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从慢性阻塞性肺疾病患者的角度看,感知到的呼吸困难对其死亡态度的影响。

Effect of Perceived Dyspnea on Attitude Toward Death From the Perspective of COPD Patients.

作者信息

Bülbüloğlu Semra, Kaplan Serin Emine

机构信息

Surgical Nursing Department, Health Sciences Faculty, Gaziosmanpasa University, Tokat, Turkey.

Department of Nursing, Faculty of Health Science, Gaziantep University, Gaziantep, Turkey.

出版信息

Omega (Westport). 2023 Feb;86(3):913-929. doi: 10.1177/0030222821993629. Epub 2021 Feb 10.

Abstract

In this study, it was aimed to examine attitudes toward dyspnea and death from the perspective of Chronic Obstructive Pulmonary Disease (COPD) patients and to determine the relationship between them. This descriptive research was carried out in the chest diseases clinic of a public hospital and with the participation of COPD patients (n = 124). The data were obtained from the Personal Information Form, Death Attitude Profile-Revised, and Medical Research Council Scale. The neutral acceptance and approach acceptance subscale is explained as believing that death is an inevitable part of life and a transition to life after death. The escape acceptance subscale is explained as believing that life will save from physical or psychological harms. It was determined that the Neutral Acceptance and Approach Acceptance sub-dimension of the predictors of dyspnea, comorbid diseases, and COPD had a significant effect at a rate of 33% (p = 0.000). Dyspnea, Comorbid diseases, and the predictors of the severity of COPD affect the Escape Acceptance sub-dimension by 57% (p = 0.000). This research has shown that fear of death is high in COPD patients with high perceived dyspnea. The psychological support provided to patients with COPD should be considered to relieve the fear of death. New studies are needed in which these should be reevaluated in the same context.

摘要

在本研究中,旨在从慢性阻塞性肺疾病(COPD)患者的角度审视对呼吸困难和死亡的态度,并确定它们之间的关系。这项描述性研究在一家公立医院的胸科诊所进行,有COPD患者(n = 124)参与。数据来自个人信息表、修订后的死亡态度量表和医学研究委员会量表。中性接受和接近接受子量表被解释为相信死亡是生命不可避免的一部分以及死后向生命的过渡。逃避接受子量表被解释为相信生命能避免身体或心理伤害。研究确定,呼吸困难、合并症和COPD预测因素的中性接受和接近接受子维度以33%的比例产生显著影响(p = 0.000)。呼吸困难、合并症和COPD严重程度的预测因素对逃避接受子维度的影响为57%(p = 0.000)。这项研究表明,在感知到的呼吸困难程度较高的COPD患者中,对死亡的恐惧较高。应考虑为COPD患者提供心理支持以减轻对死亡的恐惧。需要进行新的研究,在相同背景下对这些进行重新评估。

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