M1020 The Impact of Gastroesophageal Reflux Symptoms On Quality of Life in COPD Patients

2008 ◽  
Vol 134 (4) ◽  
pp. A-320-A-321 ◽  
Author(s):  
Ivan E. Rascon-Aguilar ◽  
Mark Pamer ◽  
James Cury ◽  
Kenneth J. Vega

Background: Integrated disease management with self-management for Chronic Obstructive Pulmonary Disease (COPD) is effective to improve clinical outcomes. eHealth can improve patients’ involvement to be able to accept and maintain a healthier lifestyle. Eventhough there is mixed evidence of the impact of eHealth on quality of life (QoL) in different settings. Aim: The primary aim of the e-Vita-COPD-study was to investigate the effect of use of eHealth patient platforms on disease specific QoL of COPD patients. Methods: We evaluated the impact of an eHealth platform on disease specific QoL measured with the clinical COPD questionnaire (CCQ), including subscales of symptoms, functional state and mental state. Interrupted time series (ITS) design was used to collect CCQ data at multiple time points. Multilevel linear regression modelling was used to compare trends in CCQ before and after the eHealth intervention. Results: Of 742 invited COPD patients, 244 signed informed consent. For the analyses, we only included patients who actually used the eHealth platform (n = 123). The decrease of CCQ-symptoms was 0,20% before the intervention and 0,27% after the intervention; this difference was statistically significant (P=0.027). The decrease of CCQ-mental was 0,97% before the intervention and after the intervention there was an increase of 0,017%; this difference was statistically significant (P=0,01). No significant difference was found in the slopes of CCQ (P=0,12) and CCQ-function (P=0,11) before and after the intervention. Conclusion: The e-Vita eHealth platform had a potential beneficial impact on the CCQ-symptoms of COPD patients, but not on functional state. The CCQ-mental state remained stable after the intervention, but this was a deterioration compared to the improving situation before the start of the eHealth platform. In conclusion, this study shows that after the introduction of the COPD platform, patients experienced fewer symptoms, but their mental state deteriorated slightly at the same time. Therefore, health care providers should be aware that, although symptoms improve, there might be a slight increase in anxiety and depression after introducing an eHealth intervention to support self-management.


Author(s):  
E. Rey ◽  
A. Álvarez-Sánchez ◽  
F. Rodríguez-Artalejo ◽  
C. Moreno Elola-Olaso ◽  
C. Almansa ◽  
...  

2003 ◽  
Vol 124 (4) ◽  
pp. A168 ◽  
Author(s):  
Pertti Aro ◽  
Jukka Ronkainen ◽  
Tom Storskrubb ◽  
Elisabeth Bolling-Sternevald ◽  
Tore Lind ◽  
...  

2012 ◽  
Vol 7 ◽  
Author(s):  
Franco Pasqua ◽  
Annalisa Alesii ◽  
Katja Geraneo ◽  
Stefania Di Toro ◽  
Giuseppe La Torre ◽  
...  

Background: Measuring the state of health is a method for quantifying the impact of an illness on the day-to-day life, health and wellbeing of a patient, providing a quantitative measure of an individual’s quality of life (QoL). QoL expresses patient point of view by a subjective dimension and can express the results of medical intervention. Pulmonary rehabilitation is an essential component in the management of COPD patients, and measuring QoL has become a central focus in the study of this disease. Although nowadays several questionnaires for measuring the QoL in COPD patients are available, there are no questionnaires specifically developed for evaluating QoL in COPD patients undergoing respiratory rehabilitation. The aim of this study was to develop a novel questionnaire for the QoL quantification in COPD patients undergoing in-patient pulmonary rehabilitation program. Methods: The questionnaire, administered to COPD patients undergoing long-term oxygen therapy into a respiratory rehabilitation ward, was developed by a simple and graphic layout to be administered to elderly patients. It included one form for admission and another for discharge. It included only tips related to the subjective components of QoL that would be relevant for patient, although likely not strictly related to the respiratory function. A descriptive analysis was performed for the socio-demographic characteristics and both the non-parametric Wilcoxon T-test and the Cronbach’s alpha index were calculated for evaluating the sensitivity of the questionnaire to the effects of respiratory rehabilitation and for identifying its consistency. Results: The physical and psychological condition of the 34 COPD patients improved after the rehabilitative treatment and this finding was detected by the questionnaire (overall improvement: 14.2±2.5%), as confirmed by the non-parametric Wilcoxon test (p<0.01). The consistency detected by the Cronbach’s alpha was good for both the questionnaire at admission and at discharge (0.789±0.084 and 0.784±0.145, respectively), although some items did not adequately measure the intended outcome. Conclusions: This proposed questionnaire represents a substantial innovation compared to previous methods for evaluating the QoL, since it has been specifically designed for hospitalized COPD patients undergoing respiratory rehabilitation with serious respiratory deficiency, allowing to effectively determining the QoL in these patients.


2019 ◽  
Vol 09 (06) ◽  
pp. 99-108
Author(s):  
Houda Meyiz ◽  
Mohammed El Agheb ◽  
Asmae Lamine ◽  
Mounia El Yousfi ◽  
Nordin Aqodad ◽  
...  

Author(s):  
Maria Granados Santiago ◽  
Georgina Jiménez Lozano ◽  
Araceli Ortiz Rubio ◽  
Natalia Muñoz Vigueras ◽  
Irene Cabrera Martos ◽  
...  

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