Perceived quality of life in chronic obstructive pulmonary disease patients: a cross-sectional study in primary care on the role of illness perceptions.
Perceived quality of life in chronic obstructive pulmonary disease patients: a cross-sectional study in primary care on the role of illness perceptions.
复制标题
慢性阻塞性肺疾病患者的生活质量感知：初级保健中关于疾病感知作用的横断面研究。
DOI：
10.1186/1471-2296-15-140
复制
发表时间：
2014-08-03
影响因子：
2.9
通讯作者：
Schuurmans MJ
中科院分区：
文献类型：
--
作者：
Weldam SW;Lammers JW;Heijmans MJ;Schuurmans MJ
先前的研究表明，在慢性阻塞性肺疾病（COPD）患者中，重要的是不仅要考虑身体功能和投诉，还要考虑心理因素，如疾病感知，以解释健康相关生活质量（HRQoL）的差异。本研究的目的是根据常识模型（校正气流受限、呼吸困难和合并症）分析疾病感知的特定维度对HRQoL的贡献程度。在一项初级保健的横断面研究中，90名COPD患者完成了问卷调查：简明疾病感知问卷、医学研究理事会呼吸困难量表、临床COPD问卷（CCQ）和慢性呼吸问卷（CRQ）。采用多元线性回归进行分析。校正混杂因素（气流受限、呼吸困难和合并症）后，同一性（β = .42）和可理解性（β = -.16）与HRQoL（CCQ）相关。同一性、可理解性和呼吸困难解释了HRQoL变异的56%（R2 = .56）。结果（β =-0.50）和治疗控制（β = 0.20）与HRQoL（CRQ的身体领域）相关。他们解释了CRQ物理（R2 = .59）域中59%的变异。治疗控制（β = 0.19）和情绪反应（β =-0.33）与CRQ情绪领域相关。COPD症状较少、对疾病有更好的了解、COPD对日常生活的影响较小、治疗控制较好、情绪反应较少的患者HRQoL较好。本研究表明，COPD患者的HRQoL与疾病感知以及患者经历的呼吸困难的严重程度相关。气流限制措施或合并症不会增加HRQoL的解释。本研究的结果提供了开发干预措施的起点，重点关注疾病感知，以支持COPD患者的疾病管理和改善HRQoL。
Previous research has shown that in Chronic Obstructive Pulmonary Disease (COPD) patients, it is important to consider not only physical functioning and complaints but also psychological factors, such as illness perceptions, to explain differences in Health-Related Quality of Life (HRQoL). The objective of this study is to analyse the extent to which the specific dimensions of illness perceptions according to the Common Sense Model (corrected for airflow limitation, dyspnoea and comorbidities) contribute to HRQoL. In a cross-sectional study in primary care, 90 COPD patients completed questionnaires: The Brief Illness Perception Questionnaire, the Medical Research Council dyspnoea scale, the Clinical COPD Questionnaire (CCQ) and the Chronic Respiratory Questionnaire (CRQ). Analyses were performed with multiple linear regression. When corrected for confounders (airflow limitation, dyspnoea and comorbidities), identity (β = .42) and comprehensibility (β = -.16) were associated with HRQoL (CCQ). Identity, comprehensibility and dyspnoea explained 56% of the variation in HRQoL (R2 = .56). Consequences (β = -.50) and treatment control (β = .20) were associated with HRQoL (the CRQ’s physical domain). They explained 59% of the variation in the CRQ physical (R2 = .59) domain. Treatment control (β = .19) and emotional response (β = -.33) were associated with the CRQ emotional domain. Patients who experience fewer symptoms attributed to COPD, who have a better understanding of the disease, who experience less impact of COPD in daily life, who experience better treatment control and who have less of an emotional response have better HRQoL. This study indicates that the HRQoL of COPD patients is associated with illness perceptions as well as with the severity of dyspnoea as experienced by patients. Airflow limitation measures or comorbidities do not add to the explanation of HRQoL. The results of this study provide starting points for the development of interventions focusing on illness perceptions to support COPD patients in their disease management and to improve HRQoL.
登录
查看更多内容
影响因子：
7.9
作者：
Heijmans, M
通讯作者：
Heijmans, M
影响因子：
3.6
作者：
Bentsen, Signe Berit;Henriksen, Anne Hildur;Wahl, Astrid Klopstad
通讯作者：
Wahl, Astrid Klopstad
影响因子：
3.2
作者：
Jansen, Daphne L.;Heijmans, Monique;Kaptein, Ad A.
通讯作者：
Kaptein, Ad A.
医学研究委员会（MRC）呼吸困难量表作为慢性阻塞性肺病患者残疾度量标准的实用性
影响因子：
10
作者：
Bestall, JC;Paul, EA;Wedzicha, JA
通讯作者：
Wedzicha, JA
影响因子：
5.9
作者：
ATKINS, CJ;KAPLAN, RM;LOFBACK, K
通讯作者：
LOFBACK, K