Volume 21 Issue 5
May  2023
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Article Navigation >  Chinese Journal of General Practice  > 2023  >  21(5): 792-796
XUE Jiali, LU Hongyan, YU Fang, JIANG Xirui, FENG Xiangkan. Perceived fatigue and coping experience in elderly patients with chronic obstructive pulmonary disease: A qualitative study[J]. Chinese Journal of General Practice, 2023, 21(5): 792-796. doi: 10.16766/j.cnki.issn.1674-4152.002985
Citation: XUE Jiali, LU Hongyan, YU Fang, JIANG Xirui, FENG Xiangkan. Perceived fatigue and coping experience in elderly patients with chronic obstructive pulmonary disease: A qualitative study[J]. Chinese Journal of General Practice, 2023, 21(5): 792-796. doi: 10.16766/j.cnki.issn.1674-4152.002985
shu

Perceived fatigue and coping experience in elderly patients with chronic obstructive pulmonary disease: A qualitative study

doi: 10.16766/j.cnki.issn.1674-4152.002985
  • 1.

    School of Nursing, Ningxia Medical University, Yinchuan, Ningxia 750004, China

Funds:

 2021BEG03116

  • Received Date: 2022-05-31
    Abstract
  •   Objective  To understand the perceived fatigue and coping experience in older patients with chronic obstructive pulmonary disease (COPD), and give a description of the fatigue phenomenon from the perspective of patients, providing medical workers with a reference for further understanding and management of fatigue.  Methods  A phenomenological research approach was used. Semi-structured interviews were conducted with elderly COPD patients from Department of Respiratory and Critical Care Medicine, General Hospital of Ningxia Medical University from May to October 2021, and 17 cases were finally enrolled. Nvivo 12 and Colaizzi ' s seven-step method were used for data processing and analysis.  Results  Three themes of perceived fatigue in elderly COPD patients emerged from the analysis, (1) Troubled fatigue symptoms: fatigue symptoms persisted after COPD; Fatigue symptoms were lighter in the morning and worse in the afternoon; Acute exacerbation of fatigue was an omen of acute exacerbation of COPD; Fatigue often coexisted with multiple somatic symptoms. (2) Seemingly unconquerable "constraints": limited physical activities; limited social interactions. (3) Heavy psychological burden: suffering from negative emotions; helplessness in troubling families; influence of heavy economic burden. Two themes of coping with fatigue in elderly COPD patients were summarized: (1) actively coping and seeking help; (2) passively coping and indifferently handling.  Conclusion  Fatigue symptoms persist in most elderly patients living with COPD, which can vary over time and predict the changes in condition. Fatigue impairs their quality of life crucially through negatively affecting their daily functioning and psychological state. However, due to the influence of many factors, fatigue symptoms in these patients have not been actively and effectively controlled. Therefore, it is necessary for medical workers to realize the serious adverse impact of fatigue, feel and understand fatigue from patient perspective, and take actions to develop a fatigue management scheme applicable to Chinese elderly patients with COPD as soon as possible.

     

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