Symptom Burden and Quality of Life in Patients with Chronic Obstructive Pulmonary Disease

• DOI: 10.5281/zenodo.6640942
• Publication Date: 2022-06-14
• Authors: Xinxin Ding; Maochun Wu; Jing Li; Kun Li
• Keywords: symptom burden; quality of life; Chronic Obstructive Pulmonary Disease; https://www.noveltyjournals.com/upload/paper/Symptom%20Burden%20and%20Quality-14062022-1.pdf; symptom; 3. Good health

{"references": ["[1]\tZhong N, Wang C, Yao W, Chen P, Kang J, Huang S, et al. Prevalence of chronic obstructive pulmonary disease in China: a large, population-based survey. American Journal of Respiratory and Critical Care Medicine 2007;176(8):753-760.", "[2]\tWalke LM, Gallo WT, Tinetti ME, Fried TR. The burden of symptoms among community-dwelling older persons with advanced chronic disease. Archives of Internal Medicine 2004;164(21):2321-2324.", "[3]\tDodd M, Janson S, Facione N, Faucett J, Froelicher ES, Humphreys J, et al. Advancing the science of symptom management. Journal of Advanced Nursing 2001;33(5):668-676.", "[4]\tLenz ER, Pugh LC, Milligan RA, Gift A, Suppe F. The middle-range theory of unpleasant symptoms: an update. Ans Advances in Nursing Science 1997;19(3):14-27.", "[5]\tChristensen VL, Holm AM, Cooper B, Paul SM, Miaskowski C, Rust\u00e3\u00b8En T. Differences in Symptom Burden Among Patients with Moderate, Severe, or Very Severe Chronic Obstructive Pulmonary Disease. J Pain Symptom Manage 2016;51(5):849-859.", "[6]\tEckerblad J, T\u00f6dt K, Jakobsson P, Unosson M, Skargren E, Kentsson M, et al. Symptom burden in stable COPD patients with moderate or severe airflow limitation. Heart & Lung 2014;43(4):351-357.", "[7]\tTheander K, Hasselgren M, Luhr K, Eckerblad J, Unosson M, Karlsson I. Symptoms and impact of symptoms on function and health in patients with chronic obstructive pulmonary disease and chronic heart failure in primary health care. International Journal of Chronic Obstructive Pulmonary Disease 2014;9(default):785-794.", "[8]\tStrada EA, Homel P, Tennstedt S, Billings JA, Portenoy RK. Spiritual well-being in patients with advanced heart and lung disease. Palliat Support Care 2013;11(3):205-213.", "[9]\tGift AG, Shepard CE. Fatigue and Other Symptoms in Patients with Chronic Obstructive Pulmonary Disease: Do Women and Men Differ? Journal of Obstetric Gynecologic & Neonatal Nursing 1999;28(2):201-208.", "[10]\tLi Y, Li J, Wri Y, Li Y, Wang X, Zhang X, Zhang H. The symptom clusters in the old patients with Chronic Obstrcutive Pulmonary Disease. Guangdong Medical Journal 2014;35(20):3238-3241.", "[11]\tBlinderman CD, Homel P, Billings JA, Tennstedt S, Portenoy RK. Symptom Distress and Quality of Life in Patients with Advanced Chronic Obstructive Pulmonary Disease. Journal of Pain & Symptom Management 2009;38(1):115-123.", "[12]\tTheander K. Fatigue, functional status, health and pulmonary rehabilitation in patients with chronic obstructive pulmonary disease. Faculty of Health Sciences 2007.", "[13]\tZambroski CH, Moser DK, Bhat G, Ziegler C. Impact of symptom prevalence and symptom burden on quality of life in patients with heart failure. European Journal of Cardiovascular Nursing Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology 2005;4(3):198-206.", "[14]\tBurgel PR, Escamilla R, Perez T, Carr\u00e9 P, Caillaud D, Chanez P, et al. Impact of comorbidities on COPD-specific health-related quality of life. Respiratory Medicine 2013;107(2):233-241.", "[15]\tFletcher MJ, Dahl BH. Expanding nursing practice in COPD: key to providing high-quality, effective, and safe patient care? Primary Care Respiratory Journal 2013;22(2):230-233."]}<br/>Abstract: Background: Chronic Obstructive Pulmonary Disease (COPD) with highly prevalence, disability, and mortality was a common health problem worldwide. And the COPD patients experienced seriously symptom and disease burden, as well as poor health-related quality of life (HQOL). The aims of this study were to describe the prevalence of symptoms, symptom burden and HQOL, and examine the relationship between the symptom burden and HQOL. Methods: 197 hospitalized patients with COPD (mean (SD) age 68.12 (10.41) years) were recruited between December 2016 and November 2017. The symptom was assessed using the Memorial Symptom Assessment Scale (MSAS), including four subscales: the psychological (MSAS-PSYCH) subscale, the physiological (MSAS-PHYS), the global distress index (MSAS-GDI), and the MSAS total score (TMSAS). The HQOL was evaluated by Chinese version of the Clinical COPD Questionnaire (CCQ). Results: The patients reported multiple symptoms with a median number of 7.00. The commonly reported symptoms were dry mouth, cough, shortness of breath, and lack of energy, and the psychological symptom included difficulty sleeping, worrying, feeling sad, feeling irritable, difficulty concentrating, and feeling nervous. The medians for the MSAS- PSYCH, MSAS-PHYS, MSAS-GDI, and TMSAS were 0.44, 0.47, 0.60, and 0.41, respectively. And the CCQ had moderate score. There were association between impaired quality of life and symptom burden (number of MSAS symptoms, MSAS-PHYS, MSAS-PSYCH, MSAS-GDI, the TMAS) (P < 0.001). Conclusions: The overall moderate symptom burden and poor HQOL suggests that detailed multidimensional symptom assessments are warranted in the care of COPD inpatients, with the purpose of focusing on severe and distressing symptoms in order to improve symptom management and reduce symptom burden progression. Keywords: Chronic Obstructive Pulmonary Disease; symptom; symptom burden, quality of life. Title: Symptom Burden and Quality of Life in Patients with Chronic Obstructive Pulmonary Disease Author: Xinxin Ding, Maochun Wu, Jing Li, Kun Li International Journal of Novel Research in Healthcare and Nursing ISSN 2394-7330 Vol. 9, Issue 2, May 2022 - August 2022 Page No: 59-68 Novelty Journals Website: www.noveltyjournals.com Published Date: 14-June-2022 DOI: https://doi.org/10.5281/zenodo.6640942 Paper Download Link (Source) https://www.noveltyjournals.com/upload/paper/Symptom%20Burden%20and%20Quality-14062022-1.pdf<br/>International Journal of Novel Research in Healthcare and Nursing, ISSN 2394-7330, Novelty Journals, Website: www.noveltyjournals.com<br/>