机构信息

University of Colorado Denver, United States.

Cornell University, United States.

出版信息

J Cyst Fibros. 2019 Jul;18(4):572-576. doi: 10.1016/j.jcf.2019.01.013. Epub 2019 Feb 13.

DOI:10.1016/j.jcf.2019.01.013
PMID:30772245
Abstract

BACKGROUND

Although social support has been linked to a variety of health outcomes in those with and without chronic illness, this construct has rarely been studied in adults with cystic fibrosis (CF), who may face a unique set of clinical and psychosocial barriers. The current study explored the relationships between social support, mental health, physical health, treatment activity, and disease-specific quality of life in a sample of adults with CF.

METHODS

Participants in the study included 250 adults with CF who took part in a larger longitudinal study. Participants were administered a battery of measures including a social support evaluation (Interpersonal Support Evaluation List, ISEL), a health assessment (Memorial Symptom Assessment Scale, MSAS), a health-related quality of life measure (Cystic Fibrosis Questionnaire - Revised, CFQ-R), and treatment activity questionnaires (Tool for Adherence Behaviour Screening, TABS and other surveys).

RESULTS

Linear regression analyses indicated that greater social support was associated with fewer self-reported mental and physical health symptoms, digestive symptoms, and eating disturbances over time. Social support also was associated with elevated emotional, social, and role functioning as well as vitality and improved body image. Those who reported more support perceived less treatment burden and better overall perceptions of their health.

CONCLUSIONS

Social support has been shown to be associated with health outcomes in other chronic illnesses, and the same is true for adults with CF. This study fills gaps in the literature by examining outcomes of social support in this emerging adult population and providing a potential area for intervention.

摘要

背景

尽管社会支持与患有和不患有慢性病的人群的各种健康结果相关,但在囊性纤维化 (CF) 成年人中,这一结构很少被研究,他们可能面临独特的临床和心理社会障碍。本研究探讨了在 CF 成人样本中社会支持、心理健康、身体健康、治疗活动和疾病特异性生活质量之间的关系。

方法

该研究的参与者包括 250 名参加更大的纵向研究的 CF 成年人。参与者接受了一系列措施的评估,包括社会支持评估(人际支持评估列表,ISEL)、健康评估(纪念症状评估量表,MSAS)、与健康相关的生活质量评估(囊性纤维化问卷-修订版,CFQ-R)和治疗活动问卷(依从性行为筛查工具,TABS 和其他调查)。

结果

线性回归分析表明,随着时间的推移,更多的社会支持与更少的自我报告的心理健康和身体健康症状、消化症状和饮食障碍有关。社会支持也与情绪、社会和角色功能的提高以及活力和身体形象的改善有关。那些报告有更多支持的人认为治疗负担较小,对整体健康的看法更好。

结论

社会支持已被证明与其他慢性病的健康结果相关,CF 成年人也是如此。本研究通过检查社会支持在这一新兴成年人群体中的结果,填补了文献中的空白,并提供了一个潜在的干预领域。

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