Masror-Roudsary Daryadokht, Fadaee Aghdam Nasrin, Rafii Forough, Baha Robabe, Khajeh Mahboobeh, Mardani Abbas
School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
School of Nursing and Midwifery, Shahroud University of Medical Sciences, Shahroud, Iran.
Crit Care Res Pract. 2021 May 13;2021:5564275. doi: 10.1155/2021/5564275. eCollection 2021.
Chronic obstructive pulmonary disease (COPD) is one of the diseases that usually present at an advanced age. Respiratory symptoms in patients with COPD are the most important for making treatment decisions and understanding the adverse effects on health-related quality of life (HRQoL). This study aimed to investigate HRQoL in elderly patients with COPD and examine the relationship between this in relation to respiratory symptoms experienced by them and their demographic characteristics.
This is a descriptive, correlational study of elderly patients with COPD who were hospitalized in five different hospitals in an urban area of Iran. A consecutive sampling method was used. Demographic data form, the respiratory symptoms component of St. George's Respiratory Questionnaire (SGRQ), and the Short Form 36 Health Survey Questionnaire (SF-36) were applied for data collection.
The patients ( = 217) reported low HRQoL, and this impairment was more observed in the physical component. There was a significant inverse relationship between the experienced respiratory symptoms and physical (=0.03) and mental ( < 0.001) components of HRQoL. Moreover, the female gender, the low level of education, the increased duration of the disease, the increased number of hospitalizations during the past year, and the use of two classes of drugs simultaneously were associated with the impaired HRQoL.
Our findings inform healthcare providers about the negative impacts of respiratory symptoms and other related factors on the HRQoL of elderly patients with COPD. Nurses and other healthcare providers should proactively identify respiratory symptoms and design appropriate caring strategies to improve HRQoL among this group.
慢性阻塞性肺疾病（COPD）是一种通常在老年时出现的疾病。COPD患者的呼吸道症状对于做出治疗决策以及了解对健康相关生活质量（HRQoL）的不利影响最为重要。本研究旨在调查老年COPD患者的HRQoL，并探讨其与他们所经历的呼吸道症状及其人口统计学特征之间的关系。
这是一项对在伊朗城市地区五家不同医院住院的老年COPD患者进行的描述性、相关性研究。采用连续抽样方法。使用人口统计学数据表、圣乔治呼吸问卷（SGRQ）的呼吸道症状部分以及简短健康调查36问卷（SF - 36）进行数据收集。
患者（n = 217）报告HRQoL较低，且这种损害在身体方面更为明显。所经历的呼吸道症状与HRQoL的身体部分（r = 0.03）和心理部分（r < 0.001）之间存在显著的负相关关系。此外，女性、低教育水平、疾病持续时间增加、过去一年住院次数增加以及同时使用两类药物与HRQoL受损有关。
我们的研究结果让医疗保健提供者了解呼吸道症状和其他相关因素对老年COPD患者HRQoL的负面影响。护士和其他医疗保健提供者应主动识别呼吸道症状，并设计适当的护理策略以改善该群体的HRQoL。
