Anxiety and Depression among Patients with Chronic Obstructive Pulmonary Diseases in Pulmonology Unit of Nobel Medical College Teaching Hospital

2021 ◽  
Vol 6 (1) ◽  
pp. 1285-1290
Author(s):  
Nilam Kumari Jha ◽  
Komal Kant Jha
Keyword(s):  
Risk Factor ◽  
Teaching Hospital ◽  
College Teaching ◽  
Pulmonary Diseases ◽  
Anxiety And Depression ◽  
Chronic Obstructive ◽  
Early Assessment ◽  
Medical College ◽  
Copd Patients ◽  
Chronic Obstructive Pulmonary Diseases

Introduction: Anxiety and Depression is a common comorbidity in chronic obstructive pulmonary disease patients. Impaired lung function is a risk factor for depression In COPD patients, reduced recreational activities and social Isolation is a major risk factor resulting in anxiety and depression.  Objective: The objective of this study is to evaluate the prevalence of Anxiety and Depression among the COPD patients at Pulmonology unit of Nobel Medical College Teaching Hospital.  Methodology: A hospital based cross- sectional research design was used for the study. A total of 185 patients with previously diagnosed COPD. Data were collected by using a face to face interview technique in patients to evaluate anxiety and depression using Nepali version of Hospital Anxiety and Depression Scale questionnaire at Nobel Medical College Teaching Hospital, Biratnagar, Nepal from May to August 2020. Data analysis were done by descriptive and inferential statistics.  Results: A total of 185 patients participated in the study, 157 patients (84.9%) had anxiety, 107 patients (57.8%) had depression and 102 patients (55.1%) had both anxiety and depression. There was statistically significant association of anxiety and depression in COPD patients with age, religion, occupation, smoking status, duration of illness, history of previous hospitalization, number of hospitalization in previous year, type of family, domiciliary oxygen therapy.  Conclusion: The study concluded that anxiety and depression had been most prevalent in COPD patients. Therefore health personnel working in the Pulmonology unit should be aware the early assessment and treatment of anxiety and depression of chronic obstructive pulmonary diseases patients. 

scholarly journals Knowledge on self care among COPD patients attending at Chitwan Medical College Teaching Hospital, Bharatpur

2015 ◽  
Vol 4 (3) ◽  
pp. 34-37 ◽  
Author(s):  
H K Subba ◽  
R Subba
Keyword(s):  
Teaching Hospital ◽  
Self Care ◽  
College Teaching ◽  
Health Concern ◽  
Chronic Obstructive ◽  
Cross Sectional ◽  
Medical College ◽  
Copd Patients ◽  
History Of ◽  
Level Of Knowledge

Chronic obstructive pulmonary disease is a major cause of morbidity and mortality worldwide and global health concern. COPD self care knowledge is a cornerstone for self-management of chronic illness. The objective of this study was to find out the level of knowledge on self care among COPD patients. A descriptive, cross sectional design and purposive sampling was applied in which 182 patients were interviewed by using semi-structure interviews schedule at Chitwan Medical College, Teaching Hospital, Bharatpur. Data was analyzed by using SPSS and descriptive and inferential test was applied. The study findings revealed that 36.8% of the respondents were between age group 61-70 years, 54.4% respondents were male, 59.9% were from Chitwan district, majority of the respondents (62.1%) were outpatient, 48.4% had a history of COPD more than 5 years, 83.2%were hospitalized 1-2 times in last year, 63.2% had no history of COPD in family members and all respondents got information from health personnel. Highest percentage (75) of mean score on smoking cessation and lowest (10) on weight monitoring. Most of all respondents (90.7%) had poor level of knowledge on self care of COPD. The respondents’ level of knowledge on self care is statistically significant with family history (p=0.048), educational status (p=0.000), and types of patient (p=0.017).So, there should be need of health education program for COPD patients about self care to improve knowledge. DOI: http://dx.doi.org/10.3126/jcmc.v4i3.11938Journal of Chitwan Medical College 2014; 4(3):34-37 

scholarly journals Assessment of Malnutrition as a Risk Factor for Acute Lower Respiratory Tract Infection in Children under 5 yr Age at a Tertiary Hospital

2019 ◽  
Vol 15 (2) ◽  
pp. 107-111
Author(s):  
Sunil Raja Manandhar ◽  
Petter Thorell ◽  
Ida Kallur ◽  
Sunil Kumar Joshi
Keyword(s):  
Risk Factor ◽  
Tract Infection ◽  
Respiratory Tract ◽  
Respiratory Tract Infection ◽  
Lower Respiratory Tract Infection ◽  
Teaching Hospital ◽  
Lower Respiratory Tract ◽  
College Teaching ◽  
Health Concern ◽  
Medical College

Background: Malnutrition among young children is becoming a major public health concern in low income countries like Nepal where under nutrition remains one of the primary causes of ill health. Acute lower respiratory tract infection (ALRTI) and malnutrition in children are associated with morbidity and mortality in developing countries.Objective of this study was to assess ALRTI as a risk factor for malnutrition in children at Kathmandu Medical College Teaching Hospital. Methods: This was a cross-sectional study con-ducted at Kathmandu Medical College Teaching Hospital over 5 months duration (August - December 2017). Under 5 yrs children diagnosed as ALRTI were taken and healthy children from same age group attending the immunization clinic were the controls. Anthropometric measurements were measured and stunting and wasting were described according to the WHO classification of malnutrition. Data were analyzed using SPSS version 18. Statistical analyses were done in the form of frequency, mean and cross tabulation. Chi-Square test was used to assess the association of ALRTI with malnutrition. P value <0.05 was considered to be sig-nificant. Results: A total of 200 children were included in this study. Children with ALRTI (n = 90) and con-trols (n =110) were analyzed. Male participants were observed more in both groups (60% and 68%). Wasting and stunting were observed more in ALRTI group than in control groups. Conclusions: This study showed there was a relation between ALRTI and malnutrition in children. So, this study has identified malnutrition as one of the major risk factor for ALRTI in under 5 yrs children.

scholarly journals Cigarette smoke compounds induce cellular redox imbalance, activate NF-κB, and increase TNF-α/CRP secretion: a possible pathway in the pathogenesis of COPD

2016 ◽  
Vol 5 (3) ◽  
pp. 895-904 ◽  
Author(s):  
Tapan Dey ◽  
Prachurjya Dutta ◽  
Prasenjit Manna ◽  
Jatin Kalita ◽  
Hari Prasanna Deka Boruah ◽  
...  
Keyword(s):  
Risk Factor ◽  
Cigarette Smoke ◽  
Pulmonary Diseases ◽  
Chronic Obstructive ◽  
Cellular Redox ◽  
Redox Imbalance ◽  
Chronic Obstructive Pulmonary Diseases ◽  
Tnf Α

Cigarette smoke has always been considered as a risk factor for chronic obstructive pulmonary diseases (COPD).

scholarly journals A Comparative Study on the Occurrence of Cor Pulmonale among the Cases of COPD and Bronchial Asthma

1970 ◽  
Vol 14 (2) ◽  
pp. 56-60
Author(s):  
ARM Saifuddin Ekram ◽  
AM Shafiqul Hasan ◽  
M Monzurul Haque ◽  
AZM Ahsanullah ◽  
Q Tarikul Islam ◽  
...  
Keyword(s):  
Comparative Study ◽  
Bronchial Asthma ◽  
Random Sampling ◽  
Sampling Method ◽  
Cor Pulmonale ◽  
Pulmonary Diseases ◽  
Chronic Obstructive ◽  
College Hospital ◽  
Medical College ◽  
Chronic Obstructive Pulmonary Diseases

This hospital-based study was carried out on the patients of chronic obstructive pulmonary diseases (COPD) and bronchial asthma, who were admitted into the Department of Medicine, Rajshahi Medical College Hospital between the period of July 1999 to December 2000. The main objective of the study was to compare the occurrence of cor pulmonale among the patients of COPD and bronchial asthma. Sixty patients fulfilling the diagnostic criteria of bronchial asthma (n=30) and COPD (n=30) from the admitted cases of obstructive air way diseases were included in the study by random sampling method. It was found that occurrence of cor pulmonale was significantly higher among the patients of COPD than those of bronchial asthma. DOI: http://dx.doi.org/10.3329/taj.v14i2.8386 TAJ 2001; 14(2): 56-60

Assessment of Depression and Anxiety in Chronic Obstructive Pulmonary Disease Patients attending Pulmonary Medicine Department of Rohilkhand Medical College & Hospital, Bareilly, Uttar Pradesh, India

2017 ◽  
Vol 2 (3) ◽  
pp. 137-139
Author(s):  
Preeti Sharma ◽  
Abhishek Kumar ◽  
Arpit Jaiswal ◽  
Chandra S Sharma ◽  
Harsh Rathi ◽  
...  
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Pulmonary Disease ◽  
Uttar Pradesh ◽  
Anxiety And Depression ◽  
Chronic Obstructive ◽  
Pulmonary Medicine ◽  
Depression And Anxiety ◽  
Obstructive Pulmonary Disease ◽  
Medical College ◽  
Copd Patients

ABSTRACT Introduction Chronic disease like chronic obstructive pulmonary disease (COPD) is associated with various comorbidities. Anxiety and depression are among the common comorbidities and have significant impact on socioeconomic status of the person as well as the course of disease. In our study, we screened COPD patients attending the outpatient department (OPD) of pulmonary medicine for anxiety and depression, using different scales that include questionnaires. About 46.2 and 34.6% cases were found to have depression and anxiety respectively, among all COPD patients (n = 156). Incidence of anxiety and depression was directly proportional to severity of disease. Age, gender, locality, educational, marital, and socioeconomic statuses are some factors that play important roles in the development of these psychiatric comorbidities. Hence, mental assessment of COPD patients should be mandatory with every visit to the OPD. How to cite this article Jaiswal A, Kumar A, Rathi H, Sharma CS, Sharma P, Arya V. Assessment of Depression and Anxiety in Chronic Obstructive Pulmonary Disease Patients attending Pulmonary Medicine Department of Rohilkhand Medical College & Hospital, Bareilly, Uttar Pradesh, India. Int J Adv Integ Med Sci 2017;2(3):137-139.

Prevalence of Chronic Cor Pulmonale in Chronic Obstructive Pulmonary Disease Patients in a Teaching Hospital in Nepal

2019 ◽  
Vol 41 (1) ◽  
pp. 15-19
Author(s):  
Matina Sayami ◽  
Suman Baral ◽  
Rakshya Shrestha ◽  
Dambar B Karki
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Pulmonary Disease ◽  
Teaching Hospital ◽  
College Teaching ◽  
Cor Pulmonale ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease ◽  
Copd Patients ◽  
Chronic Cor Pulmonale ◽  
Severe Copd

Introduction: Chronic obstructive pulmonary disease (COPD) is the most common cause of cor pulmonale. Cor pulmonale in COPD is associated with decreased survival, increased hospitalization and mortality. In this study we aim to find out the prevalence of chronic cor pulmonale in COPD patients which would help in prevention of right sided heart failure and improve patients’ quality of life. Methods: This was a cross sectional observational study done in Kathmandu Medical College Teaching Hospital, Nepal. 50 COPD patients above the age of 30 years attending the outpatient department or admitted in wards were included. All COPD patients diagnosed by pulmonary function test (PFT) were assessed for cor pulmonale by echocardiography (ECHO). The demographic data, chest X-ray, PFT, electrocardiography (ECG) and ECHO findings were recorded, entered and analyzed using SPSS software, version 17. Results: Most of the patients enrolled in the study were between age group of 51-60 with female preponderance. 68% of the COPD patients had chronic cor pulmonale. Out of 21 male, 76.2% and out of 29 female COPD patients, 62.06% had cor pulmonale. Cor pulmonale was present in 53.12% and 94.4% of patients who had COPD for < 10 years and ≥10 years duration respectively. Cor pulmonale was present in 76% patients with severe COPD, 75% of patients with moderate COPD, 64.2% patients with very severe COPD and none of the patients with mild COPD. Pulmonary hypertension (PH) was present in 67.64% of cor pulmonale patients. Conclusion: The prevalence of chronic cor pulmonale in COPD patients was 68%. It was more in male patients, highest in patients with severe COPD, and the prevalence increased with duration of COPD. PH was present in 67.64% of cor pulmonale patients.  

scholarly journals DNA damage and repair capacity in lymphocyte of chronic obstructive pulmonary diseases patients during physical exercise with oxygen supplementation

2016 ◽  
Vol 11 ◽  
Author(s):  
Andréa Lúcia Gonçalves da Silva ◽  
Thaís Evelyn Karnopp ◽  
Augusto Ferreira Weber ◽  
Cassia da Luz Goulart ◽  
Paloma de Borba Scheneiders ◽  
...  
Keyword(s):  
Dna Damage ◽  
Dna Repair ◽  
Physical Exercise ◽  
Aerobic Exercise ◽  
Pulmonary Diseases ◽  
Chronic Obstructive ◽  
Oxygen Supplementation ◽  
Repair Capacity ◽  
Copd Patients ◽  
Chronic Obstructive Pulmonary Diseases

Background: We hypothesized that the use of oxygen supplementation during aerobic exercise induces less DNA damage than exercise alone. The aim of this study is to assess the level of DNA damage induced by physical exercise with and without oxygen supplementation in chronic obstructive pulmonary diseases (COPD) patients. Methods: Peripheral blood was collected before and after aerobic exercise in two conditions: (I) aerobic exercise without oxygen supplementation (AE group) and (II) with oxygen supplementation (AE-O2 group). Lymphocytes were collected to perform the alkaline version of the Comet Assay. To assess the susceptibility to exogenous DNA damage, the lymphocytes were treated with methyl methanesulphonate (MMS) for 1-h or 3-h. After 3-h treatment, the percentage of residual damage was calculated assuming the value of 1-h MMS treatment as 100%. Results: AE group showed lower induced damage (1 h of MMS treatment) and consequently less DNA repair compared to AE-O2 group. AE-O2 group showed an increase in the induced DNA damage (1 h of MMS treatment) and an increased DNA repair capacity. Within the AE-O2 group, in the post-exercise situation the induced DNA damage after 1 h of MMS treatment was higher (p = 0.01) than in the pre-exercise. Conclusion: COPD patients who performed physical exercise associated with oxygen supplementation had a better response to DNA damage induced by MMS and a better DNA repair when compared to the condition of physical exercise without oxygen supplementation.Trial registration: UNISC N374.298. Registered 04 JUN 2013 (retrospectively registered).

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