Non-Communicable Diseases Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
Social Determinants of Health Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
Biomed Res Int. 2021 Mar 25;2021:6614566. doi: 10.1155/2021/6614566. eCollection 2021.
A better perception of the factors associated with patient activation, as a way to improve self-management, is the most important step in planning patient-centered education for chronic disease management. Therefore, the present study is aimed at investigating the relationship between activation, stress, anxiety, depression, and quality of life (QOL) in patients with chronic diseases. This correlational study was performed on 293 chronic patients admitted to coronary care units (CCUs) in one of the hospitals in Rafsanjan. The Patient Activation Measure (PAM), Quality of Life-BREF (WHOQOL-BREF), and Depression, Anxiety, and Stress Scale-21 Items (DASS-21) were used to collect data. The data were then analyzed using SPSS 22. A significant positive correlation was observed between general QOL and PAM ( < 0.001). In addition, a significant negative correlation was found between PAM, stress ( = 0.032), and depression ( = 0.025). The results of multivariate linear regression indicated that only physical and psychological subscales of QOL significantly predicted PAM ( = 0.24; 95% confidence interval; value < 0.05). Owing to the fact that some subscales of QOL have a determinant role in the PAM of chronic patients, healthcare providers are recommended to plan and implement the necessary interventions to improve the QOL and the health outcomes of chronic patients.
更好地理解与患者激活相关的因素，是规划以患者为中心的慢性病管理教育的最重要步骤。因此，本研究旨在调查慢性病患者的激活、压力、焦虑、抑郁与生活质量（QOL）之间的关系。这是一项在拉夫桑詹市的一家医院的冠心病监护病房（CCU）中进行的 293 名慢性病患者的相关性研究。采用患者激活量表（PAM）、生活质量简表（WHOQOL-BREF）和 21 项抑郁焦虑和压力量表（DASS-21）来收集数据。然后使用 SPSS 22 对数据进行分析。结果显示，一般 QOL 与 PAM 之间呈显著正相关（<0.001）。此外，PAM 与压力（=0.032）和抑郁（=0.025）之间呈显著负相关。多元线性回归结果表明，只有 QOL 的生理和心理子量表能显著预测 PAM（=0.24；95%置信区间；<0.05）。由于 QOL 的一些子量表对慢性病患者的 PAM 有决定作用，建议医疗保健提供者规划和实施必要的干预措施，以提高慢性病患者的 QOL 和健康结果。
