Anderson K L
School of Nursing, Seattle University, Washington 98122, USA.
Res Nurs Health. 1995 Dec;18(6):547-56. doi: 10.1002/nur.4770180610.
Lazarus and Folkman's (1984) theory of stress, coping, and adaptation served as the framework for a path model of quality of life in chronic obstructive pulmonary disease (COPD). It was hypothesized that psychosocial variables (depression, anxiety, self-esteem, optimism, and social support) would mediate the effects of demographic (age, socioeconomic status) and disease (dyspnea, disease severity, and functional status) variables on life quality in COPD. Interview, pulmonary function, and 6-minute walk test data obtained from 126 subjects with COPD resulted in support for the majority of the hypothesized relationships. Variables having direct effects on life quality were self-esteem, depression, social support, and age. Anxiety and optimism did not have their hypothesized effects on quality of life, suggesting the need to reconsider their importance in influencing life quality in COPD.
拉扎勒斯和福克曼（1984年）的压力、应对和适应理论，为慢性阻塞性肺疾病（COPD）生活质量路径模型提供了框架。研究假设心理社会变量（抑郁、焦虑、自尊、乐观和社会支持）将介导人口统计学变量（年龄、社会经济地位）和疾病变量（呼吸困难、疾病严重程度和功能状态）对COPD患者生活质量的影响。从126名COPD患者处获得的访谈、肺功能和6分钟步行测试数据，支持了大多数假设关系。对生活质量有直接影响的变量是自尊、抑郁、社会支持和年龄。焦虑和乐观并未对生活质量产生假设中的影响，这表明有必要重新考虑它们在影响COPD患者生活质量方面的重要性。
