Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Faculty of Nursing, University of Alberta, Edmonton, AB, Canada.
J Clin Nurs. 2020 Jul;29(13-14):2638-2651. doi: 10.1111/jocn.15286. Epub 2020 May 15.
To identify physiological, psychological and socioenvironmental factors that affect the health-related quality of life of Thai men living with chronic obstructive pulmonary disease. The vast majority of Thai persons living with chronic obstructive pulmonary disease are men.
Little is known about the health-related quality of life of Thai people living with chronic obstructive pulmonary disease or about the physiological and psychosocial factors that most affect it. Applying a prevailing theoretical model of health-related quality of life, we explored how physiological, psychological and socioenvironmental factors simultaneously affect the health-related quality of life of Thai men with chronic obstructive pulmonary disease.
A cross-sectional study design was used, together with the STROBE checklist.
In this study, 290 Thai male outpatients at a chronic obstructive pulmonary disease specialist clinic near Bangkok were recruited using purposive sampling. The participants completed the Satisfaction With Life Scale, the St. George Respiratory Questionnaire, the Center for Epidemiologic Studies Depression Scale, the Short Form Health Survey Version 2, the chronic obstructive pulmonary disease Self-Efficacy Scale and the Social Support Questionnaire. A structural equation model was used to examine the relationships between the assessed variables.
Biological function (FEV-1, chronic obstructive pulmonary disease exacerbations), symptoms (chronic obstructive pulmonary disease and depression), functional status, general health perceptions and individual characteristics (age and self-efficacy to control dyspnoea) accounted for 56.9% of the variance in health-related quality of life.
Symptoms of chronic obstructive pulmonary disease and depression were the main factors with statistically significant direct and indirect effects on the health-related quality of life of the Thai men in this study. The effects of both symptoms included an indirect effect on health-related quality of life through functional status and general health perceptions.
The study findings may help nurses to better understand factors affecting health-related quality of life among men with chronic obstructive pulmonary disease. Preventing or minimising symptom exacerbations could be important in nursing practice. Cognitive-behavioural interventions addressing chronic obstructive pulmonary disease symptom management, depression screening and smoking cessation may improve health-related quality of life among Thai men with chronic obstructive pulmonary disease.
确定影响泰国男性慢性阻塞性肺疾病患者健康相关生活质量的生理、心理和社会环境因素。绝大多数泰国慢性阻塞性肺疾病患者为男性。
对泰国慢性阻塞性肺疾病患者的健康相关生活质量或对影响其健康相关生活质量的最重要的生理和心理社会因素知之甚少。应用健康相关生活质量的流行理论模型，我们探讨了生理、心理和社会环境因素如何同时影响泰国男性慢性阻塞性肺疾病患者的健康相关生活质量。
采用横断面研究设计，并使用 STROBE 清单。
本研究采用方便抽样法，在曼谷附近的一家慢性阻塞性肺疾病专科诊所招募了 290 名泰国男性门诊患者。参与者完成了生活满意度量表、圣乔治呼吸问卷、流行病学研究抑郁量表、健康调查简表 2 版、慢性阻塞性肺疾病自我效能量表和社会支持问卷。采用结构方程模型检验评估变量之间的关系。
生物功能（FEV-1、慢性阻塞性肺疾病加重）、症状（慢性阻塞性肺疾病和抑郁）、功能状态、总体健康感知和个体特征（年龄和控制呼吸困难的自我效能）占健康相关生活质量的 56.9%。
慢性阻塞性肺疾病症状和抑郁是本研究中泰国男性健康相关生活质量的主要因素，具有统计学意义的直接和间接影响。这两种症状都通过功能状态和总体健康感知对健康相关生活质量产生间接影响。
研究结果可能有助于护士更好地理解影响男性慢性阻塞性肺疾病患者健康相关生活质量的因素。预防或最小化症状加重可能在护理实践中很重要。认知行为干预措施针对慢性阻塞性肺疾病症状管理、抑郁筛查和戒烟可能会改善泰国男性慢性阻塞性肺疾病患者的健康相关生活质量。
