The Research On Relationship Among Mindfulness Level,Coping Styles And Quality Of Life In Patients With Chronic Obstructive Pulmonary Disease

ObjectiveThrough the investigation of the mindfulness level,coping styles,and the quality of life,the correlation between the mindfulness level and coping style of patients with COPD and life quality will be discussed.And then the intermediary effect of the coping style among the quality of life and the mindfulness level will be verified to provide the theoretical reference for the improvement of the mindfulness level,coping skills and the quality of life of patients with COPD.MethodThe non-experinental study was used in the current survey.From September,2016 to June,2017,the convenient sample of 214 patients with COPD from the respiratory department and old department of three hospitals in Qingdao were collected to make a survey by the way of the questionnaire.In the process,Five-Facet Mindfulness Questionnaire(FFMQ),Medical Coping Modes Questionnaire(MCMQ)and Chronic Obstructive Pulmonary Disease-Quality Of Life(COPD-QOL)were used to evaluate the mindfulness level,coping skills and the quality of life of patients with COPD.Statistical Package for Social Science22.0(SPSS22.0)and Analysis of Moment Structure22.0(AMOS22.0)were used to carry out the statistical analysis.The categorical data was described by using frequency and constituent ratio.The Mann.Whitney U test and Kruskal.Wallis H test in the nonparametric test were used to implement the Univariate analysis.Multivariate stepwise regression analysis was performed on variables that were statistically significant in the univariate analysis;the Spearman was used to analyze the correlation between the three study variables;the path analysis in the structural equation model was used to test the intermediary effect of COPD patients’ coping styles in the mindfulness level and the quality of life.ResultThe overall mindfulness score of 214 COPD patients was 2.35(2.28,2.45),and the score of each dimension was:Describing 2.50(2.38,2.63),Acting with Awareness2.26(2.13,2.38),Non Judging 2.22(2.13,2.38),Non Reactivity 2.33(2.14,2.43),and Observing 2.45(2.38,2.68).The coping style score in each dimension was: Confrontation2.02(1.71,2.18),Avoidance 1.94(1.80,2.20),and Acceptance-Resignation 2.00(1.88,2.25).The score of the overall quality of life was 2.26(2.13,2.34),the score of daily life ability was 2.01(1.77,2.31),the score of social life ability was 2.20(1.86,2.43),the score of depression symptom was 2.46(2.25,2.63),and the score of anxiety symptom was2.38(2.29,2.57).The results of correlation analysis are as follows: the score of overall mindfulness and activity of daily living was negatively correlated(r=-0.436,P<0.01).The score of the overall mindfulness was negatively correlated with status of social activities(r=-0.392,P<0.01),depressive symptom(r=-0.562,P<0.01),and anxiety symptom(r=-0.447,P<0.01).The score of confrontation and psychological symptoms was negatively correlated(r=-0.484,P<0.01).Acceptance-resignation score was positively correlated with all dimensions of quality of life.There are differences in the correlation of each dimension of avoidance and quality of life.In three structural models,there are partial or complete mediations in different coping styles between the mindfulness level and the quality of life.the mediating effect of avoidance dimensions takes up 7.90%~65.63% of the total effect.The mediating effect of confrontation dimensions was 4.47%~100% of the total effect.The mediating effect of acceptance-resignation dimensions was 5.6%,and there was no statistically significant difference(P>0.05).ConclusionIn this study,the overall mindfulness level of patients with COPD is in the medium level,which remains to be improved.Among them,we need to focus on patients with lower cultural degree,inharmonious family relationship,more serious disease and heavier breathing patients.For patients with COPD,the overall level of mindfulness,coping styles and quality of life are related respectively.The level of mindfulness,coping styles can be used to directly predict the quality of life.Different patients with different stress can form different levels of mindfulness,so they will adopt different coping styles,thus havedifferent levels of the quality of life.In the aspect of the coping modes of patients with COPD,the mediating effect was approved between mindfulness level and quality of life,and the mediation effect of confrontation is significant.Through taking in confrontation,the patients enhance the positive role of mindfulness in the quality of life.Meanwhile,through taking avoidance coping,the positive function of mindfulness for the quality of life is weakened to some extent.Not many patients with COPD tend to change the quality of life indirectly by the way of acceptance-resignation.