Case Western Reserve University, Frances Payne Bolton School of Nursing, Cleveland, OH, USA.
Ohio University Heritage College of Osteopathic Medicine, Athens, OH, USA.
West J Nurs Res. 2022 Nov;44(11):992-1005. doi: 10.1177/01939459211027655. Epub 2021 Jun 24.
Treatment burden contributes to suboptimal adherence and lower health-related quality of life among people diagnosed with chronic conditions, but little is known about how the psychological process of emotional dysregulation influences treatment burden. To explore this relationship, we conducted a descriptive, cross-sectional study comprised of 149 men and women diagnosed with one or more Centers for Medicare and Medicaid Systems defined chronic conditions recruited from a single primary care setting. Multivariate analyses demonstrated emotional dysregulation as an independent factor contributing to total ( < .001), medication ( = .007), and dietary ( < .001) treatment burden, with model effect sizes ranging from large (.43) to moderate (.21), controlling for other known antecedent factors of treatment burden. Emotional dysregulation was not a factor contributing to exercise related treatment burden. Our findings indicated emotional dysregulation as an important factor contributing to higher levels of total, medication, and dietary treatment burden associated with daily self-management regimens.
治疗负担会导致慢性病患者的治疗依从性不佳和生活质量下降,但人们对情绪失调的心理过程如何影响治疗负担知之甚少。为了探讨这种关系,我们进行了一项描述性的、横断面研究,共纳入了 149 名在单一初级保健环境中招募的被诊断患有一种或多种医疗保险和医疗补助服务中心定义的慢性病的男性和女性。多变量分析表明,情绪失调是导致总治疗负担(<0.001)、药物治疗负担(=0.007)和饮食治疗负担(<0.001)的独立因素,模型效应大小从大(0.43)到中(0.21)不等,控制了其他已知的治疗负担先行因素。情绪失调不是导致与运动相关的治疗负担的因素。我们的研究结果表明,情绪失调是导致与日常自我管理方案相关的总治疗负担、药物治疗负担和饮食治疗负担水平升高的一个重要因素。