PURPOSE
The purpose of this study was to identify the relationship of resiliency and symptom experience and depression. Subjects (N=152) were patients with chronic obstructive pulmonary disease (COPD).admitted to D University Medical Center in B City.
METHODS
Data collection was conducted from July 20 to August 25, 2013. The levels of symptom, resilience, and depression were measured using a seven question symptom experience measuring instrument, a 25-question resilience instrument, and a 15-question Short Geriatric Depression Scale (SGDS). The collected data were analyzed by descriptive analysis, Pearson's correlation coefficients, and path analysis using SPSS/Win 19.0 and AMOS 5.0.
RESULTS
There was a significant negative correlation between symptom and resilience, a significant positive correlation between symptom and depression, and a significant negative correlation between resilience and depression. Symptom showed a direct effect on depression and an indirect effect on depression scores through resilience as a mediating variable.
CONCLUSION
It is necessary to develop nursing intervention programs to relieve symptom in COPD patients, and to develop appropriate resilience enhancement programs to reduce their depression.

Citations

• The Effect of Spiritual Well-Being on Self-care Agency in Chronic Obstructive Pulmonary Patients in Turkey: The Mediating Role of Psychological Resilience
  Zeynep Öztürk, Gülcan Bahcecioglu Turan, Meyreme Aksoy
  Journal of Religion and Health.2024; 63(4): 2777.     CrossRef
• The Effect of Perceived Stress, Fine Dust Risk Perception, and Resilience on Stress Response in Patients with Respiratory and Circulatory Disorders
  Jin-Hee Park, Kuem-Sun Han
  STRESS.2021; 29(1): 21.     CrossRef
• Experiences on Self Management of Aged Men with Mild Chronic Obstructive Pulmonary Diseases
  Jeong-Soo KIM
  JOURNAL OF FISHRIES AND MARINE SCIENCES EDUCATION.2021; 33(3): 758.     CrossRef
• Disease Awareness and Treatment Experience of Patients with Chronic Obstructive Pulmonary Disease
  Hyun Jung Noh, Su Hyun Kim, Woo Joung Joung
  Journal of Korean Academy of Fundamentals of Nursing.2020; 27(2): 188.     CrossRef
• Resilience as a Moderator and Mediator of the Relationship between Symptom Experience and Quality of Life in Hemodialysis Patients
  Yeon Hee Cho, Yun Mi Lee
  Korean Journal of Adult Nursing.2019; 31(1): 68.     CrossRef
• Symptom Distress and Depression in Patients with Recurrent Gynecologic Cancer Undergoing Chemotherapy: Mediating Effect of Resilience
  Eun Jung Yang, Ho Sihn Ryu
  Korean Journal of Adult Nursing.2019; 31(1): 28.     CrossRef
• Successful Ageing with COPD: Physical and Psychosocial Adaption to Functional Decline
  Phillipa Jane Southwell, Judith Crockett, Deborah Burton, Judith Gullifer
  COPD: Journal of Chronic Obstructive Pulmonary Disease.2018; 15(5): 439.     CrossRef
• The Mediating Effect of the Resilience on the Relationship between Type D Personality and Compliance in Patients with Coronary Artery Disease
  Mi Young Cheon, Jiyeon Kang
  Korean Journal of Adult Nursing.2016; 28(1): 61.     CrossRef
• The Mediating Effect of Resilience on Depression and Rehabilitation Motivation in Stroke Patients
  Eun Sil Choi, Eun Nam Lee, Jeong Lim Cho
  Journal of muscle and joint health.2016; 23(1): 19.     CrossRef

PURPOSE
The purpose of this study was to explore the life experiences of patients with a severe Chronic Obstructive Pulmonary Disease (COPD).
METHODS
The data were collected through in-depth interviews of six patients suffering from severe COPD. The interviewed data were audio-recorded and transcribed verbatim and checked for accuracy. The Giorgi method of phenomenology was used for analyzing data.
RESULTS
Eight themes forming the, units of meaning, were: Repeated and Unpredictable Suffering of Dyspnea, Confidence Loss/Exhaustion Life due to non-efficient breathing, Gradually Deprived Liberty, Absolute Being to Sustaining my life, Source of Burden but Significant Person I am in the Family, Endless Tug-of-War-Capability/Endeavor to Breath, Longing for my Life, and Dead-end of breathing.
CONCLUSION
The study results provide an in-depth understanding of life experiences of patients suffering from severe COPD. The findings will be useful to nurses caring for this population.

PURPOSE
This study aimed to define the relationship among self-care, symptom experiences, and health-related quality of life(HRQoL) according to the severity of disease in chronic obstructive pulmonary disease(COPD) patients.
METHODS
The participants, 195 COPD patients, were recruited at a pulmonology clinic of a universityaffiliated medical center in B metropolitan city. Inclusion criteria were patients who were diagnosed as COPD and had less than 0.7 of FEV1/FVC(Forced Expiratory Volume for 1 second/Forced Vital Capacity) ratio. The severity was classified with GOLD(Global initiative for Obstructive Lung Disease) stages, FEV1% predicted value from mild to very severe. The data were gathered by the medical records and self-reported questionnaires.
RESULTS
The self-care, symptom experience, and HRQoL were all significantly different by COPD severity based on pulmonary function(p<.05). There were significant moderate negative relationships between symptom experiences and self-care(r=-.54, p<.001) and between symptom experiences and HRQoL(r=-.64, p<.001). There was a moderate positive correlation between self-care and HRQoL(r=.63, p<.001).
CONCLUSION
It suggests that the assessment of disease severity based on pulmonary function and subjective symptom experience in patients with COPD may be a key component to develop a tailored self-management program and to improve their quality of life.

PURPOSE
The purpose of this study was to examine descriptors of dyspnea and clinical characteristics in patients with COPD at ED visit. METHOD: The study design was a descriptive survey, and 46 patients with COPD complaining of dyspnea were participated during their visits to the ED of C university hospital in G city, from October 1, 2004 to April 8, 2005. RESULT: The qualitative characteristics of dyspnea at the time of decision to the ED visit were short of breath (71.7%), tight (32.6%), hard to breathe (15.2%), smothering or suffocating (10.9%), gasping (8.7%), couldn't breathe (6.5%), constricted (2.2%), and hunger for air (2.2%). In the item of dyspnea checklists, My chest felt tight was the most common description among subjects. As the result of factor analysis of dyspnea checklists, the first factor was characterized rapid and shallow, the second was suffocating/smothering, the third was hunger for air, and the fourth was constricted. CONCLUSION: This study suggests that a checklist of dyspnea descriptors based on this findings would be utilized as a tool of initial and ongoing assessment for dyspneic patients with COPD in the ED after identifying the validity and reliability of the checklist.