Symptoms and Symptom Clusters in Persons with Chronic Obstructive Pulmonary Disease (COPD)

2.50
Hdl Handle:
http://hdl.handle.net/10755/304174
Category:
Abstract
Type:
Presentation
Title:
Symptoms and Symptom Clusters in Persons with Chronic Obstructive Pulmonary Disease (COPD)
Author(s):
Baramee, Julaluk; Duangpaeng, Supaporn
Lead Author STTI Affiliation:
Non-member
Author Details:
Julaluk Baramee, PhD, julalukb@yahoo.com; Supaporn Duangpaeng, DNS;
Abstract:

Session presented on: Wednesday, July 24, 2013

Purpose:

Chronic obstructive pulmonary disease (COPD) is a highly prevalent disease globally. People with COPD often experience a variety of concurrent symptoms. This study aimed to examine prevalence of symptoms and to identify symptom clusters in persons with COPD.

 Methods:

 The sample of this cross-sectional, correlational study was 180 outpatients with COPD multi-stage randomly selected from four hospitals in the eastern region of Thailand. Dyspnea, fatigue and insomnia were measured by the Thai-version Modified Memorial Symptom Assessment Scale (MSAS). Anxiety and depression were measured by the Hospital Anxiety and Depression Scale (HADS). Descriptive statistics, Pearson’s correlational coefficients and exploratory factor analysis using Principle Axis Factoring were used to analyze the data.

Results:

 Most of the sample was male (90%) with mean age 70.3 years. The majority (75.6%) was diagnosed COPD for less than 10 years in which 31.7% were stage 1 and 33.9% were stage 2. A large proportion of the sample experienced symptoms at a moderate to severe level for dyspnea (72%), fatigue (45%), insomnia (51%), anxiety (25%) and depression (26%).  Almost half (44%) had two or more symptoms at a moderate to severe level, and 16% had four symptoms at a moderate to severe level. All five symptoms were positively related at moderate to high level (r ranged from .423 to .814). From an exploratory factor analysis, two symptom clusters were generated: physical symptom cluster including dyspnea, fatigue and insomnia; and, psychological symptom cluster including anxiety and depression.

Conclusion:

With the majority of sample reported a moderate to severe level of many symptoms, a comprehensive assessment of symptom and symptom cluster is critical for improving the quality of care provided to COPD patients.

Keywords:
symptom cluster; COPD; symptom
Repository Posting Date:
22-Oct-2013
Date of Publication:
22-Oct-2013
Conference Date:
2013
Conference Name:
24th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Prague, Czech Republic
Description:
24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleSymptoms and Symptom Clusters in Persons with Chronic Obstructive Pulmonary Disease (COPD)en_GB
dc.contributor.authorBaramee, Julaluken_GB
dc.contributor.authorDuangpaeng, Supapornen_GB
dc.contributor.departmentNon-memberen_GB
dc.author.detailsJulaluk Baramee, PhD, julalukb@yahoo.com; Supaporn Duangpaeng, DNS;en_GB
dc.identifier.urihttp://hdl.handle.net/10755/304174-
dc.description.abstract<p>Session presented on: Wednesday, July 24, 2013</p><b>Purpose: </b> <p>Chronic obstructive pulmonary disease (COPD) is a highly prevalent disease globally. People with COPD often experience a variety of concurrent symptoms. This study aimed to examine prevalence of symptoms and to identify symptom clusters in persons with COPD. <p> <b>Methods: </b> <p> The sample of this cross-sectional, correlational study was 180 outpatients with COPD multi-stage randomly selected from four hospitals in the eastern region of Thailand. Dyspnea, fatigue and insomnia were measured by the Thai-version Modified Memorial Symptom Assessment Scale (MSAS). Anxiety and depression were measured by the Hospital Anxiety and Depression Scale (HADS). Descriptive statistics, Pearson’s correlational coefficients and exploratory factor analysis using Principle Axis Factoring were used to analyze the data. <p><b>Results: </b> <p> Most of the sample was male (90%) with mean age 70.3 years. The majority (75.6%) was diagnosed COPD for less than 10 years in which 31.7% were stage 1 and 33.9% were stage 2. A large proportion of the sample experienced symptoms at a moderate to severe level for dyspnea (72%), fatigue (45%), insomnia (51%), anxiety (25%) and depression (26%).  Almost half (44%) had two or more symptoms at a moderate to severe level, and 16% had four symptoms at a moderate to severe level. All five symptoms were positively related at moderate to high level (<i>r</i> ranged from .423 to .814). From an exploratory factor analysis, two symptom clusters were generated: physical symptom cluster including dyspnea, fatigue and insomnia; and, psychological symptom cluster including anxiety and depression. <p><b>Conclusion: </b> <p>With the majority of sample reported a moderate to severe level of many symptoms, a comprehensive assessment of symptom and symptom cluster is critical for improving the quality of care provided to COPD patients.en_GB
dc.subjectsymptom clusteren_GB
dc.subjectCOPDen_GB
dc.subjectsymptomen_GB
dc.date.available2013-10-22T20:30:32Z-
dc.date.issued2013-10-22-
dc.date.accessioned2013-10-22T20:30:32Z-
dc.conference.date2013en_GB
dc.conference.name24th International Nursing Research Congressen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationPrague, Czech Republicen_GB
dc.description24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.en_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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