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- Title
Exploring the Link between Social Support and Patient-Reported Outcomes in Chronic Obstructive Pulmonary Disease Patients: A Cross-Sectional Study in Primary Care.
- Authors
Bouloukaki, Izolde; Christodoulakis, Antonios; Margetaki, Katerina; Aravantinou Karlatou, Antonia; Tsiligianni, Ioanna
- Abstract
We aimed to explore the link between social support and various patient-reported outcome measures (PROMs) in primary care patients with COPD. This was a cross-sectional study with 168 patients with COPD from six primary care centers in Crete, Greece. We collected data on sociodemographic characteristics, medical history, disease-specific quality of life, the COPD Assessment Test (CAT), fatigue, the Fatigue Severity Scale (FSS), phycological parameters, Patient Health Questionnaire-9, General Anxiety Disorder-7, sleep complaints, the Pittsburg Sleep Quality Index, the Athens Insomnia scale (AIS), and the Epworth Sleepiness Scale. Social support was measured using the Multidimensional Scale of Perceived Social Support (MSPSS). Out of 168 patients with COPD, 114 (68.9%) exhibited low levels of social support. Low social support (MSPSS total ≤ 5) was positively associated with COPD symptoms (CAT score ≥ 10) (OR = 3.97, 95%CI:1.86–8.44; p < 0.01), fatigue (FSS ≥ 36) (OR = 2.74, 95%CI:1.31–5.74; p = 0.01), and insomnia symptoms (AIS ≥ 6) (OR = 5.17 95%CI:2.23–12.01; p < 0.01), while the association with depressive symptoms (PHQ-9 ≥ 10) was marginally significant (OR = 3.1, 95%CI:0.93–10.36; p = 0.07). Our results suggest that lower levels of social support are positively associated with PROMs in patients with COPD. Therefore, our findings show an additional way to improve the overall health of patients with COPD in primary care by putting social support at the epicenter of actions.
- Subjects
CROSS-sectional method; PRIMARY health care; QUESTIONNAIRES; DESCRIPTIVE statistics; ODDS ratio; OBSTRUCTIVE lung diseases; HEALTH outcome assessment; SOCIAL support; SOCIODEMOGRAPHIC factors; COMPARATIVE studies; CONFIDENCE intervals
- Publication
Healthcare (2227-9032), 2024, Vol 12, Issue 5, p544
- ISSN
2227-9032
- Publication type
Article
- DOI
10.3390/healthcare12050544