The Association between Social Integration, Coping Mechanisms and Anxiety in Patients with Non-Communicable Diseases

Rezarta Lalo
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引用次数: 1

Abstract

Recently, mental health issue and chronic physical condition are substantially linked and this comorbidity is likely to increase.Patient focusing in the self-care activities is an important component in the mechanism of coping with chronic disease with a significant impact on clinical and psychological outcomes. In this context, the current study is conducted to assess the impact of self-care and social integration mechanisms on anxiety levels among patients with chronic non-communicable diseases.This observational study of cross-sectional design was performed in the pathology service of Fier city hospital, in Albania during August-September 2020. To assess the level of anxiety, we used the scale of 7 items of General Anxiety Disorder (GAD-7) with a score of ≥10 indicating GAD. Subscales of the Health Education Impact Questionnaire (heiQ) were used in order to evaluate social integration and self-care mechanism. The data were entered into the statistical program SPSS, version 23. The regression analysis is performedto examine the relationship between variables. The findings revealed that 56% of participants had GAD, 47% of participants were unable to self-monitor the disease, while 89% of them didnot performe any type of physical activity. The scale of anxiety was significantly associated with variables of Self–monitoring (p=0.000<0.05; OR=0.10) and Social integration (p=0.000<0.05; OR=21.4). These findings address the need to support peoplewho struggle with chronic non-communicable diseases developing adaptive ways to deal with their chronic condition and improve their lifestyle for better overall health.
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非传染性疾病患者社会融入、应对机制与焦虑的关系
最近,心理健康问题和慢性身体状况有很大的联系,而且这种合并症可能会增加。患者关注自我保健活动是慢性疾病应对机制的重要组成部分,对临床和心理结果有重要影响。在此背景下,本研究旨在评估自我保健和社会融合机制对慢性非传染性疾病患者焦虑水平的影响。这项横断面设计的观察性研究于2020年8月至9月在阿尔巴尼亚费尔市医院的病理服务部门进行。为了评估焦虑水平,我们使用了一般焦虑障碍(GAD-7)的7项量表,得分≥10表示GAD。采用健康教育影响问卷(heiQ)的分量表评估社会整合和自我照顾机制。数据输入统计程序SPSS,版本23。进行回归分析是为了检验变量之间的关系。研究结果显示,56%的参与者患有广泛性焦虑症,47%的参与者无法自我监测疾病,89%的参与者没有进行任何类型的体育活动。焦虑量表与自我监测变量显著相关(p=0.000<0.05;OR=0.10)和社会整合(p=0.000<0.05;或= 21.4)。这些研究结果表明,需要支持患有慢性非传染性疾病的人制定适应性方法来应对他们的慢性疾病,并改善他们的生活方式,以改善整体健康状况。
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