以质量求发展，以服务铸品牌

Journal of Nursing ›› 2023, Vol. 30 ›› Issue (8): 1-6.doi: 10.16460/j.issn1008-9969.2023.08.001

    Next Articles

Status quo and influencing factors of life space in elderly patients with chronic obstructive pulmonary disease：a 322-case study

SUN Xiao-wei1, WANG Yan2, MIN Chun-yan3, DUAN Fei4, XIAO Jiang-qin2   

  1. 1. School of Nursing, Xinjiang Medical University, Urumqi 830000, China;
    2. Dept. of Critical Care Medicine, Xinjiang People's Hospital, Urumqi 830000, China;
    3. Dept. of Nursing Administration, Xinjiang People's Hospital, Urumqi 830000, China;
    4. School of Nursing, Shihezi University, Shihezi 832061, China
  • Received:2022-11-17 Published:2023-05-12

PDF (PC)

549

Like

Abstract: Objective To understand the current status of life space in elderly patients with chronic obstructive pulmonary disease (COPD), and to analyze its influencing factors. Methods Convenience sampling was used to select 322 elderly patients with COPD who were admitted to respiratory and critical care medicine center of a tertiary grade-A hospital in Urumqi from November 2021 to April 2022. General information questionnaire, Life Space Assessment Scale, the Simple Physical Ability Test, and the Breathlessness Belief Questionnaire were used to conduct a questionnaire survey, and multiple linear regression was used to analyze the influencing factors of life space level. Results The life space score of elderly COPD patients was 47.10±19.70. Multiple linear regression analysis showed that education background, disease course, dyspnea index, physical function, and dyspnea belief were the influencing factors of life space in elderly COPD patients (P<0.05), which explaining 44.9% of the total variation. Conclusion The life space of the elderly COPD patients in this group is slightly restricted. Education background, disease course, dyspnea index, physical function, and dyspnea belief are the main factors affecting life space of elderly COPD patients. Medical staff should pay attention to the assessment of life space; improved physical function and reduced fear of dyspnea are conducive to expanding the life space.

Key words: elderly people, chronic obstructive pulmonary disease, life space, physical function, breathing beliefs, influencing factor

CLC Number: 

  • R473.56
[1] Vogelmeier CF, Criner GJ, Martinez FJ, et al.Global strategy for the diagnosis, management, and prevention of chronic obstructive lung disease 2017 report. GOLD executive summary[J]. Am J Respir Crit Care Med,2017, 195(5):557-582. DOI:10.1164/rccm.201701-0218PP.
[2] Wang C, Xu J, Yang L, et al.Prevalence and risk factors of chronic obstructive pulmonary disease in China (the China pulmonary health [CPH] study): a national cross-sectional study[J]. Lancet,2018,391(10131):1706-1717.DOI:10.1016/S0140-6736(18)30841-9.
[3] Saraiva MD, Apolinario D, Avelino-Silva TJ, et al.The impact of frailty on the relationship between life-space mobility and quality of life in older adults during the COVID-19 pandemic[J].J Nutr Health Aging,2021,25(4):440-447. DOI:10.1007/s12603-020-1532-z.
[4] Kennedy RE, Sawyer P, Williams CP, et al.Life-space mobility change predicts 6-month mortality[J]. J Am Geriatr Soc,2017,65(4):833-838. DOI:10.1111/jgs.14738.
[5] Fathi R, Bacchetti P, Haan MN, et al.Life-space assessment predicts hospital readmission in home-limited adults[J].J Am Geriatr Soc,2017,65(5):1004-1011. DOI:10.1111/jgs.14739.
[6] Lo AX, Brown CJ, Sawyer P, et al.Life-space mobility declines associated with incident falls and fractures[J]. J Am Geriatr Soc,2014,62(5):919-923. DOI:10.1111/jgs.12787.
[7] Johnson J, Rodriguez MA, Al Snih S.Life-space mobility in the elderly: current perspectives[J]. Clin Interv Aging,2020,15:1665-1674. DOI:10.2147/CIA.S196944.
[8] 章隽宇,李萍,康磊,等. 急诊经皮冠状动脉介入术后老年患者心脏康复早期生活空间现状及影响因素研究[J]. 中国全科医学,2020,23(32):4074-4079.DOI:10.12114/j.issn.1007-9572.2020.00.140.
[9] 闫亭,于卫华. 生活空间与老年人不良健康结局的研究进展[J]. 循证护理,2021,7(18):2477-2480. DOI:10.12102/j.issn.2095-8668.2021.18.010.
[10] Global Initiative for Chronic Obstructive Lung Disease, Global strategy for the diagnosis, management and prevention of chronic obstructive pulmonary disease2021 report[EB/OL].(2020-11-17)[2022-09-10].https://goldcopd.org/gold-reports/.
[11] 孙振球,徐勇勇.医学统计学[M].4版.北京:人民卫生出版社,2016:573-575.
[12] Bestall JC, Paul EA, Garrod R, et al.Usefulness of the Medical Research Council (MRC) Dyspnoea scale as a measure of disability in patients with chronic obstructive pulmonary disease[J]. Thorax,1999,54(7):581-586. DOI:10.1136/thx.54.7.581.
[13] Baker PS, Bodner EV, Allman RM.Measuring life-space mobility in community-dwelling older adults[J]. J Am Geriatr Soc,2003,51(11):1610-1614. DOI:10.1046/j.1532-5415.2003.51512.
[14] De Peuter S, Janssens T, Van Diest I, et al.Dyspnea-related anxiety: the dutch version of the Breathlessness Beliefs Questionnaire[J]. Chron Respir Dis,2011,8(1):11-19. DOI:10.1177/1479972310383592.
[15] 伍青,郭爱敏. 慢性阻塞性肺疾病患者呼吸困难信念的相关概念及测量[J]. 中华护理杂志,2015,50(4):454-459. DOI:10.3761/j.issn.0254-1769.2015.04.017.
[16] 杨梅,肖静,蔡辉. 多元分析中的多重共线性及其处理方法[J]. 中国卫生统计,2012,29(4):620-624. DOI:10.3969/j.issn.1002-3674.2012.04.057.
[17] 季梦婷,周嫣,钱娟,等. 社区老年心血管病患者生活空间与生活质量相关性研究及影响因素分析[J]. 中华现代护理杂志,2016,22(2):170-175.DOI:10.3760/cma.j.issn.1674-2907.2016.02.007.
[18] 娄正磊,袁茹. 老年慢性阻塞性肺疾病患者心理社会适应水平及影响因素[J].中国健康心理学杂志,2021,29(6):835-838. DOI:10.13342/j.cnki.cjhp.2021.06.008.
[19] Pellichero A, Best K, Leblond J, et al. Relationships between cognitive functioning and power wheelchair performance, confidence and life-space mobility among experienced power wheelchair users: an exploratory study[J]. J Rehabil Med,2021,53(9):jrm00226.DOI:10.2340/16501977-2869.
[20] 邱红,魏雅鑫. 我国老年人参与社会活动及影响因素分析[J].人口学刊, 2020,42(5):73-82.DOI:10.16405/j.cnki.1004-129X.2020.05.006.
[21] Garcia IFF, Tiuganji CT, Santoro IL, et al.Systemic effects of chronic obstructive pulmonary disease in young-old adults' life-space mobility[J]. Int J Chron Obstruct Pulmon Dis,2017,12:2777-2785.DOI:10.2147/COPD.S146041.
[22] Mackey DC, Cauley JA, Barrett-Connor E, et al.Life-space mobility and mortality in older men: a prospective cohort study[J]. J Am Geriatr Soc,2014,62(7):1288-1296. DOI:10.1111/jgs.12892.
[23] 张淑娥,曹德品,张仲,等. 老年人生命旺盛感理论基础与本土化阐释[J]. 中国老年学杂志,2022,42(8):2016-2022. DOI:10.3969/j.issn.1005-9202.2022.08.064.
[24] Iyer AS, Wells JM, Bhatt SP, et al.Life-space mobility and clinical outcomes in COPD[J]. Int J Chron Obstruct Pulmon Dis,2018,13:2731-2738.DOI:10.2147/COPD.S170887.
[25] 朱琳,高静,柏丁兮,等. 慢性阻塞性肺疾病患者死亡危险因素队列研究的系统综述和荟萃分析[J]. 中华疾病控制杂志,2022,26(4):455-462.DOI:10.16462/j.cnki.zhjbkz.2022.04.016.
[26] 张艳红,罗彩凤,米元元,等. 慢性阻塞性肺疾病患者长期氧疗管理的最佳证据总结[J]. 护理学报,2021,28(15):35-41. DOI:10.16460/j.issn1008-9969.2021.15.035.
[27] Al Snih S, Peek KM, Sawyer P, et al.Life-space mobility in mexican americans aged 75 and older[J]. J Am Geriatr Soc, 2012, 60(3):532-537.DOI:10.1111/j.1532-5415.2011.03822.x.
[28] Fristedt S, Kammerlind AS, Fransson EI, et al.Physical functioning associated with life-space mobility in later life among men and women[J]. BMC Geriatr,2022,22(1):364. DOI:10.1186/s12877-022-03065-9.
[29] 王晶晶,白晨晓,张泽懿,等. 老年慢性阻塞性肺疾病患者锻炼行为感知现状及影响因素分析[J]. 中华护理杂志,2022,57(1):36-42. DOI:10.3761/j.issn.0254-1769.2022.01.005.
[30] Baird JF, Silveira SL, Motl RW.Social cognitive theory variables are stronger correlates of moderate-to-vigorous physical activity than light physical activity in older adults with multiple sclerosis[J]. Sport Sciences for Health,2022,18(2):561-566. DOI:10.1007/s11332-021-00845-5.
[31] 叶敏,庄鸣茹,张萍,等. 认知行为疗法联合家庭康复治疗对COPD患者自我管理能力和生活质量的影响[J]. 中国预防医学杂志,2020,21(5):558-561. DOI:10.16506/j.1009-6639.2020.05.017.
[1] WEI Li, ZHAO Xing-ying, LIU Jia, HE Yu-xuan, CHEN Xiao-mei, YANG Xue, XIAN Ji-shu, YANG Yan-ni. Care burden of family caregivers of severe inpatients in neurosurgery department and its influencing factors [J]. Journal of Nursing, 2025, 32(2): 1-6.
[2] YANG Bei, YE Hong-fang, ZHANG Ning, XIANG Lu-wei, LU Shi-yu. Current status of physical activity and its influencing factors in elderly patients with type 2 diabetes [J]. Journal of Nursing, 2025, 32(2): 7-12.
[3] TAN Qiu-yu, DENG Yi-xin, JI Wan-qian, WANG Dong-hua. Chain-mediated effect of self-stereotyping and subjective memory complaints between self-perceived aging and fear of dementia among rural elderly people [J]. Journal of Nursing, 2025, 32(1): 56-61.
[4] CAO Juan, LI Fang, YU Yue, DAI Li, YANG Dan-dan, LI Zhi-hua, XU Xin-yi, DAI Qi, CHEN Ke-yu. Construction and verification of risk prediction model for venous thromboembolism after esophageal cancer surgery [J]. Journal of Nursing, 2024, 31(8): 63-68.
[5] XUE Rong, ZHANG Kai-li, CHEN Bao-yun, MA Rong-hui, ZHANG Yu-xin. Multidimensional frailty development trajectory and its influencing factors in middle-aged and elderly stroke patients [J]. Journal of Nursing, 2024, 31(6): 6-12.
[6] HUANG Xin, YU Li-jun, ZHANG Er-ming, HA Li-na. Current status of energy intake in patients with stable COPD and its influencing factors [J]. Journal of Nursing, 2024, 31(5): 12-16.
[7] WU Lin-mei, LIANG Zhi-jin, LIU Rui-jie, ZHONG Jing-jing, QIU Yu-hua. Barriers to and facilitators of exercise rehabilitation in patients with COPD: a CFIR-based systematic review [J]. Journal of Nursing, 2024, 31(5): 44-49.
[8] DENG Yue, HU Yu-fan, WANG Ran, ZHANG Yuan-xing, WANG Fang, YUAN Ping, CHEN Lu. Qualitative studies on experience and needs of elderly patients receiving telemedicine care: a Meta-integration [J]. Journal of Nursing, 2024, 31(5): 50-55.
[9] MOU Xiao-ling, CHEN Yu-qi, LIU Hai-yan, LI Min, DONG Min, HUANG Jia-jia, LI Xuan, CHEN Yu. Postoperative depression and its influencing factors among lung transplant recipients [J]. Journal of Nursing, 2024, 31(21): 7-11.
[10] YAO Yao, ZHANG Min, CHEN Yan, WANG Chun. Implementation difficulties of “Internet +” disability care service from perspective of user experience [J]. Journal of Nursing, 2024, 31(19): 1-7.
[11] HAO Yang, QIN Yan-mei, MAO Mei-qi, ZHAO Ya-ning, LIU Yao, HAN Ying. Influencing factors of cognitive frailty in community-dwelling elderly individuals based on Bayesian network model [J]. Journal of Nursing, 2024, 31(19): 12-18.
[12] WANG Li-ning, QI Na, BAI Feng-xin, LI Chao-nan, FANG Ting, LI Yang, ZHANG Hui. Father involvement during infancy and its influencing factors: a latent profile analysis [J]. Journal of Nursing, 2024, 31(19): 73-78.
[13] ZHANG Yi-fan, XU Xiao-xia, WANG Zi-jiao, LIU La-mei, LI Zhen-ying, MAO Zhen-xue. Latent categories of moral courage among nurses in oncology department and its influencing factors [J]. Journal of Nursing, 2024, 31(13): 7-11.
[14] OU Yang-li, SHEN Jun, LI Miao, PENG Ying, LIAO Xiao-yan, ZHANG Hong, CHEN Li-yu. Best evidence summary for influencing factors of proactive health in disabled elderly people [J]. Journal of Nursing, 2024, 31(1): 58-63.
[15] REN Ying, YU Wei-hua, ZHANG Li, ZHENG Jun-jun, DENG Man, YANG Xia, ZHANG Yu-xi. Current status of life space level of community elderly people and its influencing factors [J]. Journal of Nursing, 2023, 30(7): 11-15.
Viewed
Full text


Abstract

Cited
  Shared   
No Suggested Reading articles found!