Brown J S, Rawlinson M E, Hilles N C
Med Care. 1981 Nov;19(11):1136-46. doi: 10.1097/00005650-198111000-00006.
This research was undertaken to demonstrate the usefulness of a theoretical model for explaining differences in the life satisfaction of persons with different chronic diseases. Through stepwise multiple regression, an assessment was made of the effects of social activity, perceived health, health locus-of control and degree of disability on the life satisfaction of 51 persons with coronary artery disease (CAD) and 32 persons with chronic obstructive pulmonary disease (COPD). Findings were as follows: (1) COPD patients were significantly less satisfied, less socially active and more disabled, and they perceived their health as poorer than did the CAD patients; (2) social activity emerged as the single best predictor of life satisfaction for both groups; (3) the second best predictor was perceived health for the CAD patients and degree of disability for the COPD patients; (4) the four variables accounted for 48 per cent of the variance in life satisfaction for the COPD patients, 12.4 per cent of the CAD patients. It was concluded that predictors of life satisfaction vary with the particular disease, as does the manner in which these factors interact to mitigate or compound the impact of the particular disease. Suggestions are made regarding modification of the theoretical model.
本研究旨在证明一种理论模型在解释不同慢性病患者生活满意度差异方面的实用性。通过逐步多元回归分析，评估了社会活动、感知健康状况、健康控制点和残疾程度对51名冠心病（CAD）患者和32名慢性阻塞性肺疾病（COPD）患者生活满意度的影响。研究结果如下：（1）COPD患者的满意度显著较低，社交活动较少，残疾程度较高，且他们对自身健康状况的感知比CAD患者更差；（2）社交活动是两组患者生活满意度的最佳单一预测因素；（3）第二佳预测因素，对于CAD患者是感知健康状况，对于COPD患者是残疾程度；（4）这四个变量解释了COPD患者生活满意度方差的48%，CAD患者的12.4%。研究得出结论，生活满意度的预测因素因具体疾病而异，这些因素相互作用以减轻或加剧特定疾病影响的方式也有所不同。文中针对理论模型的修正提出了建议。
