The study of stress in patients with COPD using the app

2023 Fiscal Year Final Research Report

• Project/Area Number: 20K23162
• Research Category: Grant-in-Aid for Research Activity Start-up
• Allocation Type: Multi-year Fund
• Review Section: 0908:Society medicine, nursing, and related fields
• Research Institution: Kumamoto University (2023); Hiroshima University (2020-2022)
• Principal Investigator: HASHINO ASUKA 熊本大学, 大学院生命科学研究部(保), 助教 (50814125)
• Project Period (FY): 2021-02-01 – 2024-03-31
• Keywords: アプリ / COPD / ストレス / 日常生活動作

Outline of Final Research Achievements

There were seven participants, but data for five participants were included in the final analysis, excluding two participants who were unable to take measurements due to difficulty operating the application.
The subjects were 71.8 ± 4.7 years old, all male, and had relatively mild COPD in terms of Gold classification. Their breathlessness was significantly enhanced before and after the activities of daily living of eating, dressing, changing, bathing, and going outside, but not for toileting, room transfers, or sleep. Their stress on daily activity items of eating, dressing and changing was significantly enhanced, while stress on toileting and going out was improved. In terms of psychophysical status, the participants felt positive emotions such as satiety and refreshment in the items of eating, toileting, changing clothes, moving indoors, and going out, while there were changes in negative emotions in the items of dressing, bathing, and sleeping.

Free Research Field

慢性疾患看護

Academic Significance and Societal Importance of the Research Achievements

排便時などは特に怒責をかけるため息苦しさが増強しやすく苦痛な行為であることが予想されたが、息苦しさに有意差は見られなかった。また、COPD患者が息苦しさを強く感じるとされている入浴で、息苦しさの増加は有意にみられたが、ストレスだと感じるまでに至らないことが分かった。
リアルタイムで動作を評価したことで、実際に息苦しさが増強したのか、ストレスと感じているのかがこれまでの研究結果との相違点もいくつか見られた。今後、客観的評価も含めた総合的な分析を行いたい。