Subjective fatigue, influencing variables, and consequences in chronic obstructive pulmonary disease

Subjective fatigue, influencing variables, and consequences in chronic obstructive pulmonary disease
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DOI:
10.1097/00006199-200601000-00002
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发表时间:
2006-01-01
期刊:
影响因子:
2.5
通讯作者:
Berry, JK
Berry, JK
中科院分区:
医学4区
文献类型:
--
作者:
Kapella, MC;Larson, JL;Berry, JK

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Background: Fatigue is a common symptom of chronic obstructive pulmonary disease (COPD), but little is known about the specific nature of COPD-related fatigue and its impact on daily life.Objectives: To (a) describe characteristics of fatigue in people with COPD and (b) test a theoretically and empirically supported model of the relationships among subjective fatigue, dyspnea, functional performance, anxious and depressed moods, and sleep quality in people with COPD.Methods: A cross-sectional descriptive study was conducted with 130 people with moderate to severe COPD. Measures 1 included the following: a Numerical Rating Scale (NRS) for frequency, intensity, and distress of fatigue and dyspnea; Fatigue Assessment Instrument (FAI); Chronic Respiratory Disease Questionnaire (CRQ); Profile of Mood States (POMS); Pittsburgh Sleep Quality Index (PSQI); Functional Performance Inventory (FPI); and spirometry. Path analysis was used to examine the relationships among variables.Results: Participants reported moderate amounts of fatigue, was described as situation-specific, had considerable consequences, and was responsive to rest and sleep. Dyspnea was slightly greater than fatigue, as measured by the NRSs (p