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评估 COPD 患者在院肺康复期间的应激、抑郁和焦虑症状:一项观察性队列研究。

Assessment of Stress, Depressive and Anxiety Symptoms in Patients with COPD during In-Hospital Pulmonary Rehabilitation: An Observational Cohort Study.

机构信息

Descartes' Error Student Research Association, Department of Physical Education and Physiotherapy, Opole University of Technology, 45-758 Opole, Poland.

Faculty of Physiotherapy, University School of Physical Education in Wroclaw, 51-612 Wroclaw, Poland.

出版信息

Medicina (Kaunas). 2021 Feb 25;57(3):197. doi: 10.3390/medicina57030197.

DOI:10.3390/medicina57030197
PMID:33669130
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7996584/
Abstract

: The relationship between physical health and mental health has been considered for years. A number of studies have shown a correlation between depressive states and the progress of somatic diseases. It seems that the proper cooperation of specialists may result in the improvement of the patient's well-being and a positive effect on the course of the rehabilitation process. The aim of this study was to assess the symptoms of depression, anxiety, and stress in patients with chronic obstructive pulmonary disease (COPD) as well as the assessment of the relationship of psychological symptoms with sociodemographic factors and physical condition. : The study enrolled 51 COPD patients who underwent a three-week pulmonary rehabilitation program. After admission to the rehabilitation department, the subjects were asked to complete the Hospital Anxiety and Depression Scale (HADS) questionnaire, the Perception of Stress Questionnaire (PSQ), and a sociodemographic questionnaire. : Anxiety states were diagnosed in 70% of respondents and depressive states were diagnosed in 54% of patients. Some of the respondents (14%) also showed a tendency to experience various grounded stresses. Additionally, there were correlations between the mental state and the results of fitness and respiratory tests. : Patients with COPD are at risk for mental disorders, which may adversely affect their general health and significantly limit their physical and respiratory efficiencies. The development of widely available therapeutic solutions to reduce symptoms associated with depression, anxiety, and stress seems to be an important challenge for the management of patients with COPD.

摘要

: 多年来,人们一直在研究身体健康和心理健康之间的关系。许多研究表明,抑郁状态与躯体疾病的进展之间存在相关性。似乎专家的适当合作可能会改善患者的幸福感,并对康复过程产生积极影响。本研究旨在评估慢性阻塞性肺疾病(COPD)患者的抑郁、焦虑和压力症状,并评估心理症状与社会人口因素和身体状况的关系。 : 该研究纳入了 51 名接受为期三周的肺康复计划的 COPD 患者。在入住康复科后,受试者被要求完成医院焦虑和抑郁量表(HADS)问卷、压力感知量表(PSQ)和社会人口学问卷。 : 70%的受访者被诊断出焦虑状态,54%的患者被诊断出抑郁状态。一些受访者(14%)也表现出经历各种基础压力的倾向。此外,精神状态与健康和呼吸测试结果之间存在相关性。 : COPD 患者存在精神障碍的风险,这可能会对他们的整体健康产生不利影响,并严重限制他们的身体和呼吸效率。开发广泛可用的治疗方法来减轻与抑郁、焦虑和压力相关的症状,这似乎是 COPD 患者管理的一个重要挑战。

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