Chen Pei-Ju, Yang Kuang-Yao, Perng Wann-Cherng, Lin Kuan-Chia, Wang Kwua-Yun
School of Nursing, National Yang-Ming University, Taipei, Taiwan, Republic of China.
Department of Chest Medicine, Taipei Veterans General Hospital, Taipei, Taiwan, Republic of China.
Int J Chron Obstruct Pulmon Dis. 2018 Aug 15;13:2463-2469. doi: 10.2147/COPD.S172694. eCollection 2018.
Chronic obstructive pulmonary disease (COPD) impacts health-related quality of life in men more than in women. In patients with dyspnea, frailty is more likely to develop and aggravate disability. Despite this, few studies have addressed frailty in men with COPD. The present study investigated the effects of dyspnea and its related factors on frailty in men with COPD.
This cross-sectional observational study selected 125 participants by voluntary sampling at the thoracic outpatient clinics of two medical centers in Taiwan. The modified Medical Research Council questionnaire was used as the basis to classify dyspnea. Data were collected using questionnaires and analyzed using IBM SPSS Statistics for Windows, version 24.0 (IBM Corporation., Armonk, NY, USA).
There were 85.90% and 26.70% patients with COPD assessed in the unfit stage among the dyspnea and non-dyspnea groups, respectively. Additionally, the number of medication use and the COPD Assessment Test (CAT) scores were correlated with the period from fitness to unfitness among the dyspnea group and non-dyspnea group.
COPD with dyspnea was more common in the unfit stages. The total number of medication use and CAT scores were significantly related to frailty.
慢性阻塞性肺疾病(COPD)对男性健康相关生活质量的影响大于女性。在呼吸困难的患者中,虚弱更易发生并加重残疾。尽管如此,很少有研究探讨COPD男性患者的虚弱情况。本研究调查了呼吸困难及其相关因素对COPD男性患者虚弱的影响。
这项横断面观察性研究通过在台湾两个医疗中心的胸科门诊进行自愿抽样,选取了125名参与者。采用改良的医学研究委员会问卷作为呼吸困难分类的依据。通过问卷调查收集数据,并使用IBM SPSS Statistics for Windows 24.0版(美国纽约州阿蒙克市IBM公司)进行分析。
在呼吸困难组和非呼吸困难组中,分别有85.90%和26.70%的COPD患者被评估为不健康阶段。此外,呼吸困难组和非呼吸困难组的用药数量及慢性阻塞性肺疾病评估测试(CAT)得分与从健康到不健康的时间相关。
伴有呼吸困难的COPD在不健康阶段更为常见。用药总数和CAT得分与虚弱显著相关。