Dyspnea, Care Dependency, and Frailty in Older Adults with Chronic Obstructive Pulmonary Disease: A Correlational Study
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 w...
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Sakarya University
2024-08-01
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| Series: | Sakarya Üniversitesi Holistik Sağlık Dergisi |
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| Online Access: | https://dergipark.org.tr/tr/download/article-file/3720683 |
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| author | Merve Esen Zehra Gök Metin |
| author_facet | Merve Esen Zehra Gök Metin |
| author_sort | Merve Esen |
| collection | DOAJ |
| description | 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 (β=0.171, p=.013), COPD stage (β=0.465, p<.001), and income status (β=0.907, 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, p<0.001), and income status (β=- 0.147, p<.001) were also identified as the predictors of care dependency. Besides age and COPD stage, educational status (β=0.172, 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. |
| format | Article |
| id | doaj-art-56b1b40c4dae4ea7ac7989f116145a4a |
| institution | OA Journals |
| issn | 2687-6078 |
| language | English |
| publishDate | 2024-08-01 |
| publisher | Sakarya University |
| record_format | Article |
| series | Sakarya Üniversitesi Holistik Sağlık Dergisi |
| spelling | doaj-art-56b1b40c4dae4ea7ac7989f116145a4a2025-08-20T02:13:47ZengSakarya UniversitySakarya Üniversitesi Holistik Sağlık Dergisi2687-60782024-08-01729411210.54803/sauhsd.143507928Dyspnea, Care Dependency, and Frailty in Older Adults with Chronic Obstructive Pulmonary Disease: A Correlational StudyMerve Esen0https://orcid.org/0000-0001-7866-8340Zehra Gök Metin1https://orcid.org/0000-0003-0311-9982ANKARA MEDİPOL UNIVERSITY, FACULTY OF HEALTH SCIENCES, DEPARTMENT OF NURSINGHacettepe Universitesi Hemsirelik FakultesiObjective: 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 (β=0.171, p=.013), COPD stage (β=0.465, p<.001), and income status (β=0.907, 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, p<0.001), and income status (β=- 0.147, p<.001) were also identified as the predictors of care dependency. Besides age and COPD stage, educational status (β=0.172, 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.https://dergipark.org.tr/tr/download/article-file/3720683care dependencychronic obstructive pulmonary diseasedyspneafrailtygeriatricsnursecare dependencychronic obstructive pulmonary diseasedyspneafrailtygeriatricsnurse |
| spellingShingle | Merve Esen Zehra Gök Metin Dyspnea, Care Dependency, and Frailty in Older Adults with Chronic Obstructive Pulmonary Disease: A Correlational Study Sakarya Üniversitesi Holistik Sağlık Dergisi care dependency chronic obstructive pulmonary disease dyspnea frailty geriatrics nurse care dependency chronic obstructive pulmonary disease dyspnea frailty geriatrics nurse |
| title | Dyspnea, Care Dependency, and Frailty in Older Adults with Chronic Obstructive Pulmonary Disease: A Correlational Study |
| title_full | Dyspnea, Care Dependency, and Frailty in Older Adults with Chronic Obstructive Pulmonary Disease: A Correlational Study |
| title_fullStr | Dyspnea, Care Dependency, and Frailty in Older Adults with Chronic Obstructive Pulmonary Disease: A Correlational Study |
| title_full_unstemmed | Dyspnea, Care Dependency, and Frailty in Older Adults with Chronic Obstructive Pulmonary Disease: A Correlational Study |
| title_short | Dyspnea, Care Dependency, and Frailty in Older Adults with Chronic Obstructive Pulmonary Disease: A Correlational Study |
| title_sort | dyspnea care dependency and frailty in older adults with chronic obstructive pulmonary disease a correlational study |
| topic | care dependency chronic obstructive pulmonary disease dyspnea frailty geriatrics nurse care dependency chronic obstructive pulmonary disease dyspnea frailty geriatrics nurse |
| url | https://dergipark.org.tr/tr/download/article-file/3720683 |
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