Dyspnea, Care Dependency, and Frailty in Older Adults with Chronic Obstructive Pulmonary Disease: A Correlational Study

Merve Esen; Zehra Gök Metin

Makale detayları

Dyspnea, Care Dependency, and Frailty in Older Adults with Chronic Obstructive Pulmonary Disease: A Correlational Study

Yazarlar:

Merve Esen | Zehra Gök Metin

Yayıncı:

Sakarya University

Ana Başlıklar:

Dahili Hastalıklar Hemşireliği

Dergi:

Sakarya Üniversitesi Holistik Sağlık Dergisi Vol.7 Issue 2, pp.94-112

Belge Tipi:

Makale

Yayın Tarihi:

8/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001325174

pISSN:

2687-6078

Anahtar kelimeler:

Özet:

 Objective: As chronic obstructive pulmonary disease COPD progresses, older adults have an increased symptom burden, including severe dyspnea. The present study aimed to investigate the relationship between dyspnea, care dependency, and frailty in older adults with COPD. Methods: The current study was a descriptive-correlational study. One hundred and five participants were included. Data were collected face-to-face using the Dyspnea-12 Scale, Care Dependency Scale, and Edmonton Frailty Scale. Correlation and regression analysis were performed. Results: The median score for dyspnea was 24 moderate to high, 61 low for care dependency, and 10 moderate for frailty. Age β0.171, p.013, COPD stage β0.465, p.001, and income status β0.907, p.049 were the predictors of dyspnea and explained 67.1 of the variance. Age β-0.43, p.001, COPD stage β  0.506, p0.001, and income status β- 0.147, p.001 were also identified as the predictors of care dependency. Besides age and COPD stage, educational status β0.172, p.049 were the predictors of frailty. Conclusions: This study implied that older adults who had advanced stage COPD, were lower educated, had low-income levels, and comorbidities perceived higher care dependency and frailty. Nurses should assess both dyspnea and care dependency to identify older adults with COPD at risk for increased frailty. Studies considering COPD stage, education level, income status, and comorbidities on dyspnea management, and alleviating care dependency and frailty are warranted.

 Objective: As chronic obstructive pulmonary disease COPD progresses, older adults have an increased symptom burden, including severe dyspnea. The present study aimed to investigate the relationship between dyspnea, care dependency, and frailty in older adults with COPD. Methods: The current study was a descriptive-correlational study. One hundred and five participants were included. Data were collected face-to-face using the Dyspnea-12 Scale, Care Dependency Scale, and Edmonton Frailty Scale. Correlation and regression analysis were performed. Results: The median score for dyspnea was 24 moderate to high, 61 low for care dependency, and 10 moderate for frailty. Age β0.171, p.013, COPD stage β0.465, p.001, and income status β0.907, p.049 were the predictors of dyspnea and explained 67.1 of the variance. Age β-0.43, p.001, COPD stage β  0.506, p0.001, and income status β- 0.147, p.001 were also identified as the predictors of care dependency. Besides age and COPD stage, educational status β0.172, p.049 were the predictors of frailty. Conclusions: This study implied that older adults who had advanced stage COPD, were lower educated, had low-income levels, and comorbidities perceived higher care dependency and frailty. Nurses should assess both dyspnea and care dependency to identify older adults with COPD at risk for increased frailty. Studies considering COPD stage, education level, income status, and comorbidities on dyspnea management, and alleviating care dependency and frailty are warranted.

 Objective: As chronic obstructive pulmonary disease COPD progresses, older adults have an increased symptom burden, including severe dyspnea. The present study aimed to investigate the relationship between dyspnea, care dependency, and frailty in older adults with COPD. Methods: The current study was a descriptive-correlational study. One hundred and five participants were included. Data were collected face-to-face using the Dyspnea-12 Scale, Care Dependency Scale, and Edmonton Frailty Scale. Correlation and regression analysis were performed. Results: The median score for dyspnea was 24 moderate to high, 61 low for care dependency, and 10 moderate for frailty. Age β0.171, p.013, COPD stage β0.465, p.001, and income status β0.907, p.049 were the predictors of dyspnea and explained 67.1 of the variance. Age β-0.43, p.001, COPD stage β  0.506, p0.001, and income status β- 0.147, p.001 were also identified as the predictors of care dependency. Besides age and COPD stage, educational status β0.172, p.049 were the predictors of frailty. Conclusions: This study implied that older adults who had advanced stage COPD, were lower educated, had low-income levels, and comorbidities perceived higher care dependency and frailty. Nurses should assess both dyspnea and care dependency to identify older adults with COPD at risk for increased frailty. Studies considering COPD stage, education level, income status, and comorbidities on dyspnea management, and alleviating care dependency and frailty are warranted.

 Objective: As chronic obstructive pulmonary disease COPD progresses, older adults have an increased symptom burden, including severe dyspnea. The present study aimed to investigate the relationship between dyspnea, care dependency, and frailty in older adults with COPD. Methods: The current study was a descriptive-correlational study. One hundred and five participants were included. Data were collected face-to-face using the Dyspnea-12 Scale, Care Dependency Scale, and Edmonton Frailty Scale. Correlation and regression analysis were performed. Results: The median score for dyspnea was 24 moderate to high, 61 low for care dependency, and 10 moderate for frailty. Age β0.171, p.013, COPD stage β0.465, p.001, and income status β0.907, p.049 were the predictors of dyspnea and explained 67.1 of the variance. Age β-0.43, p.001, COPD stage β  0.506, p0.001, and income status β- 0.147, p.001 were also identified as the predictors of care dependency. Besides age and COPD stage, educational status β0.172, p.049 were the predictors of frailty. Conclusions: This study implied that older adults who had advanced stage COPD, were lower educated, had low-income levels, and comorbidities perceived higher care dependency and frailty. Nurses should assess both dyspnea and care dependency to identify older adults with COPD at risk for increased frailty. Studies considering COPD stage, education level, income status, and comorbidities on dyspnea management, and alleviating care dependency and frailty are warranted.

Makale detayları

Dyspnea, Care Dependency, and Frailty in Older Adults with Chronic Obstructive Pulmonary Disease: A Correlational Study

Yazarlar:

Merve Esen | Zehra Gök Metin

Yayıncı:

Sakarya University

Ana Başlıklar:

Dahili Hastalıklar Hemşireliği

Dergi:

Sakarya Üniversitesi Holistik Sağlık Dergisi Vol.7 Issue 2, pp.94-112

Belge Tipi:

Makale

Yayın Tarihi:

8/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001325174

pISSN:

2687-6078

Care Dependency

Chronic Obstructive Pulmonary Disease

Dyspnea

Frailty

Geriatrics

NurseCare Dependency

Chronic Obstructive Pulmonary Disease

Dyspnea

Frailty

Geriatrics

Nurse

Sayı

Makale detayları

Yazarlar: Merve Esen | Zehra Gök Metin

Yayıncı: Sakarya University

Ana Başlıklar: Dahili Hastalıklar Hemşireliği

Dergi: Sakarya Üniversitesi Holistik Sağlık Dergisi Vol.7 Issue 2, pp.94-112

Belge Tipi: Makale

Yayın Tarihi: 8/2024

Belge Dili: İngilizce

Document ID (Org No.): 2001325174

pISSN: 2687-6078

Sayı

Yazarlar:

Merve Esen | Zehra Gök Metin

Yayıncı:

Sakarya University

Ana Başlıklar:

Dahili Hastalıklar Hemşireliği

Dergi:

Sakarya Üniversitesi Holistik Sağlık Dergisi Vol.7 Issue 2, pp.94-112

Belge Tipi:

Makale

Yayın Tarihi:

8/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001325174

pISSN:

2687-6078