Issues in pulmonary nursingGender difference in coping strategies among patients enrolled in an inpatient rehabilitation program
Section snippets
Participants
Patients with COPD entered the study on admission to the inpatient pulmonary rehabilitation center. Criteria for inclusion were diagnosis of COPD according to American Thoracic Society guidelines,2 age between 40 and 80 years, and ability to read in French. A patient was defined as having stable disease if he or she had had no change in symptoms or medication for 2 months before entry.2 A total of 182 patients with mild to moderate COPD, 61 women and 121 men, took part in this study. Nineteen
Results
Overall scale scores returned internal consistency reliabilities using Cronbach’s alpha. The alpha coefficients for the present study were .90, .83, and .85, respectively. The principal components factor analysis with varimax rotation showed excellent coefficients for each dimension (problem-focused: .46–.74; emotion-focused: .42–.75; avoidance strategies: .41–.74), which explained 39.9% of the variance. The questionnaire measures independent and consistent dimensions.
For the problem-focused
Discussion
The aim of the study was to explore coping strategies among males and females with mild to moderate COPD in an inpatient rehabilitation program. The results showed a difference between men and women with mild to moderate COPD regarding coping strategies. Compared with the men, the women used fewer problem-focused strategies and more emotion-focused strategies.
This gender difference regarding coping strategies could be explained by findings that women generally show higher anxiety than men,26, 27
Conclusion
Our study described relationships between a program of intensive inpatient rehabilitation session and coping styles in patients with mild to moderate COPD. The results suggest that a program improves the use of problem-focused strategies, decreases reliance on emotion-focused strategies, and influences the use of avoidance strategies differently in men and women. Randomized controlled trials are needed to confirm these changes, which were probably the result of rehabilitation programs. The
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Cited by (39)
Gender and Age as Determinants of Success of Pulmonary Rehabilitation in Individuals With Chronic Obstructive Pulmonary Disease
2023, Archivos de BronconeumologiaPulmonary rehabilitation outcomes in individuals with chronic obstructive pulmonary disease: A systematic review
2022, Annals of Physical and Rehabilitation MedicineCitation Excerpt :The agreement for 10% of the abstracts (187 records) reviewed by the 2 independent researchers was almost perfect, with Cohen's kappa 0.866 (95% confidence interval [CI] 0.76–0.97). Of the 267 included studies, 99 were observational studies [4,11–108], 87 were randomized controlled trials [109–195], 66 were quasi-experimental studies [105, 196–260], 9 had experimental designs [51, 261–268], 5 were pilot studies [269–273] and 1 was a mixed-methods study [274]. A total of 43,153 individuals with COPD were included in the studies.
Educational topics and their rationale for inclusion within pulmonary rehabilitation – a systematic review
2020, Patient Education and CounselingCitation Excerpt :This concurs with a previous UK national survey [57] and might be explained by a more limited applicability of specific topics to the broader participant group, or lack of access to suitable healthcare professionals with sufficient skills to deliver specialized material. Reservations about the appropriateness of discussing certain topics in a group context were highlighted [42,58], even when patients felt a desire for supplementary information on certain topics (i.e. advance care planning or impact of lung disease on sexual relationships). One study attributed this to differences in coping methods employed between genders, with female participants exhibiting greater use of emotion-focused and avoidance strategies compared to males, who applied problem-focused strategies [58].
Improving the Management of COPD in Women
2017, ChestThe effects of personal resources and coping strategies on depression and anxiety in patients with chronic obstructive pulmonary disease
2013, Heart and Lung: Journal of Acute and Critical Care