Association of breathlessness with multiple symptoms in chronic obstructive pulmonary disease

borge c.r., wahl a.k. & moum t. (2010) Association of breathlessness with multiple symptoms in chronic obstructive pulmonary disease. Journal of Advanced Nursing 66(12), 2688–2700. Aim.  This paper is a report of an exploration of relationships between demographic and clinical variables and the...

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Published in:Journal of advanced nursing 2010-12, Vol.66 (12), p.2688-2700
Main Authors: Borge, Christine Råheim, Wahl, Astrid K., Moum, Torbjørn
Format: Article
Language:English
Subjects:
Adult
Age Factors
Aged
Aged, 80 and over
Airway management
Anxiety - epidemiology
breathlessness
Chronic obstructive pulmonary disease
Clinical medicine
Comorbidity
Cross-Sectional Studies
Demography
Depression - epidemiology
Dyspnea - epidemiology
Fatigue - epidemiology
Female
Forced Expiratory Volume
health education
Humans
Male
Medical statistics
Middle Aged
multi professional care
multiple symptoms
Nursing
Pain - epidemiology
Pulmonary Disease, Chronic Obstructive - epidemiology
Pulmonary Disease, Chronic Obstructive - physiopathology
Quality of Life
Regression Analysis
Respiration
Sleep Wake Disorders - epidemiology
Smoking - epidemiology
Spirometry
Surveys and Questionnaires
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Summary:borge c.r., wahl a.k. & moum t. (2010) Association of breathlessness with multiple symptoms in chronic obstructive pulmonary disease. Journal of Advanced Nursing 66(12), 2688–2700. Aim.  This paper is a report of an exploration of relationships between demographic and clinical variables and the symptoms of breathlessness, depression, anxiety, fatigue, sleeping difficulties and pain for patients with chronic obstructive pulmonary disease. Background.  Research into chronic obstructive pulmonary disease has focused on single symptoms and we lack knowledge about possible associations between several symptoms. Methods.  A total of 154 patients with chronic obstructive pulmonary disease participated in a cross‐sectional study from June 2006 to December 2007 (response rate 40%). All underwent pulmonary lung function tests and completed questionnaires including demographic variables, the Brief Pain Inventory, Hospital Anxiety and Depression Scale, Lee Fatigue Scale, General Sleep Disturbance Scale and the Respiratory Quality of Life Questionnaire. Bivariate correlation and multiple regression analyses were performed. Results.  Breathlessness was statistically significantly positively associated with the other symptoms, after controlling for demographic and clinical variables. Younger age was statistically significantly related to more breathlessness, anxiety and sleeping difficulties and lower levels of education was statistically significantly related to more breathlessness, depression and anxiety. In relation to clinical variables, smoking was statistically significantly related to more depression, whereas more co‐morbidity was statistically significantly related to more breathlessness and pain. Poorer lung function was statistically significantly related to more breathlessness. However, higher lung function was related to more sleeping difficulties. Conclusion.  Breathlessness is associated with symptoms such as depression, anxiety, fatigue, sleeping difficulties and pain, suggesting the need for an expanded focus on symptoms in chronic obstructive pulmonary disease guidelines, health care and research.
ISSN:0309-2402
1365-2648
DOI:10.1111/j.1365-2648.2010.05447.x