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首页> 外文期刊>Journal of nursing and healthcare of chronic illness >Separate and joint effects of physical and mental health on participation of people with somatic chronic illness
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Separate and joint effects of physical and mental health on participation of people with somatic chronic illness

机译：身心健康对躯体慢性病患者参与的单独和共同影响

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Separate and joint effects of physical and mental health on participation of people with somatic chronic illness Aim. To examine the extent to which people with a somatic chronic illness participate in paid jobs, volunteer work, informal care and social activities, and to investigate the separate and joint effects of physical and mental health on participation. Background. Compared with healthy people, people with a chronic illness experience more difficulties with respect to participation in several life domains. Methods. Data were collected within the National Panel of the Chronically 111 and Disabled by means of questionnaires. Data of 1456 panel members diagnosed with a somatic chronic disease(s) were used, and analysed using univariate, bivariate and multivariate analyses. Results. About half of the working age people with a chronic illness were in paid employment, 25% carried out volunteer work, 18% performed informal care and 58% of the people participated in social activities. Main effects were found for physical functioning and pain on paid work, pain and mental health on volunteer work and physical functioning on informal care. An interaction effect was observed for pain and mental health on both paid and volunteer work; as mental health is better, less pain is associated with a greater chance of paid work and more pain is associated with a greater chance of volunteer work. Conclusions. The findings emphasise the importance of mental health for participation in people with a chronic somatic illness, besides physical health. Relevance to clinical practice. In contrast with many of their physical limitations, the mental health state of patients with a chronic illness could be improved. Health care providers, including nurses, should take into account patients' mental health states and make efforts to treat mental health problems.
机译：身心健康对躯体慢性病患者参与的单独和共同影响目的。检查患有躯体慢性病的人参加有偿工作，志愿工作，非正式护理和社会活动的程度，并调查身心健康对参与的单独和共同影响。背景。与健康人相比，患有慢性病的人在参与多个生活领域方面遇到更多的困难。方法。数据是通过问卷调查的方式在国家111和残障人士国家小组中收集的。使用了1456名被诊断患有躯体慢性疾病的小组成员的数据，并使用单变量，双变量和多变量分析进行了分析。结果。大约一半的工作年龄慢性病患者从事有偿工作，其中25％从事志愿工作，18％从事非正式护理，58％的人参加了社交活动。发现对有偿工作的身体机能和痛苦，对志愿者工作的痛苦和心理健康以及非正式护理的身体机能的主要影响。在有偿和志愿工作上，观察到疼痛和心理健康的相互作用。随着心理健康的改善，减少痛苦与有偿工作的机会更大，而更多痛苦与自愿工作的机会更大。结论。研究结果强调，除了身体健康外，心理健康对于参与慢性躯体疾病患者的重要性。与临床实践有关。与许多身体限制相反，慢性病患者的心理健康状况可以得到改善。包括护士在内的医疗保健提供者应考虑患者的心理健康状况，并努力治疗心理健康问题。

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