Abstract：
OBJECTIVE: The prevalence of psychological distress is frequently observed among old adults with acute exacerbation of chronic obstructive pulmonary disease (AECOPD). However, current researches are insufficient to clarify the correlation among these relevant factors. This study examined the effects of symptom burden, psychological resilience, coping styles and socialsupporton psychological distress METHODS: 255 elderly patients with AECOPD were conveniently selected in Taian, Shandong Province. The General Information Questionnaire, Distress Thermometer, The Revised Memorial Symptom Assessment Scale, Connor-Davidson Resilience Scale, Simplified Coping Style Questionnaire, Perceived Social Support Scale were used to investigate. The relationship among factors was estimated by using a structural equation model RESULTS: Psychological distress score of elderly patients with AECOPD was (5.25±1.01); coping styles, psychological resilience, symptom burden, social support directly affected psychological distress (the direct effects were -0.934, 0.174, 0.169 and -0.086); coping styles had the largest total effect on psychological distress (the total effect was -0.934); psychological resilience indirectly affected psychological distress through coping styles (the indirect effect was -0.743); symptom burden indirectly affected psychological distress through psychological resilience (the indirect effect was 0.254); social support indirectly affected psychological distress through symptom burden, psychological resilience, and coping styles (the indirect effect was -0.799) CONCLUSION: The psychological distress of elderly patients with AECOPD is at a moderate level; coping styles, psychological resilience and social support have positive effects on alleviating the psychological distress of elderly patients with AECOPD; symptom burden is negatively correlated with psychological distress. Healthcare professionals should pay more attention to elderly patients with AECOPD who are particularly prone to experiencing higher levels of psychological distress, especially in the presence of low coping style, limited psychological resilience, inadequate levels of social support, and high symptom burden.
摘要：
目的：在老年慢性阻塞性肺疾病急性加重期(AECOPD)患者中，心理困扰的发生率较高。然而,目前的研究不足以阐明这些相关因素之间的相关性。这项研究检查了症状负担的影响，心理韧性，心理困扰的应对方式和社会支持方法:选择泰安市AECOPD老年患者255例,山东省。一般信息问卷，遇险温度计,修订后的纪念症状评估量表，康纳-戴维森弹性量表，简化的应对方式问卷，采用领悟社会支持量表进行调查。结果:老年AECOPD患者心理困扰评分为(5.25±1.01)分;应对方式,心理韧性，症状负担，社会支持直接影响心理困扰(直接效应分别为-0.934、0.174、0.169和-0.086);应对方式对心理困扰的总效应最大(总效应为-0.934);心理韧性通过应对方式间接影响心理困扰(间接效应为-0.743);症状负担通过心理韧性间接影响心理困扰(间接效应为0.254);社会支持通过症状负担间接影响心理困扰,心理韧性，结论:老年AECOPD患者的心理困扰处于中等水平;应对方式,心理韧性和社会支持对缓解老年AECOPD患者的心理困扰有积极作用；症状负担与心理困扰呈负相关。医疗保健专业人员应更多关注AECOPD的老年患者，他们特别容易经历更高水平的心理困扰，尤其是在应对方式低下的情况下，有限的心理韧性，社会支持水平不足，和高症状负担。
