Differences in Symptom Burden Among Patients With Moderate, Severe, or Very Severe Chronic Obstructive Pulmonary Disease

Christensen, Vivi Lycke; Holm, Are Martin; Cooper, Bruce A.; Paul, Steven M.; Miaskowski, Christine; Rustøen, Tone

doi:10.1016/j.jpainsymman.2015.12.324

Cited by 23 publications

(20 citation statements)

References 33 publications

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“…In addition, we found that patients with higher symptom burden had lower FEV1/FVC value and needed more oxygen therapy, consistent with previous studies (Carvalho‐Jr et al, 2018; Ghobadi, Ahari, Kameli, & Lari, 2012). All these findings are physiologically expected and have been well‐documented in previous studies (Christensen et al, 2016; Ding, Judge, Small, Bent‐Ennakhil, & Siddiqui, 2018; Miravitlles & Ribera, 2017). Increasing age influences medication adherence (Acharya & Sharma, 2019; Krauskopf et al, 2015; Shrestha et al, 2015).…”

Section: Discussionsupporting

confidence: 86%

Relationship between symptom burden, medication adherence and spiritual well‐being in patients with chronic obstructive pulmonary disease

Helvaci

İzgü

Özdemir

2020

Journal of Clinical Nursing

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Aims and objectives To investigate the relationship between symptom burden, medication adherence and spiritual well‐being in patients with chronic obstructive pulmonary disease (COPD). Background The relationship between spirituality and medication adherence has been investigated in different chronic conditions. However, the relationship between symptom burden, medication adherence and spiritual well‐being in patients with COPD has not been explored. Design A descriptive correlational study design was adopted. Methods A total of 112 patients with COPD were included in the study. Data were collected using the COPD Assessment Test (CAT), the Adherence to Refills and Medications Scale‐7 (ARMS‐7) and the Functional Assessment of Chronic Illness Therapy‐Spiritual Well‐Being Scale (FACIT‐Sp). The data were analysed using descriptive and correlational statistics. The Strengthening the Reporting of Observational studies in Epidemiology (STROBE) Checklist was used. Results The CAT score was significantly higher in patients on long‐term oxygen therapy and those who had more than three comorbid conditions (p < .05). The mean score of ARMS‐7 was significantly associated with age (p < .05). Current smokers had higher ARMS‐7 and lower FACIT‐Sp scores (p < .001). The FACIT‐Sp score was negatively and moderately associated with the CAT and ARMS‐7 scores (p < .001). Conclusion This study concluded that individuals with higher spiritual well‐being had lower symptom burden and higher medication adherence. The need for long‐term oxygen therapy and a high number of comorbid conditions were associated with increased symptom burden. Current smokers had lower spiritual well‐being and medication adherence. Relevance to clinical practice Spiritual well‐being should be evaluated when assessing symptom burden and medication adherence in clinical practice. In addition, further studies examining the causal relationship between symptom burden, spiritual well‐being and medication adherence in different populations are warranted.

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Section: Discussionsupporting

confidence: 86%

Relationship between symptom burden, medication adherence and spiritual well‐being in patients with chronic obstructive pulmonary disease

Helvaci

İzgü

Özdemir

2020

Journal of Clinical Nursing

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“…Despite good management, COPD is highly symptomatic, especially in the advanced phases of the disease [19], and fatigue is one of the most prevalent symptoms [20,21]. Our results are consistent with previous studies showing that fatigue often goes unnoticed by family members as well as healthcare professionals [22,23].…”

Section: Findings In Relation To Other Studiessupporting

confidence: 91%

Psychosocial issues need more attention in COPD self-management education

Siltanen

Aine

Huhtala

et al. 2020

Scandinavian Journal of Primary Health Care

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Objective: To find out how regularly the contents of patient education regarded as essential for COPD patients' self-management are provided by healthcare professionals in specialised healthcare (SHC) and primary healthcare (PHC) in Finland. Design: A cross-sectional study based on an e-questionnaire with 42 items on the content of self-management education of COPD patients. Setting: The study sample included all public SHC units with pulmonary outpatient clinics (n ¼ 29) and nine out of 160 health centres in Finland. Subjects: 83 doctors and 162 nurses. Main outcome measures: The respondents' answers on how regularly they included the contents regarded as essential for COPD patients' self-management in their education of COPD patients. Results: COPD patients were educated regularly on medical issues regarding COPD treatment, such as smoking cessation, exercise and pharmacological treatment. However, issues vital for coping with the disease, such as psychological well-being, stress management or fatigue, were often ignored. Patient education in SHC seemed to be more systematic than education in PHC. The education provided by the asthma/COPD nurses (n ¼ 70) was more systematic than the education provided by the other nurses (n ¼ 84). Conclusion: Healthcare professionals' continuous education should cover not only the medical but also the psychosocial aspects of coping with COPD. The role of doctors and nurses should be considered to ensure that there is no gap in COPD patients' education. Training asthma/COPD nurses and promoting specialised nurse-led asthma/COPD clinics in primary care could be beneficial while improving practices of patient education that enhance patients' ability to cope with the disease. KEY POINTS Issues vital for coping with chronic obstructive pulmonary disease (COPD), such as psychological well-being, stress and fatigue, are irregularly included in self-management education both in primary and specialised healthcare. Patient education provided by asthma/COPD nurses is more regular than patient education provided by other nurses. The distribution of work between doctors and nurses should be considered to ensure that there is no gap in COPD patients' education.

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“…Previous studies had compared symptom burden in different diagnosed patients, 22 in different stages of disease, 13 in different treatments, 23,24 and in different time periods. 25 There were only few studies that reported symptom burden in cancer patients with cachexia.…”

Section: Discussionmentioning

confidence: 99%

Differences in Symptom Burden Among Cancer Patients With Different Stages of Cachexia

Zhou

Yang

Thapa

et al. 2017

Journal of Pain and Symptom Management

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Differences in Symptom Burden Among Patients With Moderate, Severe, or Very Severe Chronic Obstructive Pulmonary Disease

Abstract: Regardless of stage of disease, the high symptom burden identified in this study underscores the need for COPD patients to be screened for multiple co-occurring symptoms.

Cited by 23 publications

References 33 publications

Relationship between symptom burden, medication adherence and spiritual well‐being in patients with chronic obstructive pulmonary disease

Relationship between symptom burden, medication adherence and spiritual well‐being in patients with chronic obstructive pulmonary disease

Psychosocial issues need more attention in COPD self-management education

Differences in Symptom Burden Among Cancer Patients With Different Stages of Cachexia

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