The Relationship Between Frailty and Psychosocial Adjustment in Older Adults with COPD

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dc.contributor.authorKaymaz, Tugce Turten
dc.contributor.authorOzdemir, Elif
dc.contributor.authorDemiroz, Hanife Efsane
dc.contributor.authorAyar, Merve Celik
dc.date.accessioned2025-10-11T20:47:39Z
dc.date.available2025-10-11T20:47:39Z
dc.date.issued2025
dc.departmentDüzce Üniversitesien_US
dc.description.abstractObjective: Frailty in older adults can manifest through various symptoms; reduced oxygen capacity is one of its prominent indicators. As individuals age, the prevalence of chronic obstructive pulmonary disease (COPD), a condition characterized by diminished oxygenation, also tends to increase. COPD and frailty can cause psychosocial adjustment difficulties. The study investigated the relationship between frailty and psychosocial adjustment in older adults with COPD. Materials and Methods: This descriptive-correlational study was conducted with 137 older patients who met the inclusion criteria. Data were collected using a patient identification form, the Psychosocial Adjustment to Illness Scale-self report (PAIS-SR), and the Edmonton Frail Scale (EFS). Results: Participants had a mean PAIS-SR score of 54.37 +/- 12.91. They had a mean EFS score of 6.79 +/- 3.83. Age and COPD stage affected their median PAIS-SR scores (p<0.05). Age, education, occupation, and hospitalization also affected their EFS scores (p<0.05). There is a negative correlation between frailty and psychosocial adjustment. Moreover, the COPD stage and frailty are associated with psychosocial adjustment. Conclusion: The frailer the older COPD patients are, the lower their psychosocial adjustment. Poor psychosocial adjustment is associated with COPD stages and frailty. Age, education, hospitalization, and psychosocial adjustment are predictors of frailty. Older COPD patients with low education levels, advanced disease stages, and frequent hospitalizations should be assessed for frailty and psychosocial adaptation. Evaluating patients may help us detect frail patients with low adaptation levels. In that way, we can meet patients' monitoring and care needs in the early period.en_US
dc.identifier.doi10.4274/ejgg.galenos.2025.2024-11-3
dc.identifier.endpage826en_US
dc.identifier.issn2687-2625
dc.identifier.issue2en_US
dc.identifier.scopus2-s2.0-105013594355en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage813en_US
dc.identifier.urihttps://doi.org/10.4274/ejgg.galenos.2025.2024-11-3
dc.identifier.urihttps://hdl.handle.net/20.500.12684/21508
dc.identifier.volume7en_US
dc.identifier.wosWOS:001552834000001en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherGalenos Publ Houseen_US
dc.relation.ispartofEuropean Journal of Geriatricsand Gerontologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmzKA_WOS_20250911
dc.subjectAdjustmenten_US
dc.subjectagingen_US
dc.subjectchronic obstructive pulmonary diseaseen_US
dc.subjectfrailtyen_US
dc.subjectgeriatric nursingen_US
dc.titleThe Relationship Between Frailty and Psychosocial Adjustment in Older Adults with COPDen_US
dc.typeArticleen_US

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