Kochovska Slavica, Chang Sungwon, Olsson Max, Ekström Magnus, Currow David C
Faculty of Science, Medicine and Health, University of Wollongong, Wollongong, New South Wales, Australia.
IMPACCT, Faculty of Health, University of Technology Sydney, Sydney, New South Wales, Australia.
Palliat Med Rep. 2023 Apr 20;4(1):120-126. doi: 10.1089/pmr.2022.0071. eCollection 2023.
Persistent breathlessness is debilitating and increases in prevalence with advanced age and at end of life. This study aimed to evaluate any relationship between self-reported global impressions of change (GIC) in perceived health and breathlessness in older men.
Cross-sectional study of 73-year-old Swedish men in the VAScular and Chronic Obstructive Lung disease study. A postal survey included items on perceived changes in health and breathlessness (GIC scales) and breathlessness (assessed using the modified Medical Research Council [mMRC] breathlessness scale, Dyspnea-12 and Multidimensional Dyspnea Scale) since age 65.
Of 801 respondents, breathlessness (mMRC ≥2) was reported by 17.9%, worsening breathlessness by 29.1%, and worsening perceived health by 51.3%. Worsening breathlessness was strongly correlated with worsening perceived health (Pearson's correlation coefficient of 0.68 [ < 0.001] and Kendall's τ of 0.56 [ < 0.001]) and associated with more limited function (47.2% vs. 29.7%; < 0.0001) and increased rates of anxiety/depression.
The strong correlation between perceived changes in health and persistent breathlessness helps delineate a more comprehensive picture of the challenges faced by older adults living with this disabling symptom.
持续性呼吸急促使人虚弱，且随着年龄增长和生命末期患病率会升高。本研究旨在评估老年男性自我报告的健康感知总体变化印象（GIC）与呼吸急促之间的关系。
在血管与慢性阻塞性肺疾病研究中对73岁瑞典男性进行的横断面研究。一项邮寄调查包括自65岁以来健康感知变化和呼吸急促（GIC量表）以及呼吸急促（使用改良的医学研究委员会[mMRC]呼吸急促量表、呼吸困难-12量表和多维呼吸困难量表进行评估）的项目。
在801名受访者中，报告有呼吸急促（mMRC≥2）的占17.9%，呼吸急促加重的占29.1%，健康感知恶化的占51.3%。呼吸急促加重与健康感知恶化密切相关（Pearson相关系数为0.68[<0.001]，Kendall's τ为0.56[<0.001]），并与功能受限更多（47.2%对29.7%；<0.0001）以及焦虑/抑郁发生率增加有关。
健康感知变化与持续性呼吸急促之间的强相关性有助于更全面地描绘患有这种致残症状的老年人所面临的挑战。
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