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Relationships between Dyspnea Management Strategies and Activities of Daily Living in Patients with Chronic Lung Diseases Minako Imado 1 , Yuki Ikeda 2 , Miyoko Matsuo 2 1Graduate School of Nursing, Osaka Prefecture University 2School of Nursing, Osaka Prefecture University Keyword: 呼吸困難 , ADL , 慢性呼吸器疾患 , マネジメント方略 , dyspnea , activities of daily living(ADL) , chronic lung disease , management strategy pp.14-24
Published Date 2010/3/23
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Abstract

 Purpose:The purpose of this study was to investigate dyspnea management strategies and activities of daily living (ADL) in patients with chronic lung diseases.

 Method:This study was a cross-sectional design. Sixty-four subjects with chronic lung disease were included. These subjects had more than Grade 2 of dyspnea on the Medical Research Council Dyspnea Scale (MRC). Subjects' characteristics, dyspnea management strategies, and ADL in patients with chronic lung diseases were investigated.

 Results:Most subjects constantly used “moving at own pace”and “slow movements”as dyspnea management strategies.A cluster analysis for dyspnea management strategies identified four clusters:Cluster Ⅰ (“moving at own pace”type), Ⅱ (“adjusting movements”type), Ⅲ (“adjusting breathing”type), and Ⅳ (“adjusting movements and breathing”type). Cluster Ⅳ subjects had a higher grade of dyspnea and lower ADL scores compared with subjects of the other three clusters.However Cluster Ⅳ subjects could perform their ADL almost independently and there was no significant difference in quadriceps force among the four clusters. Of MRC Grade 2 subjects (n=20), eleven subjects used “slow movements”(slow-moving subjects). The slow-moving subjects showed significantly lower ADL scores compared with the non slowmoving subjects.

 Conclusion:If patients had a higher grade of dyspnea, various dyspnea management strategies such as “adjusting movements and breathing”would be useful for maintaining their ADL. However,patients' ADL may decrease if they limit themselves to dyspnea management strategies which are like “slow movements.”


Copyright © 2010, Japan Academy of Nursing Science. All rights reserved.

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電子版ISSN 2185-8888 印刷版ISSN 0287-5330 日本看護科学学会

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