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首页> 外文学位 >A predictive model of the effects of depression, anxiety, stress, six minute walk distance, and social support on health related quality of life in an adult pulmonary hypertension population.
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A predictive model of the effects of depression, anxiety, stress, six minute walk distance, and social support on health related quality of life in an adult pulmonary hypertension population.

机译：抑郁，焦虑，压力，六分钟步行距离和社会支持对成年肺动脉高压人群健康相关生活质量影响的预测模型。

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摘要

Pulmonary hypertension is a life-limiting chronic disease that presents as an elevated blood pressure in the pulmonary artery. The uncertainty of the disease has a profound effect on relationships, cognitive ability, spirituality, emotions, exercise ability, and can negatively impact health related quality of life. The purpose of this cross-sectional, predictive, correlational study was (a) to identify relationships among the psychologic factors (depression, anxiety, stress), physiologic factor (six minute walk test), situational factor (social support), and health related quality of life and (b) to identify psychologic factors (depression, anxiety, stress), physiologic factor (six minute walk test), and situational factor (social support) that best predicts health related quality of life in adults with pulmonary hypertension. A proposed Predictive Model for Adults with Pulmonary Hypertension Health Related Quality of Life was derived from a review of the literature and past pilot study to test relationships among the psychologic factors, physiologic factor, situational factor, and health related quality of life and to identify the best predictor of health related quality of life.;A convenience sample of 166 adults between the ages of 21 years of age to 80 years of age were recruited from the Pulmonary Hypertension Association's 10th International Pulmonary Hypertension Conference and Scientific Sessions in Orlando, Florida and Ochsner Medical Center in Jefferson, Louisiana. Of the 166 participants, 21 (12.7%) were male and 145 (87.3%) were female. Each subject completed two questionnaires: the Depression Anxiety Stress Scale- 21 (DASS-21) and the Dartmouth Cooperative Functional Assessment Charts.;The researcher analyzed the data computing measures of central tendency, frequency, and percentiles. The researcher determined internal consistency means of the DASS-21 in this adult pulmonary hypertension population and used correlation and structural equation modeling to measure strength of relationships and test the hypotheses. The findings indicated a relationship between depression, stress, anxiety, six minute walk test, social support, and health related quality of life. The data collected from the adult pulmonary hypertension population fit the proposed Predictive Model for Adults with Pulmonary Hypertension Health Related Quality of Life. However, the statistical analyses were unable to determine the best predictor of health related quality of life in adults with pulmonary hypertension. Future research is warranted to test the efficacy of the Predictive Model for Adults with Pulmonary Hypertension Health Related Quality of Life on a larger and more diverse study population. This study needs further examination with a broader population, including more males, and a more diverse cross-section of cultures and races, income, and educational levels and use of different instruments is needed.
机译：肺动脉高压是一种限制生命的慢性疾病，表现为肺动脉血压升高。疾病的不确定性会对人际关系，认知能力，灵性，情绪，运动能力产生深远影响，并可能对健康相关的生活质量产生负面影响。这项横断面，预测性，相关性研究的目的是（a）识别心理因素（抑郁，焦虑，压力），生理因素（六分钟步行测验），情境因素（社会支持）与健康相关的关系生活质量，以及（b）确定最能预测与肺动脉高压成人健康相关的生活质量的心理因素（抑郁，焦虑，压力），生理因素（六分钟步行测试）和情境因素（社会支持）。拟议的肺动脉高压成人与健康有关的生活质量预测模型是从文献回顾和以往的试验研究得出的，以测试心理因素，生理因素，情况因素和健康相关的生活质量之间的关系，并确定健康相关的生活质量的最佳预测指标。；从肺动脉高压协会第十届国际肺动脉高压会议和在奥兰多，佛罗里达和奥克斯纳举行的科学会议上招募了166名21岁至80岁的成年人路易斯安那州杰斐逊医疗中心。在166名参与者中，男性21位（占12.7％），女性145位（占87.3％）。每个受试者完成了两个问卷：抑郁焦虑量表21（DASS-21）和达特茅斯合作功能评估表。研究人员分析了中心趋势，频率和百分位数的数据计算方法。研究人员确定了该成年人肺动脉高压人群中DASS-21的内部一致性方法，并使用相关和结构方程模型来测量关系强度并检验假设。研究结果表明抑郁，压力，焦虑，六分钟步行测试，社会支持与健康相关的生活质量之间存在关联。从成人肺动脉高压人群收集的数据符合拟议的肺动脉高压成人健康相关生活质量预测模型。但是，统计分析无法确定肺动脉高压成人健康相关生活质量的最佳预测指标。有必要进行进一步的研究，以测试预测模型对肺动脉高压健康相关生活质量的成年人在更大，更多样化的研究人群中的功效。这项研究需要更广泛的人群（包括更多的男性）进行进一步的研究，并且需要更加多样化的文化和种族，收入，教育水平以及使用不同手段的横断面。

著录项

  • 作者

    Tartavoulle, Todd.;

  • 作者单位

    Louisiana State University Health Sciences Center School of Nursing.;

  • 授予单位 Louisiana State University Health Sciences Center School of Nursing.;
  • 学科 Nursing.;Public health.;Mental health.
  • 学位 D.N.S.
  • 年度 2013
  • 页码 184 p.
  • 总页数 184
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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