scholarly journals Predictors of quality of life of patients with chronic obstructive pulmonary disease

2019 ◽  
Vol 76 (7) ◽  
pp. 716-722
Author(s):  
Sladjana Vasiljevic ◽  
Marina Petrovic ◽  
Aleksandra Cvetkovic ◽  
Vesna Paunovic ◽  
Darko Mikic ◽  
...  

Background/Aim. Chronic obstructive pulmonary disease (COPD) has a significant impact on quality of life of patients. We investigated which demographic and social characteristics can predict the global quality of life (QoL) of COPD patients. Methods. The patients (n = 288) were divided into three groups according to the stage of disease: Group I = stage 0 ? at risk; Group II = Stages I and II; Group III = stages III and IV. The patients fulfilled a questionnaire related to the demographic and social characteristics and the validated multidimensional questionnaire ? Serbian version of the St. George?s Respiratory Questionnaire (SGRQ). The Student?s t test, ?? test, ANOVA, univariate and multivariate logistic regression tests were used for statistical analyses. Results. In the group I, prevailed the men, employed persons, with a moderate financial status and no family history of COPD. In the group II dominated women, pensioners, with a moderate financial status, duration of illness up to five years, and no family history of COPD. In the group III prevailed women, unemployed persons, a moderate financial status, COPD duration up to 5 years and no family history of COPD. The predictors of the Symptoms score were grades of COPD and duration of the disease, and the predictors of Activity grades of COPD, sex, age and financial status. All variables were found to have a statistically significant relationship in the Impact score in the pre-analyses, were also significant in the univariate regression model. They were age, employement status, financial status and COPD duration. The same predictors that significantly contributed to the explanation of the Impact score, contributed to the explanation of the Total score on SGRQ. In the multivariate regression model, the predictors of the Activity score, Impacts score and Total score were the COPD grade and financial status; only the COPD grade contributed to the explanation of the Symptoms score. Conclusion. Financial status is the most important social factor, and the grade of COPD is the best disease-related predictor of QoL of COPD patients.

Author(s):  
Kavita S. Joshi ◽  
Prasad R. Amrale ◽  
Sagar S. Ahire

Background: Chronic obstructive pulmonary disease (COPD) patients often present considerable individual medical burden in their symptoms, limitations, and well-being that complicate medical treatment. Quality of life (QOL) is an important aspect for measuring the impact of chronic diseases. HRQOL measurement facilitates the evaluation of efficacy of medical interventions and also the detection of groups at risk of psychological or behavioural problems.Methods: COPD patient attending the OPD/IPD are screened as per inclusion and exclusion criteria. After obtaining a written informed consent of eligible patient, they were enrolled in the study. QOL of patient is assessed based on a set of questionnaire i.e. COPD Assessment Test™ (CAT). The questionnaire was translated to Hindi and Marathi. Socio demographic variable like age, sex, education occupation and income are also collected. All 8 questions related to health-improvement and management of COPD. CAT scores were given to each question according to the level of impact.Results: In the total score of CAT we observed that there were 2.04% patients with very good QOL, 25.51% with good QOL, 61.22% with moderate QOL and 11.22% with poor QOL.Conclusions: We conclude that the quality of life is moderate in larger number of patient’s population. The most affected domain was the patient’s energy level. The patients enrolled had COPD from long period of time which might have affected their answer because they have been habitual with the difficulties arising from COPD.


CHEST Journal ◽  
2012 ◽  
Vol 142 (4) ◽  
pp. 728A
Author(s):  
Drosos Tsavlis ◽  
Mamas Theodorou ◽  
Anna Tzoumaka ◽  
Hellie Lithoxopoulou ◽  
Panagiotis Minogiannis ◽  
...  

2020 ◽  
Vol 19 (4) ◽  
pp. 244-250
Author(s):  
Ewelina Dziedzic ◽  
Bożena Zboina ◽  
Krzysztof Cudzik ◽  
Renata Stępień

AbstractIntroduction. Chronic obstructive pulmonary disease (COPD) is the third leading cause of death in the world among chronic diseases. The article discusses the relationship between the quality of life of patients with COPD and the presence of diseases associated mainly with hypertension, diabetes and hyperlipidemia. The examination includes subjective and holistic assessment of the patient’s health condition, which allows to notice any disorders and deficits in the functioning of patients with this disease.Aim. The aim of the study was to determine the quality of life of patients with chronic obstructive pulmonary disease depending on the comorbidities.Material and methods. The study included 319 COPD patients treated in the Lung Diseases Clinic with chronic obstructive pulmonary disease. The study was conducted using a diagnostic survey method and analyzing medical records. The research tool assessing patients quality of life was the SGRQ questionnaire (Saint George Hospital Questionaire).Results. Respondents who had a myocardial infarction had a slightly lower quality of life in the “Impact on life subscale” (p=0.047). It was noted that patients with hypertension had a lower quality of life in the domain of “Activity” (p<0.05) and “Impact on life” (p<0.001). However, with hyperlipidemia, a lower quality of life was noticeable in the “Symptoms” (p<0.001) and “Impact on life” subscale (p=0.002).Conclusions. Exacerbation of symptoms in the course of chronic obstructive pulmonary disease, a history of myocardial infarction, hypertension and hyperlipidemia are significantly related to the decreased quality of life of patients. Prevention of these civilization diseases can prevent deterioration of the quality of life of patients.


2019 ◽  
Vol 5 (2) ◽  
pp. 107-112
Author(s):  
Scholastica Fina Aryu Puspasari

Background: Chronic Obstructive Pulmonary Disease (COPD) is a progressive lung illness with the main complaints of breathlessness and decreased activitiestolerance, which consequentially worsen the quality of life (QoL). COPD management aims to improve the QoLby means of rehabilitation programs. Objective: The study focused on determining the impact of physical activity(6-Minute Walk Test/6-MWT)and the combination of Pursed-Lip Breathing (PLB) before 6-MWTon COPD patients’QoL. Methods: This study occupieda quasi-experimentaldesign, which involved70 respondents,divided into 3 groups, i.e 2 intervention groups (30 respondents each) and one control group (10 respondents). Results:The majority of respondents were male (71%), aged 60-74 (56%), had normalBMI (48%), and were former smokers (59%).After 6 weeks of intervention, meaningful differences were found in the QoLbefore and after the intervention in bothgroups:6-MWT(p=0.000) and combined (p=0.000). The ordinal logistic regression test resultedthe combined intervention hadstronger effect on the quality of life (p=0.000, 47.1% contribution)than 6-MWT (p=0.012, 35.8% contribution). Respondents’ characteristics that impacted on the quality of life were smoking history and period of CPOD (p<0.05, OR: 11,376; OR: 49,75, respectively). Conclusion:It can be concluded that PLB before 6-MWT is an effective training to improve QoL of people with COPD. Keywords: Pursed-lip breathing; QoL;COPD


2020 ◽  
Vol 22 (4) ◽  
pp. 17-22
Author(s):  
N. V. Sharova ◽  
S. L. Grishaev ◽  
D. V. Cherkashin ◽  
S. V. Efimov ◽  
M. A. Kharitonov ◽  
...  

The effectiveness of the early bronchodilatory response of the first dose of a fixed double combination of long-acting bronchodilators of various classes indacaterol/glycopyrronium and long-acting anticholinergics glycopyrronium and Tiotropium in patients suffering from stable chronic obstructive pulmonary disease is compared. It was found that in all patients included in the study and suffering from chronic obstructive pulmonary disease, changes in functional respiratory indicators were accompanied by positive and comparable dynamics of clinical signs: a decrease in the severity of shortness of breath, the impact of the disease on the quality of life and increased tolerance to physical activity. It was found that the combination of indacaterol/glycopyrronium provides rapid, pronounced and prolonged bronchodilation in patients suffering from chronic obstructive pulmonary disease compared to the separate use of glycopyrronium and Tiotropium. Consistent use of glycopyrronium and salbutamol leads to maximum bronchodilation, which makes it advisable to separate the use of prolonged bronchodilators when initiating therapy for chronic obstructive pulmonary disease. Therefore, there is a clinical feasibility of taking not only fixed combinations of bronchodilators of different classes, but also their consistent use. The results of an early bronchodilatory response to the first dose of indacaterol/glycopyrronium can be used as an additional individual predictor of their effectiveness in the treatment of chronic obstructive pulmonary disease.


2016 ◽  
Vol 5 (2) ◽  
pp. 107-112
Author(s):  
Scholastica Fina Aryu Puspasari

Background: Chronic Obstructive Pulmonary Disease (COPD) is a progressive lung illness with the main complaints of breathlessness and decreased activitiestolerance, which consequentially worsen the quality of life (QoL). COPD management aims to improve the QoLby means of rehabilitation programs. Objective: The study focused on determining the impact of physical activity(6-Minute Walk Test/6-MWT)and the combination of Pursed-Lip Breathing (PLB) before 6-MWTon COPD patients’QoL. Methods: This study occupieda quasi-experimentaldesign, which involved70 respondents,divided into 3 groups, i.e. 2 intervention groups (30 respondents each) and one control group (10 respondents). Results:The majority of respondents were male (71%), aged 60-74 (56%), had normalBMI (48%), and were former smokers (59%).After 6 weeks of intervention, meaningful differences were found in the QoLbefore and after the intervention in bothgroups:6-MWT(p=0.000) and combined (p=0.000). The ordinal logistic regression test resultedthe combined intervention hadstronger effect on the quality of life (p=0.000, 47.1% contribution) than 6-MWT (p=0.012, 35.8% contribution). Respondents’ characteristics that impacted on the quality of life were smoking history and period of CPOD (p<0.05, OR: 11,376; OR: 49,75, respectively). Conclusion:It can be concluded that PLB before 6-MWT is an effective training to improve QoL of people with COPD. Keywords: pursed-lip breathing; QoL;COPD


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