LONELINESS, DEPRESSION, AND SOCIAL SUPPORT OF PATIENTS WITH COPD AND THEIR SPOUSES
LONELINESS, DEPRESSION, AND SOCIAL SUPPORT OF PATIENTS WITH COPD AND THEIR SPOUSES
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DOI：
10.1111/j.1525-1446.1993.tb00060.x
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发表时间：
1993-12-01
影响因子：
2.1
通讯作者：
BARRON, CR
中科院分区：
文献类型：
--
作者：
KEELECARD, G;FOXALL, MJ;BARRON, CR
对30名慢性阻塞性肺疾病(COPD)患者及其配偶进行了访谈，以考察孤独、抑郁和社会支持之间的差异和关系。数据是在结构化的家庭访谈中收集的，使用的是加州大学洛杉矶分校的孤独量表、流行病学研究中心的抑郁量表和社会支持问卷。客户和配偶在孤独和抑郁的测量上没有显著差异，两组的平均得分都高于其他可比组。然而，配偶往往比客户更孤独，客户往往比配偶更抑郁。这两个群体在其社交网络中的人数方面也相似，但在网络构成方面不同。配偶对自己的关系网的满意度不如客户。社会支持满意度与客户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客户和配偶对COPD的心理反应很敏感，这可能表现为孤独和抑郁的感觉。
Thirty clients with chronic obstructive pulmonary disease (COPD) and their spouses were interviewed to examine differences in and 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.