Climate Anxiety and COPD: Unveiling Its Impact on Patients' Quality of Life Through a Multivariate Lens.

IF 3.2 3区医学 Q1 NURSING

Journal of Clinical Nursing Pub Date : 2025-04-28 DOI:10.1111/jocn.17805

Maha Gamal Ramadan Asal, Samira Ahmed Alsenany, Manal Saeed Mohammed, Nadia Waheed Elzohairy, Ahmed Abdelwahab Ibrahim El-Sayed

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引用次数: 0

Abstract

Objective: To examine the impact of climate anxiety on the quality of life (QoL) of patients with COPD. It also explores how climate anxiety interacts with clinical factors, such as disease severity and comorbidities, to influence QoL.

Design: Cross-sectional.

Methods: A total of 270 COPD patients were recruited using a convenience sampling method. Data were collected through structured interviews and clinical assessments, incorporating the Climate Anxiety Scale, the St. George's Respiratory Questionnaire and the BODE Index. Hierarchical multiple regression analysis was performed to determine the predictors of QoL.

Results: The study found a statistically significant association between climate anxiety and both QoL (r = 0.81, p < 0.01) and COPD severity (r = 0.76, p < 0.01). COPD severity (B = 4.68, p < 0.01) and climate anxiety (B = 0.28, p < 0.01) were predictors of QoL. Among the covariates, former smokers, older patients and multiple comorbidities reported significantly worse QoL (B = 4.80, p = 0.03; B = 0.43, p < 0.01; B = 0.85, p = 0.02, respectively). Collectively all predictors explained 86% of the variance in QoL.

Conclusion: Climate anxiety significantly contributes to reduced QoL in COPD patients, beyond disease severity and demographic factors. Addressing psychological distress in COPD management is essential to improving patient outcomes.

Implications for practice: Nurses should recognise climate anxiety as a key variable influencing COPD management. Incorporating climate anxiety screening into nursing assessments and providing targeted interventions can enhance patient support and improve overall COPD care.

Impact: Climate anxiety is an emerging concern in COPD. While previous research has focused on physical and clinical determinants of COPD-related QoL, climate anxiety remains underexplored. This study provides new evidence that climate anxiety is a predictor of poorer QoL, highlighting the need for holistic nursing interventions that address both physical and psychological health.

Reporting method: This study was reported in accordance with the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE).

Patient or public contribution: Patients with COPD were involved in this study.

查看原文本刊更多论文

气候焦虑和慢性阻塞性肺病：通过多变量镜头揭示其对患者生活质量的影响。

目的：探讨气候焦虑对COPD患者生活质量（QoL）的影响。它还探讨了气候焦虑如何与临床因素相互作用，如疾病严重程度和合并症，以影响生活质量。设计:横断面。方法：采用方便抽样方法，共招募270例COPD患者。数据通过结构化访谈和临床评估收集，包括气候焦虑量表、圣乔治呼吸问卷和BODE指数。采用层次多元回归分析确定生活质量的预测因素。结果：研究发现气候焦虑与COPD患者生活质量之间存在统计学意义的相关性（r = 0.81, p）。结论：气候焦虑对COPD患者生活质量的降低有显著影响，其影响程度超出疾病严重程度和人口统计学因素。在COPD管理中处理心理困扰对改善患者预后至关重要。对实践的启示：护士应该认识到气候焦虑是影响COPD管理的关键变量。将气候焦虑筛查纳入护理评估并提供有针对性的干预措施可以增强患者支持并改善整体COPD护理。影响：气候焦虑是慢性阻塞性肺病的一个新问题。虽然之前的研究主要集中在copd相关生活质量的物理和临床决定因素上，但气候焦虑仍未得到充分探讨。这项研究提供了新的证据，表明气候焦虑是较差的生活质量的预测因子，强调了对身体和心理健康的整体护理干预的需求。报告方法：本研究按照加强流行病学观察性研究报告（STROBE）进行报告。患者或公众贡献：COPD患者参与本研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Clinical Nursing 医学-护理

CiteScore

6.40

自引率

2.40%

发文量

审稿时长

2 months

期刊介绍： The Journal of Clinical Nursing (JCN) is an international, peer reviewed, scientific journal that seeks to promote the development and exchange of knowledge that is directly relevant to all spheres of nursing practice. The primary aim is to promote a high standard of clinically related scholarship which advances and supports the practice and discipline of nursing. The Journal also aims to promote the international exchange of ideas and experience that draws from the different cultures in which practice takes place. Further, JCN seeks to enrich insight into clinical need and the implications for nursing intervention and models of service delivery. Emphasis is placed on promoting critical debate on the art and science of nursing practice. JCN is essential reading for anyone involved in nursing practice, whether clinicians, researchers, educators, managers, policy makers, or students. The development of clinical practice and the changing patterns of inter-professional working are also central to JCN''s scope of interest. Contributions are welcomed from other health professionals on issues that have a direct impact on nursing practice. We publish high quality papers from across the methodological spectrum that make an important and novel contribution to the field of clinical nursing (regardless of where care is provided), and which demonstrate clinical application and international relevance.