Symptom burden and functional performance in patients with chronic obstructive pulmonary disease

dc.check.infoAccess to this article is restricted until 12 months after publication by request of the publisher.en
dc.contributor.authorMelhem, Omar
dc.contributor.authorSavage, Eileen
dc.contributor.authorAl Hmaimat, Nathira
dc.contributor.authorLehane, Elaine
dc.contributor.authorAbdel Fattah, Hadya
dc.description.abstractBackground: The burden of COPD is growing, and it is one of the leading disease burdens worldwide. Studies on symptom burden as a multidimensional concept in COPD and functional performance are lacking, and little is known about the effect of multiple symptoms and symptom burden on functional performance. Methods: A descriptive, cross-sectional correlational survey design was used. The Memorial Symptom Assessment Scale (MSAS) and the Functional Performance Inventory-Short Form (FPI-SF) were used to measure the symptom burden and functional performance. Data were analyzed using descriptive and inferential statistics. Participants (n=214) were recruited from the respiratory outpatient clinic in one of the teaching hospitals in Ireland. Results: Patients with COPD, regardless of classification, experienced significant physical and psychological symptom burden. A total of 20 symptoms were negatively correlated with overall functional performance, indicating a high symptom burden for those symptoms was associated with low overall functional performance. A statistically significant negative correlation between physical symptom burden, psychological symptom burden, total symptom burden, and functional performance was found. Conclusion: Patients with COPD experience a significant symptom burden and low functional performance. Decreased functional performance was not related only to a single burdensome symptom, but may also be related to the contribution of several physical/psychological burdensome symptoms, or both. Assessment and management of these symptoms are essential and imply that alleviating these symptomsâ burden may promote improved functional performance. This study supported the growing body of evidence of the need for patients with advanced COPD to receive palliative care.en
dc.description.statusPeer revieweden
dc.description.versionAccepted Versionen
dc.identifier.citationMelhem, O., Savage, E., Al Hmaimat, N., Lehane, E. and Abdel Fattah, H. (2021) 'Symptom burden and functional performance in patients with chronic obstructive pulmonary disease', Applied Nursing Research. doi: 10.1016/j.apnr.2021.151510en
dc.identifier.journaltitleApplied Nursing Researchen
dc.publisherElsevier B.V.en
dc.rights© 2021, Elsevier Inc. All rights reserved. This manuscript version is made available under the CC BY-NC-ND 4.0 license.en
dc.subjectChronic Obstructive Pulmonary Disease (COPD)en
dc.subjectSymptom burdenen
dc.subjectActivity of daily livingen
dc.subjectADLS functionen
dc.subjectFunctional performanceen
dc.titleSymptom burden and functional performance in patients with chronic obstructive pulmonary diseaseen
dc.typeArticle (peer-reviewed)en
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