Investigation of the comfort level of patients with chronic obstructive pulmonary disease within the scope of Kolcaba's comfort theory

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research Pub Date : 2025-05-13 DOI:10.1016/j.apnr.2025.151964

Aylin Bilgin PhD, RN , Goncagul Aldan MSc, RN , Leyla Ozdemir PhD, RN , Sibel Gunay MD

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引用次数: 0

Abstract

Aim

This study aimed to determine the effects of physical, psychospiritual, sociocultural, and environmental factors on the comfort level among patients with chronic obstructive pulmonary disease (COPD) based on Kolcaba's comfort theory.

Background

Comfort is the fulfillment of holistic needs, physical, psychospiritual, sociocultural, and environmental, that contribute to well-being. In patients with COPD, comfort is compromised due to persistent symptoms and disease-related limitations.

Methods

A cross-sectional study was conducted with 140 COPD patients between June 2022 and April 2023. Data were collected using a sociodemographic questionnaire, the General Comfort Questionnaire Short Form, COPD Assessment Test, and Depression Anxiety Stress Scale Short Form. The data were analyzed using descriptive statistics, and structural equation modeling.

Results

The model explained 65.1 % of the variance in comfort level among patients. Physical factors such as age (β = −0.137, p = 0.007), symptom burden (β = −0.614, p < 0.001), receiving oxygen therapy at home (β = −0.134, p = 0.008), and duration of COPD diagnosis (β = 0.102, p = 0.048) were associated with comfort levels. Among psychospiritual factors, depression (β = −0.145, p = 0.004), anxiety (β = −0.184, p < 0.001), and stress (β = −0.378, p < 0.001) had the strongest negative impact on comfort. Marital status (being married) positively affected comfort within the sociocultural domain (β = 0.112, p = 0.026). Environmental factors, such as rural or urban living location, were not significantly associated with comfort.

Conclusions

Physical and psychospiritual factors had the strongest impact on the comfort level of patients with COPD.

Clinical implications

Interventions focusing on symptom management and psychological support may enhance comfort. Healthcare professionals should consider personalized interventions targeting key discomfort domains to improve overall patient well-being.

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Kolcaba舒适理论范围内慢性阻塞性肺疾病患者舒适度的调查

目的基于Kolcaba舒适理论，探讨生理、心理、社会文化和环境因素对慢性阻塞性肺疾病（COPD）患者舒适水平的影响。舒适是对身体、心理、社会文化和环境的整体需求的满足，有助于幸福。在COPD患者中，由于持续的症状和疾病相关的限制，舒适度受到损害。方法对2022年6月至2023年4月期间140例COPD患者进行横断面研究。使用社会人口调查问卷、一般舒适问卷简表、COPD评估测试和抑郁焦虑压力量表简表收集数据。采用描述性统计和结构方程模型对数据进行分析。结果该模型解释了患者舒适度差异的65.1%。生理因素如年龄（β = - 0.137, p = 0.007）、症状负担(β = - 0.614, p <；0.001)、在家接受氧疗（β = - 0.134, p = 0.008）和COPD诊断持续时间（β = 0.102, p = 0.048）与舒适度相关。心理因素中，抑郁（β = - 0.145, p = 0.004）、焦虑(β = - 0.184, p <；0.001)，应力(β = - 0.378, p <；0.001)对舒适度有最强的负面影响。婚姻状况（已婚）正向影响社会文化领域的舒适度（β = 0.112, p = 0.026）。环境因素，如农村或城市居住地点，与舒适度没有显著关联。结论生理和心理因素对慢性阻塞性肺病患者舒适度的影响最大。临床意义着重于症状管理和心理支持的干预措施可提高舒适度。医疗保健专业人员应考虑针对关键不适领域的个性化干预措施，以改善患者的整体健康状况。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Applied Nursing Research 医学-护理

CiteScore

4.50

自引率

0.00%

发文量

审稿时长

70 days

期刊介绍： Applied Nursing Research presents original, peer-reviewed research findings clearly and directly for clinical applications in all nursing specialties. Regular features include "Ask the Experts," research briefs, clinical methods, book reviews, news and announcements, and an editorial section. Applied Nursing Research covers such areas as pain management, patient education, discharge planning, nursing diagnosis, job stress in nursing, nursing influence on length of hospital stay, and nurse/physician collaboration.