Correlation study on symptom burden, self-efficacy and quality of life in elderly COPD patients
10.3760/cma.j.issn.1674-2907.2018.02.012
- VernacularTitle:老年COPD患者症状负担、自我效能及生活质量的相关性研究
- Author:
Huaifang FAN
1
;
Haiyan LI
;
Feifei DONG
Author Information
1. 浙江省中西医结合医院呼吸科
- Keywords:
Quality of life;
Pulmonary disease;
chronic obstructive;
Symptom burden;
Self-efficacy
- From:
Chinese Journal of Modern Nursing
2018;24(2):175-180
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the status of symptom burden,self-efficacy and quality of life in elderly patients with chronic obstructive pulmonary disease (COPD),and to explore the correlation among the three. Methods A total of 370 elderly patients with COPD hospitalized in the Hospital of Integrated Traditional Chinese and Western Medicine in Zhejiang Province from February 2016 to March 2017 were selected by convenience sampling method. The general data questionnaire,COPD assessment test,COPD self-efficacy scale and COPD quality of life instrument for chronic disease were used to investigate all the subjects. Results The total score of symptom burden in elderly patients with COPD was (28.27±9.52),the total score of self-efficacy was (98.66±10.78),the total score of quality of life was (148.37±21.33). There were significant differences in symptom burden, self-efficacy, and quality of life among patients with different ages, genders, educational level, living styles, smoking and the severity of illness (P< 0.05). There was no statistical difference on symptom burden of patients with different household income (t=1.628,P>0.05), and the scores of self-efficacy and life quality were statistically different (t=2.036,2.184;P< 0.05). Symptom burden was negatively correlated with self-efficacy score and its dimension scores (r=-0.427--0.529,P<0.05);symptom burden was negatively correlated with the total score of quality of life and the scores of each dimension (r=-0.428--0.608,P<0.01);the total score of self-efficacy and the scores of its all dimensions were positively correlated with the total score and each dimension score of life quality (r=0.477-0.778,P<0.01). Conclusions There is correlation with symptom burden,self-efficacy and life quality in elderly patients with COPD. Patients have lower self-efficacy and life quality as their symptom burden increases. It is suggested that by reducing patients′symptom burden,improving self-efficacy level,elderly COPD patients′ quality of life can be improved.
