{"title":"老年COPD患者社会隔离现状及照顾者同情疲劳","authors":"Huijun Liu, Zhen Zhao, Hong Shi, Rujie Yang","doi":"10.2147/CIA.S504600","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Chronic obstructive pulmonary disease (COPD) significantly affects elderly individuals, often leading to social isolation and impacting quality of life. Family caregivers play a crucial role but may experience compassion fatigue (CF), potentially exacerbating patient outcomes. This study investigates social isolation in elderly COPD patients and examines the impact of caregiver compassion fatigue.</p><p><strong>Methods: </strong>We conducted a retrospective analysis of 200 elderly COPD patients from January 2018 to December 2022 at West China Hospital of Sichuan University. Participants were divided into poor prognosis (n = 109) and good prognosis (n = 91) groups based on outcomes within 90 days of admission. Caregiver compassion fatigue was assessed using the Professional Quality of Life Scale (ProQOL), categorizing patients into low (n = 125) and high (n = 75) caregiver fatigue groups. Social isolation was measured using the Generalized Alienation Scale (GAS) and the Multidimensional Scale of Perceived Social Support (MSPSS). Patient outcomes included pulmonary function tests, the 6-Minute Walk Test (6MWT), and psychological assessments using the Hospital Anxiety and Depression Scale (HADS), Connor-Davidson Resilience Scale (CD-RISC), and the Satisfaction with Life Scale (SWLS).</p><p><strong>Results: </strong>No significant demographic differences were observed between GP and PP groups. The PP group exhibited higher GAS scores (<i>P</i> = 0.017) and lower MSPSS scores (<i>P</i> = 0.045), indicating greater social isolation. Caregivers of PP patients reported higher compassion fatigue and burnout levels (<i>P</i> = 0.007; <i>P</i> = 0.003). Elevated caregiver compassion fatigue correlated with poorer patient outcomes, including decreased exercise tolerance (<i>P</i> = 0.021) and increased anxiety and depression (<i>P</i> = 0.008 and <i>P</i> = 0.045, respectively). Lower resilience and life satisfaction scores were observed in patients with caregivers experiencing high compassion fatigue, highlighting the impact on psychological well-being.</p><p><strong>Conclusion: </strong>Elderly COPD patients often experience significant social isolation, exacerbated by high levels of caregiver compassion fatigue.</p>","PeriodicalId":48841,"journal":{"name":"Clinical Interventions in Aging","volume":"20 ","pages":"739-750"},"PeriodicalIF":3.7000,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12129011/pdf/","citationCount":"0","resultStr":"{\"title\":\"The Current Status of Social Isolation and the Caregiver Compassion Fatigue in Elderly COPD Patients.\",\"authors\":\"Huijun Liu, Zhen Zhao, Hong Shi, Rujie Yang\",\"doi\":\"10.2147/CIA.S504600\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Chronic obstructive pulmonary disease (COPD) significantly affects elderly individuals, often leading to social isolation and impacting quality of life. Family caregivers play a crucial role but may experience compassion fatigue (CF), potentially exacerbating patient outcomes. This study investigates social isolation in elderly COPD patients and examines the impact of caregiver compassion fatigue.</p><p><strong>Methods: </strong>We conducted a retrospective analysis of 200 elderly COPD patients from January 2018 to December 2022 at West China Hospital of Sichuan University. Participants were divided into poor prognosis (n = 109) and good prognosis (n = 91) groups based on outcomes within 90 days of admission. Caregiver compassion fatigue was assessed using the Professional Quality of Life Scale (ProQOL), categorizing patients into low (n = 125) and high (n = 75) caregiver fatigue groups. Social isolation was measured using the Generalized Alienation Scale (GAS) and the Multidimensional Scale of Perceived Social Support (MSPSS). Patient outcomes included pulmonary function tests, the 6-Minute Walk Test (6MWT), and psychological assessments using the Hospital Anxiety and Depression Scale (HADS), Connor-Davidson Resilience Scale (CD-RISC), and the Satisfaction with Life Scale (SWLS).</p><p><strong>Results: </strong>No significant demographic differences were observed between GP and PP groups. The PP group exhibited higher GAS scores (<i>P</i> = 0.017) and lower MSPSS scores (<i>P</i> = 0.045), indicating greater social isolation. Caregivers of PP patients reported higher compassion fatigue and burnout levels (<i>P</i> = 0.007; <i>P</i> = 0.003). Elevated caregiver compassion fatigue correlated with poorer patient outcomes, including decreased exercise tolerance (<i>P</i> = 0.021) and increased anxiety and depression (<i>P</i> = 0.008 and <i>P</i> = 0.045, respectively). Lower resilience and life satisfaction scores were observed in patients with caregivers experiencing high compassion fatigue, highlighting the impact on psychological well-being.</p><p><strong>Conclusion: </strong>Elderly COPD patients often experience significant social isolation, exacerbated by high levels of caregiver compassion fatigue.</p>\",\"PeriodicalId\":48841,\"journal\":{\"name\":\"Clinical Interventions in Aging\",\"volume\":\"20 \",\"pages\":\"739-750\"},\"PeriodicalIF\":3.7000,\"publicationDate\":\"2025-05-29\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12129011/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Clinical Interventions in Aging\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.2147/CIA.S504600\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q2\",\"JCRName\":\"GERIATRICS & GERONTOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical Interventions in Aging","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.2147/CIA.S504600","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"GERIATRICS & GERONTOLOGY","Score":null,"Total":0}
The Current Status of Social Isolation and the Caregiver Compassion Fatigue in Elderly COPD Patients.
Background: Chronic obstructive pulmonary disease (COPD) significantly affects elderly individuals, often leading to social isolation and impacting quality of life. Family caregivers play a crucial role but may experience compassion fatigue (CF), potentially exacerbating patient outcomes. This study investigates social isolation in elderly COPD patients and examines the impact of caregiver compassion fatigue.
Methods: We conducted a retrospective analysis of 200 elderly COPD patients from January 2018 to December 2022 at West China Hospital of Sichuan University. Participants were divided into poor prognosis (n = 109) and good prognosis (n = 91) groups based on outcomes within 90 days of admission. Caregiver compassion fatigue was assessed using the Professional Quality of Life Scale (ProQOL), categorizing patients into low (n = 125) and high (n = 75) caregiver fatigue groups. Social isolation was measured using the Generalized Alienation Scale (GAS) and the Multidimensional Scale of Perceived Social Support (MSPSS). Patient outcomes included pulmonary function tests, the 6-Minute Walk Test (6MWT), and psychological assessments using the Hospital Anxiety and Depression Scale (HADS), Connor-Davidson Resilience Scale (CD-RISC), and the Satisfaction with Life Scale (SWLS).
Results: No significant demographic differences were observed between GP and PP groups. The PP group exhibited higher GAS scores (P = 0.017) and lower MSPSS scores (P = 0.045), indicating greater social isolation. Caregivers of PP patients reported higher compassion fatigue and burnout levels (P = 0.007; P = 0.003). Elevated caregiver compassion fatigue correlated with poorer patient outcomes, including decreased exercise tolerance (P = 0.021) and increased anxiety and depression (P = 0.008 and P = 0.045, respectively). Lower resilience and life satisfaction scores were observed in patients with caregivers experiencing high compassion fatigue, highlighting the impact on psychological well-being.
Conclusion: Elderly COPD patients often experience significant social isolation, exacerbated by high levels of caregiver compassion fatigue.
期刊介绍：
Clinical Interventions in Aging, is an online, peer reviewed, open access journal focusing on concise rapid reporting of original research and reviews in aging. Special attention will be given to papers reporting on actual or potential clinical applications leading to improved prevention or treatment of disease or a greater understanding of pathological processes that result from maladaptive changes in the body associated with aging. This journal is directed at a wide array of scientists, engineers, pharmacists, pharmacologists and clinical specialists wishing to maintain an up to date knowledge of this exciting and emerging field.
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