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老年慢性阻塞性肺疾病(COPD)患者的疲劳和残疾。

Fatigue and disability in elderly patients with chronic obstructive pulmonary disease (COPD).

机构信息

Health Sciences Faculty, Department of Medical Nursing, Cumhuriyet University, 58140 Sivas, Turkey.

出版信息

Arch Gerontol Geriatr. 2011 Sep-Oct;53(2):e93-8. doi: 10.1016/j.archger.2010.07.001. Epub 2010 Aug 11.

Abstract

The purpose of this study was to describe the prevalence and severity of fatigue and to investigate relationships between fatigue, and disability in elderly COPD patients. This descriptive and analytical study was conducted on 98 patients. Three instruments were used: Personal information form (PIF), visual analog scale for fatigue (VAS-F) and brief disability questionnaire (BDQ). The statistical analyses were used in order to evaluate the data: Student's t-test, Kruskall-Wallis test, Pearson correlation coefficient calculation and logistic regression analysis. All of patients in the sample experienced fatigue. The level of fatigue and disability experienced by the patients with COPD was high, their energy level was low. It was determined that as COPD patients' fatigue increases their disability also increases, that there are relationships between fatigue and marital status and that there are relationships between disability and gender. Furthermore, in this study significant differences were found in COPD patients' VAS-F and BDQ scores for some symptoms of COPD, such as dyspnea, fatigue, cough and sputum. The results of the study indicated that high levels of fatigue are experienced which impacts on patients' functional condition and needs to be professionally assessed managed.

摘要

本研究旨在描述老年 COPD 患者疲劳的发生率和严重程度,并探讨疲劳与残疾之间的关系。本描述性和分析性研究共纳入 98 例患者。使用了三种工具:个人信息表(PIF)、疲劳视觉模拟量表(VAS-F)和简短残疾问卷(BDQ)。为了评估数据,采用了学生 t 检验、Kruskal-Wallis 检验、Pearson 相关系数计算和逻辑回归分析。所有患者均经历了疲劳。COPD 患者的疲劳和残疾程度较高,他们的精力水平较低。研究发现,随着 COPD 患者疲劳程度的增加,其残疾程度也随之增加,疲劳与婚姻状况之间存在关系,残疾与性别之间也存在关系。此外,在这项研究中,COPD 患者的 VAS-F 和 BDQ 评分在某些 COPD 症状(如呼吸困难、疲劳、咳嗽和咳痰)方面存在显著差异。研究结果表明,患者经历了较高水平的疲劳,这会影响他们的功能状况,需要进行专业评估和管理。

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