The Relationship Between Benefit Finding and Quality of Life in Patients with Chronic Obstructive Pulmonary Disease: The Mediating Effects of Self-Management

IF 2.8 3区医学 Q1 Medicine International Journal of Chronic Obstructive Pulmonary Disease Pub Date : 2024-09-13 DOI:10.2147/copd.s465953

Jiangping Zhang, Xinran Liu, Xiaorong Zhou, Yumei Li, Ke Chen, Tingting Kang, Wenting Du, Rongfei Suo

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Abstract

Objective: To explore the relationships among benefit finding (BF), self-management, and quality of life (QOL) among patients with COPD.
Methods: A total of 205 patients with COPD were selected via a convenient sampling method. BF refers to the ability to find meaning or benefit from difficult situations. The Benefit Finding Scale (BFS), self-management scale, and 36-item Short-Form Health Survey (MOS SF-36) were used to investigate BF, self-management and QOL (including a physical component summary (PCS) and a psychological component summary (MCS)). Structural equation modeling was used to examine the relationships among BF, self-management and QOL in patients with COPD and to analyze the effects of BF and self-management on QOL.
Results: The total QOL score of patients with COPD was 61.38± 21.15, and the PCS and MCS scores were 57.67± 23.60 and 65.09± 21.24, respectively. BF and self-management had positive predictive effects on both the PCS (β_BF = 0.519, P_BF = 0.012; β_{self-management} = 0.473, P_{self-management} = 0.012) and MCS (β_BF = 0.425, P_BF = 0.013; β_{self-management} = 0.535, P_{self-management} = 0.016) of patients with COPD, and self-management mediated the relationships of BF with the PCS (β = 0.144, P = 0.008) and MCS (β = 0.162, P = 0.007).
Conclusion: The QOL of patients with COPD needs to be improved, especially in terms of physical aspects. Helping COPD patients obtain better BF not only helps them improve their PCS and MCS directly but also indirectly through enhancing self-management to improve their PCS and MCS.

Keywords: COPD, benefit finding, self-management, quality of life

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慢性阻塞性肺病患者的受益发现与生活质量之间的关系：自我管理的中介效应

目的探讨慢性阻塞性肺病患者的获益发现（BF）、自我管理和生活质量（QOL）之间的关系：方法：通过方便抽样法共选取了 205 名慢性阻塞性肺病患者。受益量表（Benefit Finding Scale，BF）是指从困境中寻找意义或益处的能力。研究采用获益量表（BFS）、自我管理量表和 36 项短式健康调查（MOS SF-36）来调查 BF、自我管理和 QOL（包括身体部分摘要（PCS）和心理部分摘要（MCS））。采用结构方程模型研究慢性阻塞性肺病患者的基础代谢率、自我管理和 QOL 之间的关系，并分析基础代谢率和自我管理对 QOL 的影响：COPD患者的QOL总分为（61.38± 21.15）分，PCS和MCS分别为（57.67± 23.60）分和（65.09± 21.24）分。BF和自我管理对PCS（βBF = 0.519，PBF = 0.012；βself-management = 0.473，Pself-management = 0.012）和MCS（βBF = 0.425，PBF = 0.013；βself-management = 0.535，Pself-management = 0.016），自我管理介导了BF与PCS（β = 0.144，P = 0.008）和MCS（β = 0.162，P = 0.007）的关系：慢性阻塞性肺病患者的 QOL 需要改善，尤其是在身体方面。帮助慢性阻塞性肺病患者获得更好的 BF 不仅能直接帮助他们改善 PCS 和 MCS，还能通过加强自我管理间接改善他们的 PCS 和 MCS：慢性阻塞性肺病、获益发现、自我管理、生活质量

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

International Journal of Chronic Obstructive Pulmonary Disease RESPIRATORY SYSTEM-

CiteScore

5.10

自引率

10.70%

发文量

372

审稿时长

16 weeks

期刊介绍： An international, peer-reviewed journal of therapeutics and pharmacology focusing on concise rapid reporting of clinical studies and reviews in COPD. Special focus will be given to the pathophysiological processes underlying the disease, intervention programs, patient focused education, and self management protocols. This journal is directed at specialists and healthcare professionals