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Trauma und Berufskrankheit

, Volume 17, Issue 4, pp 219–226 | Cite as

Bedeutung von Depression und Angst im Krankheitsmanagement von pneumologischen Berufskrankheiten

Zusammenhänge mit physischen, psychischen und sozialen Aspekten
  • Katrin Müller
  • Nicola Kotschy-Lang
  • Petra Wagner
Leitthema
  • 145 Downloads

Zusammenfassung

Hintergrund

Aus Untersuchungen bei Patienten mit chronisch obstruktiver Lungenerkrankung (COPD) sind erhöhte Prävalenzzahlen von Depression und Angst sowie Zusammenhänge zu physischen und psychosozialen Parametern bekannt, die ein nachhaltiges Krankheitsmanagement der Patienten beeinflussen.

Fragestellung

Mithilfe aktueller Literatur soll ein Überblick über das Auftreten psychischer Symptome bei Patienten mit pneumologischen Berufskrankheiten gegeben werden, und es sollen Zusammenhänge zu anderen Parametern im Krankheitsmanagement dargestellt werden. Gleichzeitig werden Maßnahmen für ein nachhaltiges Krankheitsmanagement abgeleitet.

Material und Methode

Die Erstellung dieses Übersichtsartikels erfolgte mithilfe einer aktuellen Literaturrecherche unter anderem über die Datenbank PubMed.

Ergebnisse

Zahlreiche Studien belegen das Auftreten psychischer Symptome bei Patienten mit pneumologischen Berufskrankheiten. Weiterhin lassen sich Assoziationen zwischen psychischen Symptomen und krankheitsspezifischen Merkmalen, körperlicher Leistungsfähigkeit sowie Aktivität, Selbstwirksamkeitserwartungen und sozialer Unterstützung nachweisen. Neben der Rehabilitation spielen Selbstmanagementprogramme eine bedeutende Rolle zur Verbesserung physischer, psychischer und sozialer Parameter innerhalb eines nachhaltigen Krankheitsmanagements.

Schlussfolgerungen

Aufgrund der dargestellten Zusammenhänge zwischen psychischen, physischen und sozialen Aspekten und deren Bedeutung für ein nachhaltiges Krankheitsmanagement für Patienten mit pneumologischen Berufskrankheiten gilt es, in Zukunft Interventionen zur Reduzierung psychischer Symptome sowie zur Aufrechterhaltung der körperlichen Aktivität zu entwickeln und zu implementieren. Dabei sollte eine Stärkung individueller Ressourcen Beachtung finden.

Schlüsselwörter

Körperliche Aktivität Chronische Lungenerkrankung Rehabilitation Selbstmanagement Psychische Komorbidität 

Impact of depression and anxiety on disease management of occupational respiratory diseases

Relationships with physical, psychological and social aspects

Abstract

Background

The prevalence of depression and anxiety and their relationship to physical, psychological and social parameters in patients with chronic obstructive pulmonary disease (COPD) are well known. These factors seem to influence a sustainable management of the disease.

Objectives

With the help of current studies this article gives an overview of the prevalence of psychological symptoms in patients with occupational lung diseases. The associations between psychological and other parameters as well as further information concerning a successful management of the disease will also be presented.

Methods

The content of this article was generated with the help of a literature search in the PubMed database, among others.

Results

Many studies have shown that patients with occupational lung diseases suffer from psychological symptoms. Furthermore, there are associations between psychological symptoms and illness-specific disability, physical capacity and activity, self-efficacy and social support. In addition to the rehabilitation program, self-management is important regarding the improvement of psychological, physical and social parameters within a sustainable disease management.

Conclusion

According to the scientific findings, specific interventions to reduce psychological symptoms and to maintain physical activity for patients with occupational lung diseases should be developed and implemented in the future. In doing so a strengthening of individual resources should be taken into consideration.

Keywords

Physical activity Chronic lung disease Rehabilitation Self management Psychological comorbidity 

Notes

Einhaltung ethischer Richtlinien

Interessenkonflikt

K. Müller, N. Kotschy-Lang und P. Wagner geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2015

Authors and Affiliations

  • Katrin Müller
    • 1
  • Nicola Kotschy-Lang
    • 2
  • Petra Wagner
    • 1
  1. 1.Universität Leipzig, Sportwissenschaftliche Fakultät, Institut für Gesundheitssport und Public HealthLeipzigDeutschland
  2. 2.BG-Klinik für BerufskrankheitenFalkensteinDeutschland

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