Assessment of Self-Management Treatment Needs Among COPD Helpline Callers.
Assessment of Self-Management Treatment Needs Among COPD Helpline Callers.
复制标题
慢性阻塞性肺病热线求助者自我管理治疗需求的评估。
DOI：
10.1080/15412555.2019.1575350
复制
发表时间：
2019
期刊：
影响因子：
2.2
通讯作者：
Hitsman,Brian
中科院分区：
文献类型：
--
作者：
Mathew,AmandaR;Guzman,Miriam;Bridges,Cherylee;Yount,Susan;Kalhan,Ravi;Hitsman,Brian
电话戒烟是一种有效的以人群为基础的戒烟策略，特别是在患有慢性阻塞性肺疾病(COPD)等与烟草相关的疾病的个人中。扩大QUTOLINE服务以提供以COPD为重点的自我管理干预可能是有益的；然而，需要数据来确定这一人群的具体治疗需求。我们进行了一项基于电话的调查(N= 5,772)，以检查接受美国肺协会(ALA)肺帮助热线服务的慢性阻塞性肺病患者的教育需求、行为健康特征和疾病相关干预。大多数参与者(73.7%)对以COPD为重点的信息感兴趣，很少有人事先接受过呼吸练习(33.9%)、节能(26.5%)或呼吸道清理(32.1%)的指导。约三分之一的参与者经常锻炼，16.3%的人遵循特殊饮食，81.4%的人目前吸烟。大多数参与者(78.2%)报告了与COPD相关的日常活动干扰，30.8%的参与者在过去六个月内因呼吸而住院。近一半的参与者(45.4%)报告了目前的焦虑或抑郁症状。那些有焦虑/抑郁的人与没有焦虑/抑郁的人相比，有更高的COPD相关干预率(83.9%比73.5%，p<；.001)和过去6个月的住院率(33.4%比28.3%，p<；.001)。总而言之，这项调查发现了对以疾病为重点的教育的浓厚兴趣；缺乏对COPD具体自我管理策略的事先指导；以及在锻炼、饮食和戒烟方面的行为健康需求。焦虑和抑郁症状很常见，并与更大的疾病负担相关，这突显了应对负面情绪的重要性。对针对COPD患者多种行为需求的自我管理治疗的含义进行了讨论。
Telephone quitlines are an effective population-based strategy for smoking cessation, particularly among individuals with tobacco-related diseases such as chronic obstructive pulmonary disease (COPD). Expanding quitline services to provide COPD-focused self-management interventions is potentially beneficial; however, data are needed to identify specific treatment needs in this population. We conducted a telephone-based survey (N= 5,772) to examine educational needs, behavioral health characteristics, and disease-related interference among individuals with COPD who received services from the American Lung Association (ALA) Lung Helpline. Most participants (73.7%) were interested in COPD-focused information, and few had received prior instruction in breathing exercises (33.9%), energy conservation (26.5%), or airway clearing (32.1%). About one-third of participants engaged in regular exercise, 16.3% followed a special diet, and 81.4% were current smokers. Most participants (78.2%) reported COPD-related interference in daily activities and 30.8% had been hospitalized within the past six months for their breathing. Nearly half of participants (45.4%) reported current symptoms of anxiety or depression. Those with vs. without anxiety/depression had higher rates of COPD-related interference (83.9% vs. 73.5%,p< .001) and past six-month hospitalization (33.4% vs. 28.3%,p< .001). In conclusion, this survey identified strong interest in disease-focused education; a lack of prior instruction in specific self-management strategies for COPD; and behavioral health needs in the areas of exercise, diet, and smoking cessation. Anxiety and depression symptoms were common and associated with greater disease burden, underscoring the importance of addressing coping with negative emotions. Implications for self-management treatments that target multiple behavioral needs of COPD patients are discussed.