A Structural Equation Model of the Relationship Between Symptom Burden, Psychological Resilience, Coping Styles, Social Support, and Psychological Distress in Elderly Patients With Acute Exacerbation Chronic Obstructive Pulmonary Disease in China

IF 2.1 3区医学 Q2 NURSING

Asian Nursing Research Pub Date : 2024-08-01 DOI:10.1016/j.anr.2024.06.003

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引用次数: 0

Abstract

Purpose

The prevalence of psychological distress is frequently observed among old adults with acute exacerbation of chronic obstructive pulmonary disease (AECOPD). However, current researches are insufficient to clarify the correlation among these relevant factors. This study examined the effects of symptom burden, psychological resilience, coping styles, and social support on psychological distress.

Methods

Two hundred fifty five elderly patients with AECOPD were conveniently selected in Taian, Shandong Province. The General Information Questionnaire, Distress Thermometer, The Revised Memorial Symptom Assessment Scale, Connor-Davidson Resilience Scale, Simplified Coping Style Questionnaire, Perceived Social Support Scale were used to investigate. The relationship among factors was estimated by using a structural equation model.

Results

Psychological distress score of elderly patients with AECOPD was (5.25 ± 1.01); coping styles, psychological resilience, symptom burden, and social support directly affected psychological distress (the direct effects were −.93, .17, .17, and −.09); coping styles had the largest total effect on psychological distress (the total effect was −.93); psychological resilience indirectly affected psychological distress through coping styles (the indirect effect was −.74); symptom burden indirectly affected psychological distress through psychological resilience (the indirect effect was .25); social support indirectly affected psychological distress through symptom burden, psychological resilience, and coping styles (the indirect effect was −.80).

Conclusion

The psychological distress of elderly patients with AECOPD is at a moderate level; coping styles, psychological resilience, and social support have positive effects on alleviating the psychological distress of elderly patients with AECOPD; symptom burden is negatively correlated with psychological distress. Healthcare professionals should pay more attention to elderly patients with AECOPD who are particularly prone to experience higher levels of psychological distress, especially in the presence of low coping style, limited psychological resilience, inadequate levels of social support, and high symptom burden.

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中国慢性阻塞性肺疾病急性加重期老年患者的症状负担、心理弹性、应对方式、社会支持与心理困扰之间关系的结构方程模型。

目的：在患有慢性阻塞性肺疾病急性加重期（AECOPD）的老年人中，心理困扰的发生率很高。然而，目前的研究还不足以阐明这些相关因素之间的相互关系。本研究探讨了症状负担、心理弹性、应对方式和社会支持对心理困扰的影响方法：在山东省泰安市方便地选择了 255 名老年慢性阻塞性肺疾病患者。采用一般信息问卷、压力温度计、修订版纪念症状评估量表、Connor-Davidson复原力量表、简化应对方式问卷、感知社会支持量表进行调查。结果：老年 AECOPD 患者的心理困扰评分为（5.25±1.01）分；应对方式、心理复原力、症状负担、社会支持直接影响心理困扰（直接效应分别为-0.934、0.174、0.169 和-0.086）；应对方式对心理困扰的总效应最大（总效应为-0.934）；心理复原力通过应对方式间接影响心理困扰（间接效应为-0.743）；症状负担通过心理复原力间接影响心理困扰（间接效应为 0.254）；社会支持通过症状负担、心理复原力和应对方式间接影响心理困扰（间接效应为-0.799）结论：老年 AECOPD 患者的心理困扰处于中等水平；应对方式、心理复原力和社会支持对缓解老年 AECOPD 患者的心理困扰有积极作用；症状负担与心理困扰呈负相关。医护人员应更多地关注老年 AECOPD 患者，因为他们特别容易出现较高程度的心理困扰，尤其是在应对方式低下、心理复原力有限、社会支持水平不足和症状负担较重的情况下。

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来源期刊

Asian Nursing Research NURSING-

CiteScore

4.20

自引率

4.50%

发文量

审稿时长

45 days

期刊介绍： Asian Nursing Research is the official peer-reviewed research journal of the Korean Society of Nursing Science, and is devoted to publication of a wide range of research that will contribute to the body of nursing science and inform the practice of nursing, nursing education, administration, and history, on health issues relevant to nursing, and on the testing of research findings in practice.