In patients with chronic obstructive pulmonary disease (COPD), loneliness and social isolation are associated with increased morbidity and decreased mobility, self-reliance, and health-related quality of life. Social support has been shown to improve these outcomes. This cross-sectional study aimed to investigate the level of experienced social support and the clinical outcomes associated with inadequate social support among patients with COPD with a resident loved one. Level of social support was assessed with the Medical Outcomes Study – Social Support Survey (MOS-SSS) in patients with COPD with a resident loved one. Patients were sub-grouped into adequate or inadequate social support. Multiple clinical outcomes were assessed, including lung function, degree of dyspnoea, health status, symptoms of anxiety and depression, the degree of care dependency, functional status, and mobility. The study included 191 Dutch patients with COPD (53.4% men, age: 65.6 ± 8.9 years, FEV: 47.3 ± 17.7% predicted). Eighteen percent of the patients reported inadequate social support. Patients with inadequate social support reported a significantly symptom severity of COPD (p = 0.004), a higher care dependency level (p = 0.04) and a higher level of depression (p = 0.004) compared to patients with adequate social support. Other traits were comparable for both groups. Patients with COPD with a resident loved one who perceive an inadequate level of social support are more likely to report a higher impact of COPD, a higher care dependency and symptoms of depression. Other characteristics are comparable with patients who perceive adequate social support.

中文翻译：

---

慢性阻塞性肺疾病患者社会支持不足与临床结果的关联——一项横断面研究

在慢性阻塞性肺疾病 (COPD) 患者中，孤独和社会孤立与发病率增加、活动能力、自力更生和健康相关生活质量下降有关。社会支持已被证明可以改善这些结果。这项横断面研究旨在调查有常住亲人的慢性阻塞性肺病患者的经验丰富的社会支持水平以及与社会支持不足相关的临床结果。通过医疗结果研究 – 社会支持调查 (MOS-SSS) 对患有慢性阻塞性肺病 (COPD) 患者与一位常住亲人的患者进行社会支持水平评估。患者被分为社会支持充足或不足两类。评估了多种临床结果，包括肺功能、呼吸困难程度、健康状况、焦虑和抑郁症状、护理依赖程度、功能状态和活动能力。该研究纳入了 191 名荷兰 COPD 患者（53.4% 为男性，年龄：65.6 ± 8.9 岁，FEV：预测值 47.3 ± 17.7%）。百分之十八的患者报告社会支持不足。与社会支持充足的患者相比，社会支持不足的患者报告了 COPD 症状的严重程度（p = 0.004）、护理依赖程度更高（p = 0.04）和抑郁程度更高（p = 0.004）。两组的其他特征具有可比性。患有慢性阻塞性肺病的患者，如果其亲人认为社会支持水平不足，则更有可能报告慢性阻塞性肺病的影响更大、护理依赖性更高以及抑郁症状。其他特征与感知到足够社会支持的患者相当。