慢性阻塞性肺疾病患者症状群及护理干预的研究进展_Chinese Journal of Respiratory and Critical Care Medicine

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罗静 ¹ , 唐茜 ¹ , 胡莉丽 ¹ , 李京潞 ¹ ,  熊桃 ²

1. ;
2. ;

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熊桃, Email: 1217144767@qq.com

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10.7507/1671-6205.202411085

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Citation： 罗静, 唐茜, 胡莉丽, 李京潞, 熊桃. 慢性阻塞性肺疾病患者症状群及护理干预的研究进展. 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.	徐艳松, 刘庆华, 邱筱婷. 慢性阻塞性肺疾病患者症状群及其亚组识别的研究. 结核与肺部疾病杂志, 2022, 3(03): 203-208.
3.	杨珍娇, 崔妙玲, 张小芳等. 慢性阻塞性肺疾病病人症状群及其与炎症因子水平的相关性. 护理研究, 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.	赵梦璐, 卢晓虹, 曹丽华, 等. 基于移动医疗的症状群管理在慢性心力衰竭患者中的应用研究. 中华护理杂志, 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.	李晓娟, 王银萍, 司树梅, 等. 稳定期慢性阻塞性肺疾病患者症状群、应对方式对生活质量的影响. 现代临床护理, 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.	卢霄蒙, 耿文慧, 尹运腾, 等. 乳腺癌患者治疗间歇期症状群及前哨症状的调查研究. 护理研究, 2024, 38(16): 3003-3008.
14.	陈庆梅, 崔妙玲, 麻月娥, 等. 慢性阻塞性肺疾病急性加重期患者症状群及前哨症状的调查研究. 中华护理杂志, 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.	张颖, 刘雪琴, 刘晓辉, 等. 血液透析疲乏患者报告结局评估工具临床应用的研究进展. 护理学报, 2023, 30(13): 38-41.
17.	Kentson M, Tödt 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.	邱巧静, 陶洋, 沈佳妮, 等. 慢性阻塞性肺疾病症状群及其与患者生活质量的相关性研究. 结核与肺部疾病杂志, 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, 钟印芹, 吕海鹏, 等. 慢性阻塞性肺疾病病人自我护理的研究进展. 全科护理, 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.	杨珍娇, 崔妙玲, 张小芳, 等. 慢性阻塞性肺疾病急性加重期患者症状群及其影响因素研究. 护理学杂志, 2020, 35(03): 30-34.
25.	赵辉, 白亚娜, 李密, 等. 老年人慢性阻塞性肺疾病住院状况及直接经济负担. 中国老年学杂志, 2016, 36(05): 1196-1198.
26.	张娜. 老年慢性阻塞性肺疾病患者症状体验及相关因素分析. 河南大学, 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.	姚文飞, 屠春林, 付玉华, 等. 肺康复对慢性阻塞性肺疾病急性加重期住院患者的疗效. 中国康复理论与实践, 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.	杨珍娇, 崔妙玲, 王自秀, 等. 慢性阻塞性肺疾病急性加重病人多症状现状及其特征分类研究. 全科护理, 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.	陈小艳, 黄丽华. 急性冠脉综合征患者症状群的研究进展. 中华护理杂志, 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, 王韵, 刘志梅, 等. COPD病人症状群亚组分析及其对生活质量的影响. 护理研究, 2021, 35(07): 1295-1299.
37.	邱筱婷, 隋风翔, 刘志梅, 等. COPD患者症状群潜在类别研究及风险预测分析. 齐鲁护理杂志, 2021, 27(01): 42-45.
38.	Christensen VL, Rustøen 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.	袁丽荣, 杨青龙, 李育玲, 等. 计算机化认知行为疗法在慢性阻塞性肺疾病患者症状群管理中的影响: 一项随机对照试验. 结核与肺部疾病杂志, 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. 叙事护理对COPD患者负性情绪和呼吸症状群管理的效果. 医学信息, 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. 徐艳松, 刘庆华, 邱筱婷. 慢性阻塞性肺疾病患者症状群及其亚组识别的研究. 结核与肺部疾病杂志, 2022, 3(03): 203-208.
3. 杨珍娇, 崔妙玲, 张小芳等. 慢性阻塞性肺疾病病人症状群及其与炎症因子水平的相关性. 护理研究, 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. 赵梦璐, 卢晓虹, 曹丽华, 等. 基于移动医疗的症状群管理在慢性心力衰竭患者中的应用研究. 中华护理杂志, 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. 李晓娟, 王银萍, 司树梅, 等. 稳定期慢性阻塞性肺疾病患者症状群、应对方式对生活质量的影响. 现代临床护理, 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. 卢霄蒙, 耿文慧, 尹运腾, 等. 乳腺癌患者治疗间歇期症状群及前哨症状的调查研究. 护理研究, 2024, 38(16): 3003-3008.
14. 陈庆梅, 崔妙玲, 麻月娥, 等. 慢性阻塞性肺疾病急性加重期患者症状群及前哨症状的调查研究. 中华护理杂志, 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. 张颖, 刘雪琴, 刘晓辉, 等. 血液透析疲乏患者报告结局评估工具临床应用的研究进展. 护理学报, 2023, 30(13): 38-41.
17. Kentson M, Tödt 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. 邱巧静, 陶洋, 沈佳妮, 等. 慢性阻塞性肺疾病症状群及其与患者生活质量的相关性研究. 结核与肺部疾病杂志, 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, 钟印芹, 吕海鹏, 等. 慢性阻塞性肺疾病病人自我护理的研究进展. 全科护理, 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. 杨珍娇, 崔妙玲, 张小芳, 等. 慢性阻塞性肺疾病急性加重期患者症状群及其影响因素研究. 护理学杂志, 2020, 35(03): 30-34.
25. 赵辉, 白亚娜, 李密, 等. 老年人慢性阻塞性肺疾病住院状况及直接经济负担. 中国老年学杂志, 2016, 36(05): 1196-1198.
26. 张娜. 老年慢性阻塞性肺疾病患者症状体验及相关因素分析. 河南大学, 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. 姚文飞, 屠春林, 付玉华, 等. 肺康复对慢性阻塞性肺疾病急性加重期住院患者的疗效. 中国康复理论与实践, 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. 杨珍娇, 崔妙玲, 王自秀, 等. 慢性阻塞性肺疾病急性加重病人多症状现状及其特征分类研究. 全科护理, 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. 陈小艳, 黄丽华. 急性冠脉综合征患者症状群的研究进展. 中华护理杂志, 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, 王韵, 刘志梅, 等. COPD病人症状群亚组分析及其对生活质量的影响. 护理研究, 2021, 35(07): 1295-1299.
37. 邱筱婷, 隋风翔, 刘志梅, 等. COPD患者症状群潜在类别研究及风险预测分析. 齐鲁护理杂志, 2021, 27(01): 42-45.
38. Christensen VL, Rustøen 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. 袁丽荣, 杨青龙, 李育玲, 等. 计算机化认知行为疗法在慢性阻塞性肺疾病患者症状群管理中的影响: 一项随机对照试验. 结核与肺部疾病杂志, 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. 叙事护理对COPD患者负性情绪和呼吸症状群管理的效果. 医学信息, 2020, 33(19): 178-180.

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慢性阻塞性肺疾病患者症状群及护理干预的研究进展

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