Chronic Obstructive Pulmonary Disease Patients’ Symptomatic Experiences

Authors

  • Buachompoo Ekkamart CENTRAL CHEST INSTITUTE OF THAILAND
  • Yaowarat Matchim Faculty of Nursing, Thammasat University
  • Jinpitcha Mamom
  • Piamlarp Sangsayunh

Keywords:

symptomatic experiences, dyspnea, fatigue, insomnia, chronic obstructive pulmonary disease patients

Abstract

Objective: To examine the five most common symptoms found in chronic obstructive pulmonary disease (COPD) patients: dyspnea, fatigue, insomnia, anxiety, and depression.
Design: Descriptive research
Methodology: The participants were 168 COPD patients treated at the COPD Clinic
of the Central Chest Institute of Thailand. The data-collecting instruments were: 1) a demographicrecording form; 2) the Dyspnea, Fatigue, and Insomnia Assessment Scale (DFIAS); and 3) the Hospital Anxiety and Depression Scale (HADS). The data were analysed using descriptive statistics.
Results: The majority of the participants (98.2%) were male aged averagely 71.48
years (SD = 8.71). Moderately severe COPD was detected in 39.3% of the participants. Dyspnea, fatigue, and insomnia were perceived by 100%, 91.7%, and 58.9% of the participants, respectively. Mild dyspnea frequency, moderate dyspnea severity, and mild dyspnea distress were perceived by 63.7%, 48.8%, and 63.1% of the participants, respectively. Overall, 79.2%, 50%, and 79.2% of the participants perceived low degrees of fatigue frequency, severity, and distress, respectively, whilst 44%, 38.1%, and 45.2% confirmed their perception of low degrees of insomnia frequency, severity, and distress. Anxiety and depression, however,
were found in only 0.6% of the participants.
Recommendations: This study reflected the importance of conducting dyspnea, fatigue, and insomnia assessment in COPD patients. Nursing care approaches based on empirical evidence are, therefore, advised to provide pharmaco-therapeutic and non-pharmaco-therapeutic support to help COPD patients to effectively manage their symptoms.

Downloads

Download data is not yet available.

References

Wold Health Organization. Chronic obstructive pulmonary disease (COPD). [Internet]. 2018 [cited 2020 Jun 19]; Available from: https://www.who.int/gho/publications/

Thoracic Society of Thailand under Royal Patronage. CPG-COPD. Bangkok: Beyond Enterprise Publisher; 2017. 112 p. (In Thai)

Thai Health Promotion Foundation. [Internet]. 2018 [cited 2020 Jun 19]; Available from:https://www.thaihealth.or.th/

Global Initiative for chronic obstructive lung disease. Pocket guide to COPD diagnosis, management, and prevention. [Internet]. 2019 [cited 2020 Jun 12]; Available from: https://goldcopd.org/

Witheethamsak P, Duangpaeng S, Masingboon K. Relationship between symptom cluster and functional performance among patients with chronic obstructive pulmonary disease. Thai Journal of Nursing Council 2010; 25(4): 96-108. (In Thai)

Miravitlles M, Ribera A. Understanding the impact of symptom on the burden of COPD. Respir Res 2017; 18(67): 1-11.

Wangsom A. Dyspnea management in patients with chronic obstructive pulmonary disease. Thai Journal of Cardio-Thoracic Nursing 2016; 27(1): 2-12. (In Thai)

Dodd M, Janson S, Facione N, Faucett J, Froelicher ES, Humphreys J, et al. Advancing the science of symptom management. J Adv Nurs 2001; 33(5): 668-76.

Bunmee P, Kunsongkeit W, Masingboon K. Factors related to symptom clusters in persons with chronic obstructive pulmonary disease. The Journal of Faculty of Nursing Burapha University 2016; 24(3): 59-69. (In Thai)

Wongderm A, Duangpaeng S. Factors influencing functional performance among patients with chronic obstruction pulmonary disease. Thai Pharmaceutical and Health Science Journal 2014; 9(3): 120-8. (In Thai)

Parshall MB, Schwartzstein RM, Adams L, Banzett, RB, Manning HL, Bourbeau J. American Thoracic Society Committee on Dyspnea An official American Thoracic Society statement: update on the mechanisms, assessment, and management of dyspnea. Am J

Respir Crit Care Med 2012; 185(4): 435-52.

Weingaertner V, Scheve C, Gerdes V, Schwarz-Eywill M, Prenzel R, Bausewein C, et al. Breathlessness, functional status, distress, and palliative care needs over time in patients with advanced chronic obstructive pulmonary disease or lung cancer: a cohort study. J Pain Symptom Manage 2014; 48(4): 569-81.

Ko FW, Chan KP, Hui DS, Goddard JR, Shaw JG, Reid DW, et al. Acute exacerbation of COPD. Respirology 2016; 21(7): 1152-65.

Lee J, Nguyen HQ, Jarrett ME, Mitchell PH, Pike KC, Fan VS. Effect of symptoms on physical performance in COPD. Heart lung 2018; 47(2): 149-56.

Van der Molen T, Miravitlles M, Kocks JW. COPD management: role of symptom assessment in routine clinical practice. Int J Chron Obstruct Pulmon Dis 2013; 8: 461-71.

Kapella MC, Larson JL, Patel MK, Covey MK, Berry JK. Subjective fatigue, influencing variables, and consequences in chronic obstructive pulmonary disease. Nurs Res 2006; 55(1): 10-7.

Janssen DJ, Spruit MA, Uszko-Lencer NH, Schols JM, Wouters EF. Symptoms, comorbidities, and health care in advanced chronic obstructive pulmonary disease

or chronic heart failure. J Palliat Med 2011; 14(6): 735-43.

American Thoracic Society. Sleep problems in COPD. Am J Respir Crit Care Med 2013;188(1): 5-6.

Bentsen SB, Wentzel-Larsen T, Henriksen AH, Rokne B, Wahl AK. Anxiety and depression following pulmonary rehabilitation. Scand J Caring Sci 2013; 27(3): 541-50.

Park SK, Stotts NA, Douglas MK, Donesky-Cuenco D, Carrieri-Kohlman V. Symptoms and functional performance in Korean immigrants with asthma or chronic obstructive pulmonary disease. Heart lung 2012; 41(3): 226-37.

Blinderman CD, Homel P, Billings JA, Tennstedt S, Portenoy KR. Symptom distress and quality of life in patients with advanced chronic obstructive pulmonary

disease. J Pain Symptom Manage 2009; 38(1): 115-23.

Bureau of Medical System Supervision. Service plan: COPD. Bangkok: Art Qualified Publisher; 2017. p. 52-61. (In Thai)

Srisatidnarakul B. Random Samping. In: Srisatidnarakul B, editor. The methodology in nursing research. 5th ed. Bangkok: U & I Intermedia Publisher; 2010. p. 207-9.(In Thai)

Sukhonthachit P, Wattanakitkrileart D, Pongthavornkamol K, Chuchottaworn C. Insomnia experience, insomnia management strategies and quality of life in patients

with chronic obstructive pulmonary disease. Journal of Nursing Science 2017; 32(2): 100-11. (In Thai)

The Institute of medicine and the elderly. Mini Mental State Examination; MMSE-Thai 2002. Bangkok: C G Tools Publisher; 2008. (In Thai)

Nilchaikovit T, Lortrakul M, Phisansuthideth U. Development of Thai version of Hospital Anxiety and Depression Scale in cancer patients. Journal of the Psychiatrist Association of Thailand 1996; 41(1): 18-30. (In Thai)

Thato R. Nursing research: concepts to application. 3rd ed. Bangkok: Chulalongkorn University Publisher; 2018. p. 385-88. (In Thai)

Roth T. Hypnotic use for insomnia management in chronic obstructive pulmonary disease. Sleep Med 2009; 10(1), 19-25.

Paddison J S, Effing, T W. Quinn S, Frith P A. Fatigue in COPD: association with functional status and hospitalisations. Eur Respir J 2013; 41(3): 565-70.

Thaithanasarn T, Chuathao S, Futeap J, Gadmanee N, Deengamleart P, Meeinta A, et al. Prevalence of depression and its association in chronic obstructive pulmonary disease patients in hospital, Chiang Rai Province: a cross-sectional study. The 13th Naresurn Research Conference; 2016. p. 588-97. (In Thai)

Published

2021-04-03

How to Cite

1.
Ekkamart B, Matchim Y, Mamom J, Sangsayunh P. Chronic Obstructive Pulmonary Disease Patients’ Symptomatic Experiences. TJNC [Internet]. 2021 Apr. 3 [cited 2022 Dec. 9];36(2):80-92. Available from: https://he02.tci-thaijo.org/index.php/TJONC/article/view/246340