慢性阻塞性肺疾病患者癥狀群及護理干預的研究進展_Chinese Journal of Respiratory and Critical Care Medicine

Authors：

羅靜 ¹ , 唐茜 ¹ , 胡莉麗 ¹ , 李京潞 ¹ ,  熊桃 ²

1. ;
2. ;

Corresponding?author：

熊桃, Email: 1217144767@qq.com

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DOI：

10.7507/1671-6205.202411085

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Citation： 羅靜, 唐茜, 胡莉麗, 李京潞, 熊桃. 慢性阻塞性肺疾病患者癥狀群及護理干預的研究進展. Chinese Journal of Respiratory and Critical Care Medicine, 2025, 24(8): 597-601. doi: 10.7507/1671-6205.202411085 Copy

1.	World Health Organization. Chronic obstructive pulmonary disease(COPD)[EB/OL]. (2023-03-16)[2023-05-26]. https://www.who.int/news-room/fact-sheets/detail/chronic-obstructive-pulmonarydisease-(copd).
2.	徐艷松, 劉慶華, 邱筱婷. 慢性阻塞性肺疾病患者癥狀群及其亞組識別的研究. 結核與肺部疾病雜志, 2022, 3(03): 203-208.
3.	楊珍嬌, 崔妙玲, 張小芳等. 慢性阻塞性肺疾病病人癥狀群及其與炎癥因子水平的相關性. 護理研究, 2021, 35(07): 1134-1139.
4.	Park SK, Stotts NA, Douglas MK, et al. Symptoms and functional performance in Korean immigrants with asthma or chronic obstructive pulmonary disease. Heart Lung. 2012, 41(3): 226-37.
5.	趙夢璐, 盧曉虹, 曹麗華, 等. 基于移動醫療的癥狀群管理在慢性心力衰竭患者中的應用研究. 中華護理雜志, 2024, 59(11): 1294-1300.
6.	Lim KE, Kim SR, Kim HK, et al. Symptom Clusters and Quality of Life in Subjects With COPD. Respir Care. 2017, 62(9): 1203-1211.
7.	Wu M, Zan T, Zhao Q, et al. Symptom Clusters and Health-related Quality of Life in Chinese patients with Chronic Obstructive Pulmonary Disease. West J Nurs Res. 2020, 42(6): 437-445.
8.	Yang Z, Cui M, Zhang X, Bai J, et al. Identification of Symptom Clusters and Their Influencing Factors in Subgroups of Chinese Patients With Acute Exacerbation of Chronic Obstructive Pulmonary Disease. J Pain Symptom Manage. 2020, 60(3): 559-567.
9.	李曉娟, 王銀萍, 司樹梅, 等. 穩定期慢性阻塞性肺疾病患者癥狀群、應對方式對生活質量的影響. 現代臨床護理, 2021, 20(07): 1-8.
10.	Fei F, J Siegert R, Zhang X, et al. Symptom clusters, associated factors and health-related quality of life in patients with chronic obstructive pulmonary disease: A structural equation modelling analysis. J Clin Nurs. 2023, 32(1-2): 298-310.
11.	Shackell BS, Jones RC, Harding G, et al. 'Am I going to see the next morning?' A qualitative study of patients' perspectives of sleep in COPD. Prim Care Respir J. 2007, 16(6): 378-83.
12.	Parshall MB, Schwartzstein RM, Adams L, et al. An official American Thoracic Society statement: update on the mechanisms, assessment, and management of dyspnea. Am J Respir Crit Care Med. 2012, 185(4): 435-52.
13.	盧霄蒙, 耿文慧, 尹運騰, 等. 乳腺癌患者治療間歇期癥狀群及前哨癥狀的調查研究. 護理研究, 2024, 38(16): 3003-3008.
14.	陳慶梅, 崔妙玲, 麻月娥, 等. 慢性阻塞性肺疾病急性加重期患者癥狀群及前哨癥狀的調查研究. 中華護理雜志, 2022, 57(23): 2891-2897.
15.	Yohannes AM, Murri MB, Hanania NA, et al. Depressive and anxiety symptoms in patients with COPD: A network analysis. Respir Med. 2022, 198: 106865.
16.	張穎, 劉雪琴, 劉曉輝, 等. 血液透析疲乏患者報告結局評估工具臨床應用的研究進展. 護理學報, 2023, 30(13): 38-41.
17.	Kentson M, T?dt K, Skargren E, et al. Factors associated with experience of fatigue, and functional limitations due to fatigue in patients with stable COPD. Ther Adv Respir Dis. 2016, 10(5): 410-24.
18.	邱巧靜, 陶洋, 沈佳妮, 等. 慢性阻塞性肺疾病癥狀群及其與患者生活質量的相關性研究. 結核與肺部疾病雜志, 2024, 5(03): 219-224.
19.	Mohammed J, Derom E, De Wandele I, et al. Autonomic symptoms in patients with moderate and severe chronic obstructive pulmonary disease. Acta Clin Belg. 2018, 73(3): 182-190.
20.	Jablonski A, Gift A, Cook KE. Symptom assessment of patients with chronic obstructive pulmonary disease. West J Nurs Res. 2007, 29(7): 845-63.
21.	曹玲, 鐘印芹, 呂海鵬, 等. 慢性阻塞性肺疾病病人自我護理的研究進展. 全科護理, 2022, 20(20): 2790-2793.
22.	Zhang H, Wu F, Yi H, et al. Gender Differences in Chronic Obstructive Pulmonary Disease Symptom Clusters. Int J Chron Obstruct Pulmon Dis. 2021, 16: 1101-1107.
23.	Laurin C, Lavoie KL, Bacon SL, et al. Sex differences in the prevalence of psychiatric disorders and psychological distress in patients with COPD. Chest. 2007 , 132(1): 148-55.
24.	楊珍嬌, 崔妙玲, 張小芳, 等. 慢性阻塞性肺疾病急性加重期患者癥狀群及其影響因素研究. 護理學雜志, 2020, 35(03): 30-34.
25.	趙輝, 白亞娜, 李密, 等. 老年人慢性阻塞性肺疾病住院狀況及直接經濟負擔. 中國老年學雜志, 2016, 36(05): 1196-1198.
26.	張娜. 老年慢性阻塞性肺疾病患者癥狀體驗及相關因素分析. 河南大學, 2017. https://med.wanfangdata.com.cn/Paper/Detail?id=DegreePaper_D01283766&dbid=WF_XW.
27.	GLOD Exective Committee. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease (updated 2016)[EB/OL]. (2016-11-14)[2017-05-10]. http://www.goldcopd.org.http.gzlib.proxy.chaoxing.com/global-startegy-diagnosismanagement-prevent-copd-2016.
28.	姚文飛, 屠春林, 付玉華, 等. 肺康復對慢性阻塞性肺疾病急性加重期住院患者的療效. 中國康復理論與實踐, 2017, 23(1): 101-105.
29.	Jensen T, Kierulf P, Sandset PM, et al. Fibrinogen and fibrin induce synthesis of proinflammatory cytokines from isolated peripheral blood mononuclear cells. Thromb Haemost. 2007, 97(5): 822-9.
30.	Liu CS, Adibfar A, Herrmann N, et al. Evidence for Inflammation-Associated Depression. Curr Top Behav Neurosci. 2017, 31: 3-30.
31.	XU K, LI X. Two risk factors for depression in chronic obstructive pulmonary disease. Med Sci Monit, 2018, 24: 1417-1423.
32.	楊珍嬌, 崔妙玲, 王自秀, 等. 慢性阻塞性肺疾病急性加重病人多癥狀現狀及其特征分類研究. 全科護理, 2024, 22(04): 614-619.
33.	Hao G, Qiu Q, Hou L, et al. The Effect of Symptom Clusters and Sleep Disorder on Quality of Life among Patients with Chronic Obstructive Pulmonary Disease. J Healthc Eng. 2021, 2021: 1692480.
34.	陳小艷, 黃麗華. 急性冠脈綜合征患者癥狀群的研究進展. 中華護理雜志, 2024, 59(01): 117-123.
35.	Fei F, Koffman J, Zhang X, et al. Synergistic Impact of the Symptom Cluster on Health-Related Quality of Life in Patients With Chronic Obstructive Pulmonary Disease: A Secondary Data Analysis. Clin Nurs Res. 2022, 31(6): 991-999.
36.	邱筱婷, 王韻, 劉志梅, 等. COPD病人癥狀群亞組分析及其對生活質量的影響. 護理研究, 2021, 35(07): 1295-1299.
37.	邱筱婷, 隋風翔, 劉志梅, 等. COPD患者癥狀群潛在類別研究及風險預測分析. 齊魯護理雜志, 2021, 27(01): 42-45.
38.	Christensen VL, Rust?en T, Cooper BA, et al. Distinct symptom experiences in subgroups of patients with COPD. Int J Chron Obstruct Pulmon Dis. 2016, 11: 1801-9.
39.	袁麗榮, 楊青龍, 李育玲, 等. 計算機化認知行為療法在慢性阻塞性肺疾病患者癥狀群管理中的影響: 一項隨機對照試驗. 結核與肺部疾病雜志, 2024, 5(05): 476-483.
40.	Jun J, Park C, Fritschi C, et al. Behavioral interventions and symptom cluster change in adults with chronic obstructive pulmonary disease and insomnia. Heart Lung. 2024, 64: 6-13.
41.	Zhang X, Yin C, Tian W, et al. Effects of cognitive behavioral therapy on anxiety and depression in patients with chronic obstructive pulmonary disease: A meta-analysis and systematic review. Clin Respir J. 2020, 14(10): 891-900.
42.	田芳. 敘事護理對COPD患者負性情緒和呼吸癥狀群管理的效果. 醫學信息, 2020, 33(19): 178-180.

1. World Health Organization. Chronic obstructive pulmonary disease(COPD)[EB/OL]. (2023-03-16)[2023-05-26]. https://www.who.int/news-room/fact-sheets/detail/chronic-obstructive-pulmonarydisease-(copd).
2. 徐艷松, 劉慶華, 邱筱婷. 慢性阻塞性肺疾病患者癥狀群及其亞組識別的研究. 結核與肺部疾病雜志, 2022, 3(03): 203-208.
3. 楊珍嬌, 崔妙玲, 張小芳等. 慢性阻塞性肺疾病病人癥狀群及其與炎癥因子水平的相關性. 護理研究, 2021, 35(07): 1134-1139.
4. Park SK, Stotts NA, Douglas MK, et al. Symptoms and functional performance in Korean immigrants with asthma or chronic obstructive pulmonary disease. Heart Lung. 2012, 41(3): 226-37.
5. 趙夢璐, 盧曉虹, 曹麗華, 等. 基于移動醫療的癥狀群管理在慢性心力衰竭患者中的應用研究. 中華護理雜志, 2024, 59(11): 1294-1300.
6. Lim KE, Kim SR, Kim HK, et al. Symptom Clusters and Quality of Life in Subjects With COPD. Respir Care. 2017, 62(9): 1203-1211.
7. Wu M, Zan T, Zhao Q, et al. Symptom Clusters and Health-related Quality of Life in Chinese patients with Chronic Obstructive Pulmonary Disease. West J Nurs Res. 2020, 42(6): 437-445.
8. Yang Z, Cui M, Zhang X, Bai J, et al. Identification of Symptom Clusters and Their Influencing Factors in Subgroups of Chinese Patients With Acute Exacerbation of Chronic Obstructive Pulmonary Disease. J Pain Symptom Manage. 2020, 60(3): 559-567.
9. 李曉娟, 王銀萍, 司樹梅, 等. 穩定期慢性阻塞性肺疾病患者癥狀群、應對方式對生活質量的影響. 現代臨床護理, 2021, 20(07): 1-8.
10. Fei F, J Siegert R, Zhang X, et al. Symptom clusters, associated factors and health-related quality of life in patients with chronic obstructive pulmonary disease: A structural equation modelling analysis. J Clin Nurs. 2023, 32(1-2): 298-310.
11. Shackell BS, Jones RC, Harding G, et al. 'Am I going to see the next morning?' A qualitative study of patients' perspectives of sleep in COPD. Prim Care Respir J. 2007, 16(6): 378-83.
12. Parshall MB, Schwartzstein RM, Adams L, et al. An official American Thoracic Society statement: update on the mechanisms, assessment, and management of dyspnea. Am J Respir Crit Care Med. 2012, 185(4): 435-52.
13. 盧霄蒙, 耿文慧, 尹運騰, 等. 乳腺癌患者治療間歇期癥狀群及前哨癥狀的調查研究. 護理研究, 2024, 38(16): 3003-3008.
14. 陳慶梅, 崔妙玲, 麻月娥, 等. 慢性阻塞性肺疾病急性加重期患者癥狀群及前哨癥狀的調查研究. 中華護理雜志, 2022, 57(23): 2891-2897.
15. Yohannes AM, Murri MB, Hanania NA, et al. Depressive and anxiety symptoms in patients with COPD: A network analysis. Respir Med. 2022, 198: 106865.
16. 張穎, 劉雪琴, 劉曉輝, 等. 血液透析疲乏患者報告結局評估工具臨床應用的研究進展. 護理學報, 2023, 30(13): 38-41.
17. Kentson M, T?dt K, Skargren E, et al. Factors associated with experience of fatigue, and functional limitations due to fatigue in patients with stable COPD. Ther Adv Respir Dis. 2016, 10(5): 410-24.
18. 邱巧靜, 陶洋, 沈佳妮, 等. 慢性阻塞性肺疾病癥狀群及其與患者生活質量的相關性研究. 結核與肺部疾病雜志, 2024, 5(03): 219-224.
19. Mohammed J, Derom E, De Wandele I, et al. Autonomic symptoms in patients with moderate and severe chronic obstructive pulmonary disease. Acta Clin Belg. 2018, 73(3): 182-190.
20. Jablonski A, Gift A, Cook KE. Symptom assessment of patients with chronic obstructive pulmonary disease. West J Nurs Res. 2007, 29(7): 845-63.
21. 曹玲, 鐘印芹, 呂海鵬, 等. 慢性阻塞性肺疾病病人自我護理的研究進展. 全科護理, 2022, 20(20): 2790-2793.
22. Zhang H, Wu F, Yi H, et al. Gender Differences in Chronic Obstructive Pulmonary Disease Symptom Clusters. Int J Chron Obstruct Pulmon Dis. 2021, 16: 1101-1107.
23. Laurin C, Lavoie KL, Bacon SL, et al. Sex differences in the prevalence of psychiatric disorders and psychological distress in patients with COPD. Chest. 2007 , 132(1): 148-55.
24. 楊珍嬌, 崔妙玲, 張小芳, 等. 慢性阻塞性肺疾病急性加重期患者癥狀群及其影響因素研究. 護理學雜志, 2020, 35(03): 30-34.
25. 趙輝, 白亞娜, 李密, 等. 老年人慢性阻塞性肺疾病住院狀況及直接經濟負擔. 中國老年學雜志, 2016, 36(05): 1196-1198.
26. 張娜. 老年慢性阻塞性肺疾病患者癥狀體驗及相關因素分析. 河南大學, 2017. https://med.wanfangdata.com.cn/Paper/Detail?id=DegreePaper_D01283766&dbid=WF_XW.
27. GLOD Exective Committee. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease (updated 2016)[EB/OL]. (2016-11-14)[2017-05-10]. http://www.goldcopd.org.http.gzlib.proxy.chaoxing.com/global-startegy-diagnosismanagement-prevent-copd-2016.
28. 姚文飛, 屠春林, 付玉華, 等. 肺康復對慢性阻塞性肺疾病急性加重期住院患者的療效. 中國康復理論與實踐, 2017, 23(1): 101-105.
29. Jensen T, Kierulf P, Sandset PM, et al. Fibrinogen and fibrin induce synthesis of proinflammatory cytokines from isolated peripheral blood mononuclear cells. Thromb Haemost. 2007, 97(5): 822-9.
30. Liu CS, Adibfar A, Herrmann N, et al. Evidence for Inflammation-Associated Depression. Curr Top Behav Neurosci. 2017, 31: 3-30.
31. XU K, LI X. Two risk factors for depression in chronic obstructive pulmonary disease. Med Sci Monit, 2018, 24: 1417-1423.
32. 楊珍嬌, 崔妙玲, 王自秀, 等. 慢性阻塞性肺疾病急性加重病人多癥狀現狀及其特征分類研究. 全科護理, 2024, 22(04): 614-619.
33. Hao G, Qiu Q, Hou L, et al. The Effect of Symptom Clusters and Sleep Disorder on Quality of Life among Patients with Chronic Obstructive Pulmonary Disease. J Healthc Eng. 2021, 2021: 1692480.
34. 陳小艷, 黃麗華. 急性冠脈綜合征患者癥狀群的研究進展. 中華護理雜志, 2024, 59(01): 117-123.
35. Fei F, Koffman J, Zhang X, et al. Synergistic Impact of the Symptom Cluster on Health-Related Quality of Life in Patients With Chronic Obstructive Pulmonary Disease: A Secondary Data Analysis. Clin Nurs Res. 2022, 31(6): 991-999.
36. 邱筱婷, 王韻, 劉志梅, 等. COPD病人癥狀群亞組分析及其對生活質量的影響. 護理研究, 2021, 35(07): 1295-1299.
37. 邱筱婷, 隋風翔, 劉志梅, 等. COPD患者癥狀群潛在類別研究及風險預測分析. 齊魯護理雜志, 2021, 27(01): 42-45.
38. Christensen VL, Rust?en T, Cooper BA, et al. Distinct symptom experiences in subgroups of patients with COPD. Int J Chron Obstruct Pulmon Dis. 2016, 11: 1801-9.
39. 袁麗榮, 楊青龍, 李育玲, 等. 計算機化認知行為療法在慢性阻塞性肺疾病患者癥狀群管理中的影響: 一項隨機對照試驗. 結核與肺部疾病雜志, 2024, 5(05): 476-483.
40. Jun J, Park C, Fritschi C, et al. Behavioral interventions and symptom cluster change in adults with chronic obstructive pulmonary disease and insomnia. Heart Lung. 2024, 64: 6-13.
41. Zhang X, Yin C, Tian W, et al. Effects of cognitive behavioral therapy on anxiety and depression in patients with chronic obstructive pulmonary disease: A meta-analysis and systematic review. Clin Respir J. 2020, 14(10): 891-900.
42. 田芳. 敘事護理對COPD患者負性情緒和呼吸癥狀群管理的效果. 醫學信息, 2020, 33(19): 178-180.

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慢性阻塞性肺疾病患者癥狀群及護理干預的研究進展

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