Beaumont Marc, Mercier Arthur, Péran Loic, Berriet Anne Cécile, Le Ber Catherine, Reychler Gregory
Institut National de la Santé et de la Recherche Médicale (Inserm), University de Brest, CHRU Brest, UMR 1304, Groupe d'étude de la Thrombose de Bretagne Occidentale (GETBO), 29200 Brest, France.
Pulmonary Rehabilitation Unit, Morlaix Hospital Centre, 29600 Morlaix, France.
Healthcare (Basel). 2024 Dec 24;13(1):13. doi: 10.3390/healthcare13010013.
: Patients with COPD have altered self-esteem, and good self-esteem promotes personal, health, and social success. Improving self-esteem could be a method for encouraging the maintenance of physical activity. Only one study has evaluated the effects of pulmonary rehabilitation (PR) on self-esteem in moderate COPD patients. The objective was to assess the evolution of self-esteem in COPD patients of all stages of severity during PR. : COPD patients undergoing PR were included in this prospective observational study. Patients were evaluated before and after the 4-week PR program. The objectives were to (1) assess the evolution of self-esteem using the Physical Self Inventory-6 questionnaire (PSI-6), (2) assess the evolution in each sub-score of PSI-6, (3) examine the correlations between the evolution of self-esteem and the evolution of parameters usually used during PR, and (4) determine an MID for self-esteem. : In total, 76 patients were included. We found that there was a significant increase in the total score in PSI-6 (9.29, < 0.001), CI 95% [6.74; 11.83], and in the sub-scores of PSI-6. The evolution of the PSI-6 score was moderately correlated with changes in exercise capacity using STST1 (r = 0.352, = 0.002) and quality of life (r = -0.361, = 0.001) and weakly correlated to changes in dyspnea (r = -0.245, = 0.03), anxiety (r = -0.248, = 0.03), and depression (r = -0.290, = 0.01). Using a distribution-based analysis, we found an MID between 5.2 and 5.6. : We showed a significant increase in global score and in each sub-score of self-esteem using PSI-6 in COPD patients undergoing a PR program. We propose an MID of 5.6.
慢性阻塞性肺疾病（COPD）患者的自尊水平发生了改变，而良好的自尊有助于个人、健康和社交方面的成功。提高自尊可能是鼓励维持体育活动的一种方法。仅有一项研究评估了肺康复（PR）对中度COPD患者自尊的影响。本研究的目的是评估PR期间所有严重程度阶段的COPD患者自尊的变化情况。
接受PR的COPD患者被纳入这项前瞻性观察研究。在为期4周的PR项目前后对患者进行评估。目的包括：（1）使用身体自我量表-6问卷（PSI-6）评估自尊的变化；（2）评估PSI-6各子量表的变化；（3）检查自尊变化与PR期间常用参数变化之间的相关性；（4）确定自尊的最小有意义差异（MID）。
总共纳入了76例患者。我们发现PSI-6的总分显著增加（9.29，<0.001），95%置信区间[6.74；11.83]，且PSI-6各子量表得分也显著增加。PSI-6得分的变化与使用递增式穿梭步行试验1（STST1）评估的运动能力变化（r = 0.352，= 0.002）以及生活质量变化（r = -0.361，= 0.001）呈中度相关，与呼吸困难变化（r = -0.245，= 0.03）、焦虑变化（r = -0.248，= 0.03）和抑郁变化（r = -0.290，= 0.01）呈弱相关。通过基于分布的分析，我们发现MID在5.2至5.6之间。
我们发现，接受PR项目的COPD患者使用PSI-6评估时，自尊的总体得分及各子量表得分均显著增加。我们提出MID为5.6。
