An Explanatory Model on Functional Capacity in Patients with Chronic Obstructive Pulmonary Disease.
- Author:
So Youn BANG
1
Author Information
1. Department of Nursing, Joongbu University, Korea. sybang0421@hanmail.net
- Publication Type:Original Article
- Keywords:
Chronic obstructive pulmonary disease;
Functional capacity
- MeSH:
Aminopeptidases;
Dyspnea;
Humans;
Oxygen;
Pulmonary Disease, Chronic Obstructive;
Respiratory Function Tests;
Surveys and Questionnaires
- From:Journal of Korean Academy of Adult Nursing
2008;20(4):652-663
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: This study was conducted to develop and test an explanatory model on functional capacity in patients with chronic obstructive pulmonary disease using path analysis. METHODS: Data were collected from 149 chronic obstructive pulmonary disease patients using 6-minute walk test, measurement of oxygen saturation, pulmonary function test, and self-reported questionnaires from June to October, 2005. The collected data were analyzed using SPSS/WIN 12.0 program and AMOS/WIN 4.0 program. RESULTS: The overall fitness indices of modified model were good( chi-square = 14.324, p = .281 GFI = .981, RMSEA = .006, AGFI = .944, NFI = .927, NNFI = .999, CFI = .999, PNFI = .613, chi-square /df = 1.194). Functional capacity was influenced directly by age(beta = -.304, p = .000), dyspnea(beta = -.278, p = .000), self-efficacy(beta = .240, p = .000), social support(beta = .175, p = .004), pulmonary function(beta = .169, p = .008), and oxygen saturation(beta = .099, p = .048). These variables explained 39.3% in functional capacity. CONCLUSION: The findings of this study suggest that comprehensive nursing interventions should focus on decreasing dyspnea and increasing self-efficacy, social support, and oxygen saturation. In this perspective, pulmonary rehabilitation would be an effective strategy for improving functional capacity in patients with chronic obstructive pulmonary disease.
