Life Quality of Patients With Chronic Obstructive Pulmonary Disease

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作者：

AJ Mcsweeney，I Grant，RK Heaton，KM Adams，RM Timms

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摘要：

Two hundred three patients with hypoxemic () and 73 healthy control subjects matched for age, sex, race, and neighborhood of residence were administered three self-report inventories concerned with the following four dimensions of life quality: emotional functioning, social-role functioning, activities of daily living, and recreational pastimes. An additional inventory was administered to a spouse or another close relative of each patient. The life quality of patients with was found to be impaired relative to healthy subjects on all dimensions. was the preponderant reported; difficulties with home management and reduction in social interaction were the primary social-role deficits. Ambulation, mobility, and rest, and a variety of recreational pastimes were also severely affected. Life quality exhibited moderate but significant relationships to neuropsychological, pulmonary, and cardiac functioning and to exercise capability. Age and socioeconomic status were found to be possible moderators of the relationship of to life quality. A model to integrate these findings is proposed. Implications for the management of and for the evaluation of medical treatments of chronic disabling conditions are described.

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关键词：

Humans Lung Diseases, Obstructive Anoxia Oxygen Inhalation Therapy Social Behavior Mental Disorders Depression MMPI Aged Activities of Daily Living