Symptom Clusters and Quality of Life in Subjects With COPD.
BACKGROUND: COPD is one of the most common respiratory diseases. Patients with COPD experience and suffer from various physical and psychological symptoms. We performed this study to identify symptom clusters and the effects on quality of life (QOL) in patients with COPD. METHODS: A total of 130 COP...
| Publicado en: | Respiratory Care Vol. 62; no. 9; pp. 1203 - 1212 |
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| Autor principal: | |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Mary Ann Liebert, Inc.
Sep2017
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=124860248&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 124860248 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00201324 4GG jtl: Respiratory Care issn: 00201324 maglogo: N pubinfo: dt: Sep2017 vid: 62 iid: 9 pid: 1365 pub: Mary Ann Liebert, Inc. place: New Rochelle, New York artinfo: ui: 124860248 124860248 124860248 10.4187/respcare.05374 124860248 ppf: 1203 ppct: 9 formats: fmt: @attributes: type: P tig: atl: Symptom Clusters and Quality of Life in Subjects With COPD. aug: au: Kyeung Eun Lim affil: Department of Internal Medicine, Research Center for Pulmonary Disorders, Chonbuk National University Medical School, Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute of Chonbuk National University Hospital, Jeonju, Republic of Korea sug: subj: Pulmonary Disease, Chronic Obstructive Symptoms Quality of Life Evaluation Patient Care Human Pulmonary Disease, Chronic Obstructive Physiopathology Pulmonary Disease, Chronic Obstructive Psychosocial Factors Research Subject Recruitment Academic Medical Centers South Korea Geographic Locations Physical Fitness Evaluation Questionnaires Factor Analysis Respiration Fatigue Diagnosis Sleep Dyspnea Mouth Anxiety Diagnosis Depression Age Factors Education Cluster Analysis Karnofsky Performance Status Scales Respiratory Function Tests Data Analysis Software Male Female Middle Age Adult Aged Middle Aged: 45-64 years Adult: 19-44 years Aged: 65+ years Male Female ab: BACKGROUND: COPD is one of the most common respiratory diseases. Patients with COPD experience and suffer from various physical and psychological symptoms. We performed this study to identify symptom clusters and the effects on quality of life (QOL) in patients with COPD. METHODS: A total of 130 COPD subjects were recruited from a university hospital in South Korea. Dyspnea, fatigue, depression, anxiety, sleep disturbance, dry mouth, and physical functional status were assessed with structured questionnaires. QOL was measured with the Clinical COPD Questionnaire. Factor analysis and cluster analysis were used to identify symptom clusters based on severity of symptom experiences. RESULTS: Three distinct clusters were identified: a respiratory-functional cluster (symptom cluster 1), a mood cluster (symptom cluster 2), and a fatigue-sleep cluster (symptom cluster 3). Symptom cluster 1 consisted of dyspnea, physical functional status, and dry mouth; symptom cluster 2 consisted of anxiety and depression; and symptom cluster 3 consisted of sleep disturbance and fatigue. Subgroup cluster analysis showed that COPD subjects with higher-scoring symptoms in symptom clusters 1, 2, and 3 had significantly poorer QOL. The symptom clusters were significantly different depending on age, educational level, and monthly income. CONCLUSIONS: COPD subjects may have specific patterns of symptom clusters. The symptom clusters are related with clinical characteristics and had a negative impact on QOL. To enhance symptom management and QOL, approaches and interventions based on symptom clusters, rather than independent intervention for each symptom, may be more effective. Understanding COPD symptom clusters may help successful symptom management, which can improve QOL for COPD patients. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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