Keele-Card G, Foxall M J, Barron C R
Columbia State Community College, TN.
Public Health Nurs. 1993 Dec;10(4):245-51. doi: 10.1111/j.1525-1446.1993.tb00060.x.
Thirty clients with chronic obstructive pulmonary disease (COPD) and their spouses were interviewed to examine differences in the relationships among loneliness, depression, and social support. Data were collected during structured in-home interviews using the UCLA loneliness scale, the Center for Epidemiological Studies depression scale, and the social support questionnaire. The clients and spouses did not differ significantly on measures of loneliness and depression, with mean scores for both groups higher than those in other comparable groups. Spouses, however, tended to be a little lonelier than clients, and clients tended to be a little more depressed than spouses. The two groups were also similar with respect to the number of people in their social networks but different as to network composition. Spouses were less satisfied with their networks than clients. Social support satisfaction was linked to loneliness and depression for clients but not for spouses. Results of the study suggest that community nurses working in home settings must be sensitive to clients' and spouses' psychologic reactions to COPD, which may be expressed in feelings of loneliness and depression.
对30名慢性阻塞性肺疾病（COPD）患者及其配偶进行了访谈，以研究孤独感、抑郁和社会支持之间关系的差异。在结构化的家庭访谈中，使用加州大学洛杉矶分校孤独感量表、流行病学研究中心抑郁量表和社会支持问卷收集数据。在孤独感和抑郁测量方面，患者及其配偶没有显著差异，两组的平均得分均高于其他可比组。然而，配偶往往比患者更孤独一些，而患者则比配偶更抑郁一些。两组在社交网络中的人数方面也相似，但在网络构成方面有所不同。配偶对其社交网络的满意度低于患者。社会支持满意度与患者的孤独感和抑郁有关，但与配偶无关。研究结果表明，在家庭环境中工作的社区护士必须对患者及其配偶对慢性阻塞性肺疾病的心理反应保持敏感，这些反应可能表现为孤独感和抑郁情绪。
