Illness Behavior, Coping, and Health-Related Quality of Life

2002 ◽  
Vol 7 (2) ◽  
pp. 125-133 ◽  
Author(s):  
Antonio Galán Rodríguez ◽  
Alfonso Blanco Picabia ◽  
Angeles Pérez San Gregorio

The concepts of illness behavior (IB), coping (C), and health-related quality of life (HQL) are commonly used in the health field. Nevertheless, there are doubts about their ability to discriminate among groups of patients and to predict anxiety and depression levels in some medical settings. Three groups of patients (ambulatory chronic obstructive pulmonary disease ‘COPD’ patients, hospitalized COPD patients, and surgical lung cancer patients) were evaluated on the basis of these concepts using three standard questionnaires. Discriminant analysis was performed to study the discriminative properties of concepts; the eigenvalues were 3.470 (IB), 0.989 (C) and 5.591 (HQL). Stepwise multiple regression analyses were performed to identify the concepts and the scales that could best predict anxiety and depression. For anxiety, adjusted R2 were 0.408 (IB), 0.140 (C) and 0.633 (HQL); for depression, adjusted R2 were 0.264 (IB), 0.079 (C) and 0.635 (HQL). Coping had the greatest difficulty differentiating among persons suffering from different diseases; the efficiency to predict an affective state was poor in IB, C, and HQL. Some implications of the results are discussed.

2019 ◽  
Vol 4 (2) ◽  
Author(s):  
Harni Harniati ◽  
Syahrul Syahrul ◽  
Takdir Tahir

ABSTRACTBackground: Self-management programs are very important in the care of patients with COPD as an independent intervention in an effort to improve health status. Aim: Of this systematic review is to find out the form of self-management intervention in COPD patients, an instrument to measure the outcomes of self-management and the effects of self-management programs in COPD patients. Methods: Used are electronic data bases from journals published through ProQuest, PubMed., And ScienceDirect. Results: Of a review of 9 selected journals stated that self-management programs had an influence on increasing lung capacity, exercise capacity and health-related quality of life compared to patients who experienced standard care. The research instrument was used to measure lung capacity using spirometry, Exercise capacity used a six-minute walking distance (6MWD), Incremental Shuttle Walk Test (ISWT) and the Endurance Shuttle Walk Test (ESWT), and health-related quality of life measured by St George Respiratory Questionnaire (SGRQ). The results showed that the effects of self-management programs benefited in the quality of care, reduced the number of days of hospital care and did not increase the number of deaths. Conclusion: Self-management programs in COPD patients provide the ability to manage disease so that it can increase lung capacity, exercise capacity and quality of life related to health. Keywords: Chronic obstructive pulmonary disease, exercise capasity, lung   capacity self management program, quality of life


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Siiri Isokääntä ◽  
Kirsi Honkalampi ◽  
Hannu Kokki ◽  
Harri Sintonen ◽  
Merja Kokki

Abstract Background Pulmonary diseases affect health-related quality of life (HRQoL), but there are few data on patients’ adaptation to a serious illness. This study assessed resilience and its associations with HRQoL, life satisfaction, anxiety and depression in patients with pulmonary diseases receiving ambulatory oxygen therapy. Methods In this prospective cohort study, we enrolled 42 patients with pulmonary diseases receiving ambulatory oxygen therapy. The patients completed the following questionnaires at baseline and after one and three months; the Resilience Scale-25, the Life Satisfaction Scale-4, the 15D instrument of HRQoL, the Hospital Anxiety and Depression Scale (HADS) and the Quebec User Evaluation of Satisfaction with Assistive Technology (QUEST 2.0). To compare HRQoL, we recruited age- and gender-matched controls from the general population (n = 3574). The primary outcome was the proportion of patients with low resilience. Results Half (42–48%) of the patients had low resilience, which was correlated with low HRQoL, low levels of life satisfaction and higher levels of anxiety and depression. Patients had very low HRQoL compared to controls. Dissatisfaction with life increased during the 3-months follow-up, but only a few patients had anxiety or depression. Patient satisfaction with assistive technology was high; the median QUEST 2.0 score (scale 1–5) was 4.00 at baseline, 3.92 at one month and 3.88 at three months. Conclusions Resilience was low in half of the patients with pulmonary diseases receiving ambulatory oxygen therapy. Higher resilience was positively correlated with HRQoL and life satisfaction and negatively correlated with anxiety and depression. Trial registration: ClinicalTrials.gov Protocol Record 507A023. Registered 17 September 2020—Retrospectively registered, https://clinicaltrials.gov/ct2/results?cond=&term=NCT04554225&cntry=&state=&city=&dist=.


2016 ◽  
Vol 20 (6) ◽  
pp. 738-746 ◽  
Author(s):  
J. Y. Yoo ◽  
Y. S. Kim ◽  
S. S. Kim ◽  
H. K. Lee ◽  
C. G. Park ◽  
...  

2018 ◽  
Vol 20 (suppl_6) ◽  
pp. vi154-vi155
Author(s):  
Amir Zamanipoor Najafabadi ◽  
Pim van der Meer ◽  
Florien Boele ◽  
Rob Nabuurs ◽  
Johan Koekkoek ◽  
...  

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