Post-Graduate Research Program on Rehabilitation Sciences and Physical Function Performance, Faculty of Physiotherapy, Federal University of Juiz de Fora, Juiz de Fora, Minas Gerais, Brazil.
School of Medicine, Federal University of Juiz de Fora, Juiz de Fora, Minas Gerais, Brazil.
J Clin Nurs. 2022 Mar;31(5-6):669-678. doi: 10.1111/jocn.15926. Epub 2021 Jun 23.
Management strategies that incorporate spirituality and religiosity (S/R) have been associated with better health status in clinical populations. However, few data are available for patients with chronic obstructive pulmonary disease (COPD) to improve the traditional disease-model treatment.
The objectives of this study were to evaluate the association between S/R and physical and psychological status in patients with stable COPD.
This is a cross-sectional study.
Religiosity, spiritual well-being and S/R Coping were measured. Physical status was evaluated with the activity of daily living, dyspnoea and the impact of the disease. Psychological status was assessed with anxiety and depression symptoms and quality of life. Spearman correlation coefficients were calculated, multivariate linear regression was applied in the analyses. This study is reported following the STROBE recommendations.
Seventy-two patients with stable COPD (male 58%, aged 68 ± 9 years, forced expiratory volume in 1s (FEV ) of 49.2 ± 19.6% predicted) were included. There was no association between S/R and activity of daily living. However, higher spiritual well-being and lower Negative S/R Coping was associated with reduced dyspnoea and burden of the disease. Increased S/R and lower Negative S/R Coping was also associated with less anxiety, depression and better quality of life. Multivariate linear regression showed that S/R variables explained the physical and psychological health status in people with stable COPD.
Higher spirituality and less negative S/R Coping are associated with reduced dyspnoea, the burden of the disease, anxiety and depression symptoms, and better quality of life in patients with stable COPD.
Understanding how religiosity and spirituality are associated with physical and psychological features in patients with COPD may contribute to the long-term management of this patient population.
将灵性和宗教信仰（S/R）纳入管理策略与临床人群的健康状况改善相关。然而，针对慢性阻塞性肺疾病（COPD）患者，很少有数据可以改善传统疾病模型治疗。
本研究旨在评估稳定期 COPD 患者的 S/R 与身体和心理状态之间的关联。
这是一项横断面研究。
测量了宗教信仰、精神幸福感和 S/R 应对方式。通过日常生活活动、呼吸困难和疾病影响评估身体状况。通过焦虑和抑郁症状以及生活质量评估心理状态。计算了 Spearman 相关系数，采用多元线性回归进行分析。本研究按照 STROBE 建议进行报告。
共纳入 72 例稳定期 COPD 患者（男性 58%，年龄 68±9 岁，用力呼气量占预计值的百分比（FEV ）为 49.2±19.6%）。S/R 与日常生活活动之间无关联。然而，较高的精神幸福感和较低的消极 S/R 应对方式与减轻呼吸困难和疾病负担相关。增加 S/R 和降低消极 S/R 应对方式也与焦虑、抑郁症状减轻和生活质量提高相关。多元线性回归显示，S/R 变量解释了稳定期 COPD 患者的身体和心理健康状况。
较高的精神性和较少的消极 S/R 应对方式与稳定期 COPD 患者的呼吸困难减轻、疾病负担减轻、焦虑和抑郁症状减轻以及生活质量提高相关。
了解宗教信仰和灵性如何与 COPD 患者的身体和心理特征相关，可能有助于对该患者群体的长期管理。
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