Bouloukaki Izolde, Christodoulakis Antonios, Margetaki Katerina, Aravantinou Karlatou Antonia, Tsiligianni Ioanna
Department of Social Medicine, School of Medicine, University of Crete, 71003 Heraklion, Greece.
Department of Nursing, School of Health Sciences, Hellenic Mediterranean University, 71410 Heraklion, Greece.
Healthcare (Basel). 2024 Feb 25;12(5):544. doi: 10.3390/healthcare12050544.
We aimed to explore the link between social support and various patient-reported outcome measures (PROMs) in primary care patients with COPD. This was a cross-sectional study with 168 patients with COPD from six primary care centers in Crete, Greece. We collected data on sociodemographic characteristics, medical history, disease-specific quality of life, the COPD Assessment Test (CAT), fatigue, the Fatigue Severity Scale (FSS), phycological parameters, Patient Health Questionnaire-9, General Anxiety Disorder-7, sleep complaints, the Pittsburg Sleep Quality Index, the Athens Insomnia scale (AIS), and the Epworth Sleepiness Scale. Social support was measured using the Multidimensional Scale of Perceived Social Support (MSPSS). Out of 168 patients with COPD, 114 (68.9%) exhibited low levels of social support. Low social support (MSPSS total ≤ 5) was positively associated with COPD symptoms (CAT score ≥ 10) (OR = 3.97, 95%CI:1.86-8.44; < 0.01), fatigue (FSS ≥ 36) (OR = 2.74, 95%CI:1.31-5.74; = 0.01), and insomnia symptoms (AIS ≥ 6) (OR = 5.17 95%CI:2.23-12.01; < 0.01), while the association with depressive symptoms (PHQ-9 ≥ 10) was marginally significant (OR = 3.1, 95%CI:0.93-10.36; = 0.07). Our results suggest that lower levels of social support are positively associated with PROMs in patients with COPD. Therefore, our findings show an additional way to improve the overall health of patients with COPD in primary care by putting social support at the epicenter of actions.
我们旨在探讨希腊克里特岛六个初级保健中心的慢性阻塞性肺疾病（COPD）初级保健患者的社会支持与各种患者报告结局指标（PROMs）之间的联系。这是一项横断面研究，纳入了来自希腊克里特岛六个初级保健中心的168例COPD患者。我们收集了社会人口学特征、病史、疾病特异性生活质量、慢性阻塞性肺疾病评估测试（CAT）、疲劳、疲劳严重程度量表（FSS）、心理参数、患者健康问卷-9、广泛性焦虑障碍-7、睡眠问题、匹兹堡睡眠质量指数、雅典失眠量表（AIS）和爱泼华嗜睡量表的数据。使用领悟社会支持多维量表（MSPSS）测量社会支持。在168例COPD患者中，114例（68.9%）表现出低水平的社会支持。低社会支持（MSPSS总分≤5）与COPD症状（CAT评分≥10）（比值比[OR]=3.97，95%置信区间[CI]：1.86-8.44；P<0.01）、疲劳（FSS≥36）（OR=2.74，95%CI：1.31-5.74；P=0.01）和失眠症状（AIS≥6）（OR=5.17，95%CI：2.23-12.01；P<0.01）呈正相关，而与抑郁症状（患者健康问卷-9≥10）的关联具有边缘显著性（OR=3.1，95%CI：0.93-10.36；P=0.07）。我们的结果表明，较低水平的社会支持与COPD患者的PROMs呈正相关。因此，我们的研究结果显示了一种通过将社会支持作为行动核心来改善初级保健中COPD患者整体健康的额外方法。
