Nursing Department, Ministry of Health, Amman, Jordan.
College of Nursing, Sultan Qaboos University, Muscat, Oman.
F1000Res. 2021 May 26;10:420. doi: 10.12688/f1000research.51936.1. eCollection 2021.
Patients' with Chronic Obstructive Pulmonary Disease suffer from serious respiratory symptoms that increase anxiety, stress, and uncertainty, and affect quality of life. The aim of this study was to assess level of anxiety, uncertainty, and health related quality of life (HRQoL) among COPD patients in Jordan. Correlational cross-sectional survey design was used to collect data from 153 COPD patients. The study was conducted at pulmonary clinics in three major referral hospitals in Jordan that provide care for COPD patients from different parts of the country. To assess HRQoL, St. George Respiratory Questionnaire was completed. Uncertainty and anxiety level was measured by Mishel's uncertainty of illness scale and state anxiety inventory respectively. The mean age of participants was 66.8 (SD= 10.3) and most participants were males (94.1%) with. The mean score of HRQoL was 57.9 (SD = 20.5). The mean score of participants' level of anxiety was 38.1 (SD = 11.1). The mean score of uncertainty was 66.1 (SD= 11.1). There is a statistically significant positive relationship between HRQoL and anxiety (r =.433, p< .01), and uncertainty (r=.483, p<.01). Increased anxiety and uncertainty among COPD patients was associated with low HRQoL. Health care providers need to pay attention the effect of anxiety and uncertainty on COPD patients' quality of life and institute appropriate management.
慢性阻塞性肺疾病患者患有严重的呼吸系统症状,增加了焦虑、压力和不确定性,并影响了生活质量。本研究旨在评估约旦慢性阻塞性肺疾病患者的焦虑、不确定性和健康相关生活质量(HRQoL)水平。采用相关性横断面调查设计,从约旦三家主要转诊医院的肺部诊所收集了 153 名慢性阻塞性肺疾病患者的数据。这些医院为来自全国各地的慢性阻塞性肺疾病患者提供护理。为了评估 HRQoL,完成了圣乔治呼吸问卷。通过米舍尔疾病不确定感量表和状态焦虑量表分别测量了不确定性和焦虑水平。参与者的平均年龄为 66.8(SD=10.3),大多数参与者为男性(94.1%)。HRQoL 的平均得分为 57.9(SD=20.5)。参与者焦虑水平的平均得分为 38.1(SD=11.1)。不确定性的平均得分为 66.1(SD=11.1)。HRQoL 与焦虑(r=.433,p<.01)和不确定性(r=.483,p<.01)呈显著正相关。慢性阻塞性肺疾病患者的焦虑和不确定性增加与 HRQoL 降低有关。医疗保健提供者需要注意焦虑和不确定性对慢性阻塞性肺疾病患者生活质量的影响,并采取适当的管理措施。