Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
권호 표지

Factors Influencing Functional Status in People with Chronic Lung Disease

만성폐질환 환자의 기능상태에 영향을 미치는 요인

  • 오의금 (연세대학교 간호대학 성인간호학 교실, 상임연구원, 연세대학교 가정간호·호스피스연구소) ;
  • 김조자 (연세대학교 간호대학 성인간호학 교실, 상임연구원, 연세대학교 가정간호·호스피스연구소) ;
  • 이원희 (연세대학교 간호대학 성인간호학 교실, 상임연구원, 연세대학교 가정간호·호스피스연구소) ;
  • 김소선 (연세대학교 간호대학 성인간호학 교실, 상임연구원, 연세대학교 가정간호·호스피스연구소) ;
  • 권보은 (서울여자간호대학) ;
  • 장연수 (연세대학교 간호대학 성인간호학 교실) ;
  • 이지연 (연세대학교 간호대학 성인간호학 교실) ;
  • 김영진 (연세대학교 간호대학 성인간호학 교실)
  • Published : 2002.10.01
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Abstract

The purpose of this study was to identify factors that influence the functional status of chronic lung disease patients. Method: A descriptive, correlational study design was used. The study was conducted at the outpatient respiratory clinic of the large university hospital in Korea. A convenience sample of 128 chronic lung patients (age = 64.2 yrs; 106 COPD, 17 bronchiectasis, 5 DILD) with mean FEV1 64.4 % predicted. Functional status was measured with SIP. Physical variables (FEV1% predicted, dyspnea, fatigue, pulmonary symptom distress), psychological variables (mood, stress), and situational variable (sleep quality) were examined. Dyspnea was measured by the BDI, fatigue was measured with the MFI. Mood was measured with the modified Korean version of POMS. Sleep quality was measured with the Pittsburgh Sleep Quality Index. Potential independent variables for the regression were age, gender, years since diagnosis, FEV1% predicted, dyspnea, fatigue, pulmonary symptom distress, stress, and sleep quality. Result: In general, functional status was relatively good. In regression analysis, functional status were significantly influenced by dyspnea, mood, age and fatigue. These variables explained 70 % of the variances in functional status. Conclusion: The results suggest that psychophysiologic symptom management should be a focus to enhance the functional status in this group.

Keywords

References

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