scholarly journals PENGARUH THERAPEUTIC EXERCISE WALKING TERHADAP KUALITAS TIDUR KLIEN DENGAN PENYAKIT PARU OBSTRUKSI KRONIK (PPOK) DI RS TK II PUTRI HIJAU MEDAN

2018 ◽  
Vol 1 (1) ◽  
Author(s):  
Elis Anggeria

PPOK becomes the first rank in the group of lung diseases in Indonesia, followed by bronchial asthma, lung cancer and other lung diseases. Therapeutic exercise is an action of running regular walking with hands swayed to the rhythm of the road, this action is excellent for all age levels in order to improve the quality of sleeping. The research aims to find out the effect of therapeutic walking exercise in patients with chronic obstructive pulmonary disease in TK II Putri Hijau Medan Hospital Medan.This research used an experimental desgin by the use of quasi experimental design through pre-test and post-test paired t-test group. The research population were 9 people, and the sampling technique used in this study is saturation sampling technique by taking the entire population as samples. There is the mean difference between pretest and posttest on sleep quality by 0.56, meaning that the average quality of sleep on posttest have a better category than the average quality of sleep on pretest, which means therapeutic exercise of  walking affects quality of sleep in patients with chronic obstructive pulmonary disease with p-value of 0,013. There isa a significant effect of therapeutic exercise of walking on sleep quality. Therapeutic exercise of walking is form of therapy that is proven to improve sleep quality, therefore, is expected that patients can perform therapeutic exercise of walking guided by nurses.

2020 ◽  
Vol 50 (6) ◽  
pp. 1295-1307
Author(s):  
Zamzam Paknahad ◽  
Leila Yazdanpanah ◽  
Mohammad Reza Maracy ◽  
Amir Reza Moravejolahkami ◽  
Seyed Ali Javad-Mousavi ◽  
...  

Purpose Patients with chronic obstructive pulmonary disease (COPD) suffer from many health problems including poor sleep. This paper aims to evaluate the relationship between diet quality indices (DQIs) and sleep quality in COPD. Design/methodology/approach The current cross-sectional study was carried on 121 COPD patients. Subjective quality of sleep was determined by Pittsburgh Sleep Quality Index (PSQI) and categorized into “poor” and “good” sleep quality. Dietary history was assessed by the DQIs. Disease status was categorized according to the Global Initiative for Chronic Obstructive Lung Disease (GOLD) Guidelines. Findings In total, 103 men and 18 women with a mean age of 66.1 ±10.9 were studied. The subjects were categorized into four groups based on GOLD; 3.3% of subjects were at Stage 1, 38% in Stage 2, 38% in Stage 3 and 20.7% in Stage 4. In total, 38% of subjects were good, and 62% were bad sleepers according to PSQI score. There was no significant relationship between the severity of COPD and PSQI score. We observed a significant inverse relation between PSQI total score and Mediterranean diet (MED) scale, Healthy Eating Index (HEI)-2010 and HEI-2005 (p = 0.024, 0.037 and 0.024, respectively) in males. Originality/value This study showed a high prevalence of poor quality of sleep and sleep disturbances among COPD patients. There was an inverse association between PSQI and sleep disorders and DQIs scores in COPD patients. Regardless of the severity of airflow obstruction, poor diet quality may constitute a risk factor for sleep quality.


2021 ◽  
Author(s):  
Chong Xing ◽  
Hui Shen ◽  
Wenyang Li ◽  
Wei Wang

Abstract This was a prospective case-control study aimed to explore the sleep quality, especially sleep-related disorders, among chronic obstructive pulmonary disease (COPD) patients with high risk of acute exacerbation, and to determine the risk factors. We enrolled COPD patients with acute exacerbation or health control visited the first hospital of China Medical University from October 1st, 2017 to October 28th, 2018. The subjective and objective sleep parameters were compared among them, and then the stepwise multiple regression analysis were performed. We found that COPD patients with high risk of acute exacerbation had decreased subjective and objective sleep quality. Patients with COPD-obstructive sleep apnea overlap syndrome revealed decreased slow wave sleep than patients with COPD alone. The subjective sleep parameters were correlated with the frequency of acute exacerbation, dyspnea index and Epworth sleepiness score. The objective sleep parameters were related to the degree of airflow obstruction, COPD Assessment Test score and the Modified British Medical Research Council dyspena score. So, we believe that the subjective and objective sleep quality of patients with high risk of acute exacerbations of COPD was poor, and the sleep quality of patients with overlap syndrome was worse than that of patients with COPD alone.


Author(s):  
Elva Cristy Irianti ◽  
Arsunan A. A. ◽  
M. Tahir Abdullah

Background: Chronic obstructive pulmonary disease (COPD) that causes damage to lung conditions such as dyspnea that affects to social and psychological life of the sufferer which overall affects the quality of life. This reaserch aims to focuses on factors related to the quality of life patients with COPD at the Pulmonary Community Health Center, Makassar.Methods: This study used cross sectional study design. Population in this research were patients with COPD who undergo treatment period of October-December 2017 that was as much as 381. Sampling was done by consecutive sampling with total sampel 160 responden. Data analysis consisted of univariate, bivariate with chi square test and multivariate analysis with logistic regression.Results: The results showed that some respondents had poor quality of life (63.8%) and other respondents had a good quality of life (36.3%). Factors related to quality of life were the severity of COPD (p=0.028), comorbidity (p=0.001) and quality of sleep (p=0.005). A multivariate analysis showed that patients with comorbidity were at risk 2,716 times to have poor quality of life.Conclusions: The severity of COPD, comorbidity and quality of sleep were related to have poor quality of life. Patients with COPD should early diagnosis of severity and should change their lifestyle better so as not to aggravate the quality of life.


2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Guihua Hao ◽  
Qiaojing Qiu ◽  
Lili Hou ◽  
Fen Gu

Background. Symptoms (cough, dyspnea, fatigue, depression, and sleep disorder) in chronic obstructive pulmonary disease (COPD) are related to poor quality of life (QOL). Better understanding of the symptom clusters (SCs) and sleep disorder in COPD patients could help to accelerate the development of symptom-management interventions. Objective. We aim to explore the effect of sleep disorder and symptom clusters on the QOL in patients with COPD. Methods. 223 patients with stable COPD from November 2019 to November 2020 at the Affiliated People’s Hospital of Ningbo University in China were included in this cross-sectional survey. A demographic and clinical characteristics questionnaire, the Revised Memorial Symptom Assessment Scale (RMSAS), the Pittsburgh Sleep Quality Index (PSQI), and the St George Respiratory Questionnaire for COPD (SGRQ-C) were completed by the patients. Exploratory factor analysis was conducted to extract SCs, and logistic regression analysis was performed to analyze the risk factors affecting QOL. Results. Three clusters were extracted: respiratory functional cluster, emotional cluster, and fatigue-sleep cluster. 70.4% of the participants were poor sleepers. Subgroup analysis showed that COPD patients with poor sleep quality were significantly different in QOL, emotional cluster, and fatigue-sleep cluster compared with patients with normal sleep. In multiple regression, sleep quality and respiratory functional cluster were associated with QOL. Conclusion. In patients with stable COPD, three symptom clusters were explored. Symptom clusters correlate with clinical features and negatively affect QOL. Appropriate interventions are expected to inform future approaches to symptom management. Future studies are needed to test interventions that may be effective at improving the QOL of COPD patients.


Author(s):  
Antonio George M. Cavalcante ◽  
Veralice M.S. de Bruin ◽  
Eanes D.B. Pereira ◽  
Marina M. Cavalcante ◽  
Deuzilane M. Nunes ◽  
...  

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