농촌지역 만성폐쇄성 폐질환 환자의 증상경험에 따른 산소포화도와 일상생활수행능력

Abstract

The purpose of this study was to find out their symptom experiences and oxygen saturation and activities of Daily Living(ADL) by these symptom patients with COPD in rural area. subjects were selected from patients with COPD living in rual area. Date were collected from May to June, 2008 at the C University hospital in G city. A structured questioner was used and it contained 26 questions; 15 general characteristics, 14 symptoms experience, 6 daily living, and 1 oxygen saturation. The obtained results were as follows: 1. The the present main symptoms showed that difficulty in breathing was 42.4%, cough 37.4%, and sputum 23.2%. Subjects had a difficulty in breathing for the last one year and cough 30.3%, fever 19.2%. The main symptoms when they came to the hospital were cough (94.9%) and sputum (81.8%). 2. In oxygen saturation by the symptom experiences for the last one year, there were differences in cough (t=-8.044,p=.000), sputum (t=-2.642,p=.010), and hemoptysis (t=-4.291,p=.000). 3. In A이 by present symptom experiences, there were differences in difficulty in breathing(t=-3.982, p<.001), cough (t=2.990, p=.004), and fever(t=3.309, p=.001). 4. The degree of difficulty in breathing was negatively to ADL( r=.452, p<.001). In conclusion, these results suggest that patients with COPD in rual area complained the most basic symptoms of COPD and the oxygen saturation was low when their symptoms of cough, sputum, and hemoptysis were severe. It seems that the various ways to relief symptoms incuuding inhaler steroid are not in general yet and there is lack of repetition of education for patients with COPD. Therefore developing educational programs for the patients with COPD in rural is necessary to supply the care for the relief of basic symptoms