气候与哮喘的关联：探究气候变化焦虑对哮喘控制及生活质量的影响：一项多国研究

The Climate-Asthma Connection: Examining the Influence of Climate Change Anxiety on Asthma Control and Quality of Life: A Multi-National Study.

作者信息

Atta Mohamed Hussein Ramadan, El-Sayed Ahmed Abdelwahab Ibrahim, Taleb Fuad, Elsayed Shimmaa Mohamed, Al Shurafi Sharaf Omar, Altaheri Asmaa, Abdu Almoliky Mokhtar, Asal Maha Gamal Ramadan

机构信息

Nursing Department, College of Applied Medical Sciences, Prince Sattam Bin Abdulaziz University, Wadi Addawasir, Saudi Arabia.

Psychiatric and Mental-Health Nursing Department, Faculty of Nursing, Alexandria University, Alexandria, Egypt.

出版信息

J Adv Nurs. 2024 Oct 25. doi: 10.1111/jan.16513.

DOI:10.1111/jan.16513

PMID:39451046

Abstract

AIMS

This study aims to identify the impact of climate change anxiety and asthma control on asthmatics' quality of life and examine the moderating role of climate change anxiety in this linkage.

METHOD

A multi-national cross-sectional study was conducted in four Arabian countries on 1266 asthmatics selected by convenience sampling. Data were collected from November 2023 to February 2024 using a climate anxiety scale, mini-asthma quality of life questionnaire, and an asthma control questionnaire.

RESULTS

Climate anxiety was higher among middle-aged participants, as well as those with longer disease durations and previous hospitalisations. Climate anxiety showed strong negative correlations with asthma control (r = -0.704, p ≤ 0.05) and asthma quality of life (r = - 0.638, p ≤ 0.05). Climate anxiety and asthma control are powerful predictors of quality of life among asthmatics. Climate anxiety moderates the relationship between asthma control and quality of life, making it less positive (B = -0.094, p > 0.001). Covariates such as gender, age, comorbidities, employment status, disease duration, and previous hospitalisation showed significant associations with asthma quality of life.

IMPLICATIONS FOR NURSING PRACTICE

Assessment and mitigation of climate anxiety among asthmatics is a key strategy for controlling asthma and improving the quality of life. So, nurses must incorporate climate anxiety assessment into the care plan for asthmatics.

IMPACT

Climate change is a global concern, and insights into how climate-related psychological stressors exacerbate asthma symptoms and overall health outcomes are necessary. The findings provide actionable data for healthcare professionals to underscore the need for integrated healthcare approaches considering environmental and psychological factors.

REPORTING METHOD

This study adheres to strengthening the reporting of observational studies in epidemiology (STROBE) statement.

PATIENT OR PUBLIC CONTRIBUTION

Clients with asthma across multiple nationalities actively contributed to our paper.

摘要

目的

本研究旨在确定气候变化焦虑和哮喘控制对哮喘患者生活质量的影响，并检验气候变化焦虑在这种联系中的调节作用。

方法

在四个阿拉伯国家进行了一项多国横断面研究，通过便利抽样选取了1266名哮喘患者。2023年11月至2024年2月期间，使用气候焦虑量表、小型哮喘生活质量问卷和哮喘控制问卷收集数据。

结果

中年参与者以及疾病持续时间较长和曾住院治疗的参与者的气候焦虑程度更高。气候焦虑与哮喘控制（r = -0.704，p≤0.05）和哮喘生活质量（r = -0.638，p≤0.05）呈强烈负相关。气候焦虑和哮喘控制是哮喘患者生活质量的有力预测因素。气候焦虑调节哮喘控制与生活质量之间的关系，使其正向关系减弱（B = -0.094，p>0.001）。性别、年龄、合并症、就业状况、疾病持续时间和既往住院等协变量与哮喘生活质量显著相关。