An Explanatory Model on Functional Capacity in Patients with Chronic Obstructive Pulmonary Disease / 성인간호학회지
Journal of Korean Academy of Adult Nursing
; : 652-663, 2008.
Article
de Ko
| WPRIM
| ID: wpr-85745
Bibliothèque responsable:
WPRO
ABSTRACT
PURPOSE: This study was conducted to develop and test an explanatory model on functional capacity in patients with chronic obstructive pulmonary disease using path analysis. METHODS: Data were collected from 149 chronic obstructive pulmonary disease patients using 6-minute walk test, measurement of oxygen saturation, pulmonary function test, and self-reported questionnaires from June to October, 2005. The collected data were analyzed using SPSS/WIN 12.0 program and AMOS/WIN 4.0 program. RESULTS: The overall fitness indices of modified model were good( chi-square = 14.324, p = .281 GFI = .981, RMSEA = .006, AGFI = .944, NFI = .927, NNFI = .999, CFI = .999, PNFI = .613, chi-square /df = 1.194). Functional capacity was influenced directly by age(beta = -.304, p = .000), dyspnea(beta = -.278, p = .000), self-efficacy(beta = .240, p = .000), social support(beta = .175, p = .004), pulmonary function(beta = .169, p = .008), and oxygen saturation(beta = .099, p = .048). These variables explained 39.3% in functional capacity. CONCLUSION: The findings of this study suggest that comprehensive nursing interventions should focus on decreasing dyspnea and increasing self-efficacy, social support, and oxygen saturation. In this perspective, pulmonary rehabilitation would be an effective strategy for improving functional capacity in patients with chronic obstructive pulmonary disease.
Mots clés
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Oxygène
/
Tests de la fonction respiratoire
/
Enquêtes et questionnaires
/
Broncho-pneumopathie chronique obstructive
/
Dyspnée
/
Aminopeptidases
Type d'étude:
Prognostic_studies
Limites du sujet:
Humans
langue:
Ko
Texte intégral:
Journal of Korean Academy of Adult Nursing
Année:
2008
Type:
Article