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考察社会支持对加拿大 COPD 患者心理健康的影响:对政府政策的启示。

Examining the Impact of Social Support on Psychological Well-Being Among Canadian Individuals With COPD: Implications for Government Policies.

机构信息

Yorkville University, Fredericton, NB, Canada.

出版信息

Yale J Biol Med. 2024 Jun 28;97(2):125-139. doi: 10.59249/OKAB8606. eCollection 2024 Jun.

DOI:10.59249/OKAB8606
PMID:38947110
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11202116/
Abstract

Chronic obstructive pulmonary disease (COPD) is a significant respiratory disease and is globally ranked as the third leading cause of death. In Canada, the direct healthcare costs associated with COPD are estimated to be $1.5 billion annually. This study utilized quantitative analyses to examine the impact of specific dimensions of social support, namely, guidance, reliable alliance, reassurance of worth, attachment, and social integration within a clinically identified population of individuals with COPD who exhibit symptoms of depression and anxiety. The study was based on the Social Provisions Theory and stress-buffering hypothesis, utilizing large-scale population data from Statistics Canada's 2012 Canadian Community Health Survey (CCHS) Mental Health component. On a national scale, individuals were more likely to report a decreased sense of belonging to a group of friends (social integration) and struggle to depend on others in stressful times (reliable alliance) while experiencing symptoms of anxiety and depression. These findings underscore the potential benefits of integrating peer support, socialization initiatives, and caregiver training into clinical programs designed for individuals with COPD.

摘要

慢性阻塞性肺疾病(COPD)是一种严重的呼吸系统疾病,在全球范围内位居死亡原因的第三位。在加拿大,每年与 COPD 相关的直接医疗保健费用估计为 15 亿美元。本研究采用定量分析方法,考察了社会支持的特定维度(即指导、可靠联盟、价值保证、依恋和社会融合)对临床诊断为患有 COPD 且同时伴有抑郁和焦虑症状的个体的影响。该研究基于社会供应理论和应激缓冲假说,利用来自加拿大统计局 2012 年加拿大社区健康调查(CCHS)心理健康部分的大规模人口数据。在全国范围内,有焦虑和抑郁症状的个体更有可能报告自己对朋友圈的归属感降低(社会融合),并在压力时期难以依靠他人(可靠联盟)。这些发现强调了将同伴支持、社交活动和护理人员培训纳入为 COPD 患者设计的临床项目的潜在益处。

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本文引用的文献

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Trends in hospital admissions for chronic obstructive pulmonary disease over 16 years in Canada.16 年来加拿大慢性阻塞性肺疾病住院治疗趋势。
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Depressive and anxiety symptoms in patients with COPD: A network analysis.慢性阻塞性肺疾病患者的抑郁和焦虑症状:网络分析。
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The unmet global burden of COPD.慢性阻塞性肺疾病未被满足的全球负担。
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Understanding the Links Between Social Support and Physical Health: A Life-Span Perspective With Emphasis on the Separability of Perceived and Received Support.理解社会支持与身体健康之间的联系:一个强调感知支持和接受支持可分离性的生命周期视角。
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Pulmonary rehabilitation in Canada: A report from the Canadian Thoracic Society COPD Clinical Assembly.加拿大的肺康复:加拿大胸科学会慢性阻塞性肺疾病临床大会报告
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The effects of marijuana exposure on expiratory airflow. A study of adults who participated in the U.S. National Health and Nutrition Examination Study.大麻暴露对呼气气流的影响。一项针对参与美国国家健康与营养检查调查的成年人的研究。
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