Marital adjustment among patients with chronic obstructive pulmonary disease who are participating in pulmonary rehabilitation
Marital adjustment among patients with chronic obstructive pulmonary disease who are participating in pulmonary rehabilitation
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DOI：
10.1016/j.hrtlng.2004.12.005
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发表时间：
2005-07-01
期刊：
影响因子：
2.8
通讯作者：
MacIntyre, NR
中科院分区：
文献类型：
--
作者：
Ashmore, JA;Emery, CF;MacIntyre, NR
背景技术背景：婚姻适应与各种慢性病的发病率和死亡率相关，但在慢性阻塞性肺疾病（COPD）患者中，婚姻适应在很大程度上被忽视。本研究旨在评估婚姻适应、生活质量、心理功能、参加5周运动康复计划的已婚COPD患者及其配偶的运动能力和功能能力。一个方便的样本31例COPD患者和他们的合作伙伴被included.DESIGN：一个前瞻性的1组前测-后测study was conducted.RESULTS：婚姻适应评分表明，患者和合作伙伴，平均而言，满意他们的婚姻。患者的婚姻调整与患者的心理健康，而伴侣的婚姻调整与患者的身体功能。此外，患者和伴侣对婚姻的看法。调整预测运动康复后患者功能的变化。婚姻适应不良的患者进入该项目后，康复后的心理健康状况得到了更大幅度的改善，比适应良好的patients.CONCLUSIONS：这些研究结果表明，婚姻适应与COPD患者的心理健康和身体功能相关，它可以预测COPD患者参加运动康复的变化。
BACKGROUND: Marital adjustment has been associated with morbidity and mortality across various chronic diseases but has been largely ignored among patients with chronic obstructive pulmonary disease (COPD).PURPOSE: This study was designed to evaluate the relationship among marital adjustment, quality of life, psychologic functioning, and functional capacity among married patients with COPD who are participating in a 5-week exercise rehabilitation program and their spouses.SAMPLE: A convenience sample of 31 patients with COPD and their partners was included.DESIGN: A prospective 1-group pretest-posttest study was conducted.RESULTS: Marital adjustment scores indicated that patients and partners were, on average, satisfied with their marriages. Patient marital adjustment was associated with patient psychologic well-being, whereas partner marital adjustment was associated with patient physical functioning. In addition, patient and partner perceptions of marital. adjustment predicted change in patient functioning after exercise rehabilitation. Patients who entered the program with poor marital adjustment experienced a greater magnitude of improvement in mental health after rehabilitation than did well-adjusted patients.CONCLUSIONS: These findings suggest that marital adjustment is associated with both psychologic well-being and physical functioning among patients with COPD, and that it may predict change among patients with COPD participating in exercise rehabilitation.