scholarly journals Correlation between Anxiety and Depression with Quality of Life among Chronic Obstructive Pulmonary Disease Patients

2019 ◽  
Vol 39 (2) ◽  
pp. 121-129
Author(s):  
Dessy Mizarti ◽  
Deddy Herman ◽  
Yessy S Sabri ◽  
Amel Yanis

Background: Anxiety and depression among COPD patients can lead to physical limitation, lung function deterioration, risk of exacerbation and poor quality of life. This study aims to investigate correlation between anxiety and depression with quality of life among COPD patients Method: This was cross sectional analytic study recruiting COPD patients in Pulmonary outpatient setting in Dr. M. Djamil Central Hospital Padang and Achmad Mochtar Hospital Bukittinggi from January to March 2017. Samples were recruited through consecutive technique (accidental sampling). Result: Results showed from 101 COPD patients, average age was 65,54 + 9,99 years old. Mostly were male 83,17%, basic education 71,29%, low economical status 58,42%, married 81,19%, ex smoker 71,29%, severe Brinkman index 60,40%. There was correlation between gender (p value =0,002) and marital status (p value =0,010) with anxiety and or depression. Severe COPD patients tend to suffer from anxiety, depression, anxiety and depression, as many as 34,78%, 100% and 54,55%, respectively. Most COPD patients who suffered from anxiety and depression had poor quality of life 28,57%. There was correlation between anxiety and or depression with quality of life among COPD patients p-value= 0,005. COPD patients in D group often had poor quality of life 82,14%. There was correlation between COPD population group and quality of life (p-value=0,001). Conclusion: Anxiety and depression could occur in every stage of COPD, especially severe COPD. There was correlation between anxiety and or depression with quality of life so thus COPD treatment should embrace the comorbid factors. (J Respir Indo 2019; 39(2): 121-9)

Cephalalgia ◽  
2014 ◽  
Vol 35 (8) ◽  
pp. 683-691 ◽  
Author(s):  
Marian Gómez-Beldarrain ◽  
Ane Anton-Ladislao ◽  
Urko Aguirre-Larracoechea ◽  
Isabel Oroz ◽  
Juan Carlos García-Moncó

Objective The objective of this article is to test the hypothesis that cognitive reserve (CR) is related to migraine chronification, medication overuse and poor quality of life in migraineurs. Design/methods A cross-sectional study on patients with chronic migraine with medication overuse (CM-MOH), episodic migraine (EM), and controls, matched by sex, age and education, was carried out. CR was assessed by a specific questionnaire, and quality of life was measured by general and specific questionnaires (SF-36 and MSQoL). Migraine Disability Assessment Scale and Beck questionnaires for depression and anxiety were used. Medication dependence was evaluated by the medication-dependence questionnaire in headache (MDQ-H). Results Fifty-five individuals were enrolled: 18 CM-MOH patients (32.73%), 22 EM patients (40%) and 15 controls (27.27%). Fifty (90.91%) of them were females and aged 43.53 (7.54) years. Univariate analysis showed a significant association between the study group and CR, and all items of the SF-36, anxiety and depression questionnaires, MSQoL and MDQ-H. The lower CR and CM-MOH group were related to a worse quality of life, more anxiety and depression and the highest medication dependence scores. Multivariate analysis showed that higher CR scores were related to higher quality of life as measured by the physical and mental composite scores of the SF-36, and to lower anxiety (beta = −1.08, p = 0.001) and depression (beta = −0.56, p = 0.03) levels. Focusing on MSQoL, the increase in CR was predictive of a better quality of life (beta = 1.88, p < 0.0001). By all the models, the explained variance of the sample ranged from 39% (mental composite score) to 58% (MSQoL). Conclusions Low CR appears to be an independent factor associated with the deterioration of quality of life, the presence of anxiety and depression, and drug dependence and medication overuse in CM-MOH.


Author(s):  
Dita Hasni ◽  
Jely Safitri ◽  
Nadia Purnama Dewi ◽  
Nilas Warlem

Abstract Chronic obstructive pulmonary disease (COPD) is a lung disease with the limitation of the airway, which is not completely reversible and is progressive. One of the risk factors of this disease is exposure to cigarette smoke for a long time. The purpose of this research is to know the relationship of smoking with the quality of life of chronic obstructive pulmonary disease patients at Dr. Reksodiwiryo Padang Hospital. This cross-sectional research has been implemented in February-May 2019 and involving 35 research subjects that meet inclusion and exclusion criteria. In this study, data was obtained that 97.1% of male gender research subjects, aged 60-69 years, 37.1%, 45.7% had moderate smoking status, poor quality of life 54.3% and there was a relationship with quality of life in Dr. Reksodiwiryo Padang Hospital (P-value < 0.05). In this research can be concluded that there is a smoking relationship with the quality of life patients of chronic abortive pulmonary disease patients in Dr. Reksodiwiryo Hospital, Padang.Keywords:            Smoking Status, quality of life, COPD. 


2021 ◽  
Vol 4 (2) ◽  
pp. 92
Author(s):  
Andina Prameswari ◽  
Ligina Ayudia ◽  
Halimah Sya'diyah ◽  
Aulia Iskandarsyah

In organizing health services in hospitals, the nursing team is the frontline for achieving service for 24 hours continuously, therefore in some division, like ICU or ER, nurses work with shift hours. There is some evidence of shift work’s psychological and physiological effects that can influence nurses' quality of life. This study aims to obtain an overview of the quality of life in nurses who work into the shift and its comparison with non-shift. This study was an online survey that involving nurses from hospital-based in Bandung. The survey was distributed online, where participants who participated in the survey had certain criteria. Data collection carried out with questionnaires from WHOQOL-BREF, designed using a cross-sectional comparative study model. Forty-five nurses were included in this study with 82% are woman, with 77,7% work with shift and 22,2% no-shift. Overall, the quality of life of nurses works in shift decreased in the physical domain. Specifically, those who perceived themselves had physical pain. Even so, they still perceived good quality of sleep. Nurses work in shift also perceived negative emotion such as feeling blue, anxiety and depression. There were two differences between nurse with shift work and non-shift work in quality of life domains (physical, U= 83,5, p-value= 0,012) and (environment, U= 102,5, p-value= 0,047). Physical pain, less free time to relax, and physical activity such as exercising may influence the lower quality of life. Nurses with shift work and nurses with non-shift work also found significantly different in their overall health (U=84, p-value=0,008). It might be related to how they perceived their health issue.


2018 ◽  
Vol 25 (1) ◽  
pp. 16
Author(s):  
Ghina Akmalia ◽  
M Riswan ◽  
M Andalas

Objectives: to determine the relationship between depression and quality of life in ovarian cancer patients who are undergoing chemotherapy in RSUDZA Banda Aceh.Materials and Methods: This study was an analytical observa-tional study with cross-sectional design approach. The samples were taken by using accidental sampling with total of respondents are 30 patients. Depression level was assessed by using the BDI-II questionnaire  and quality of life was assessed by using the EORTC QLQ-C30 questionnaire.  Then, data were analyzed by using Spearman’s Correlation test.Results: The most of the cases were no depression (53,3%), and good quality of life (56,7%). The lowest cases were patients with severe depression (6,7%), and poor quality of life (16,7%). The results of data analysis obtained p value=0.000 (p≤0,05). Conclusion: there is a significant relationship between depression and quality of life in ovarian cancer patients who are undergoing chemotherapy in RSUDZA Banda Aceh.


2020 ◽  
Author(s):  
Chee-Shee Chai ◽  
Sumastika Bt Mos ◽  
Diana-Leh-Ching Ng ◽  
Greta-Miranda-Kim-Choo Goh ◽  
Anselm-Ting Su ◽  
...  

Abstract Background:The Spanish chronic obstructive pulmonary disease (COPD) guideline phenotypes patients according to the exacerbation frequency and COPD subtypes. In this study, we compared the patients’ health-related quality of life (HRQoL) according to their COPD phenotypes.Methods:This was a cross-sectional study of COPD patients who attended the outpatient clinic of the Serian Divisional Hospital and Bau District Hospital from 23th January 2018 to 22th January 2019. The HRQoL was assessed using modified Medical Research Council (mMRC), COPD Assessment Test (CAT), and St George's Respiratory Questionnaire for COPD (SGRQ-c). Results:Of 185 patients, 108 (58.4%) were non-exacerbators (NON-AE), 51 (27.6%) were frequent exacerbators (AE), and the remaining 26 (14.1%) had asthma-COPD overlap (ACO). Of AE patients, 42 (82.4%) had chronic bronchitis and only 9 (17.6%) had emphysema. Of the COPD patients, 65.9% had exposure to biomass fuel and 69.1% were ex- or current smokers. The scores of mMRC, CAT, and SGRQ-c were significantly different between COPD phenotypes (p < 0.001). There were significantly more patients with mMRC 2 – 4 among AE (68.6%) (p < 0.001), compared to those with ACO (38.5%) and NON-AE (16.7%). AE patients had significantly higher total CAT (p = 0.003; p < 0.001) and SGRQ-c (both p < 0.001) scores than those with ACO and NON-AE. Patients with ACO also had significantly higher total CAT and SGRQ-c (both p < 0.001) scores than those with NON-AE. AE patients had significantly higher score in each item of CAT and component of SGRQ-c compared to those with NON-AE (all p < 0.001), and ACO [(p = 0.003 – 0.016; p = < 0.001 – 0.005) except CAT 1, 2 and 7. ACO patients had significantly higher score in each item of CAT and component of SGRQ-c (p = < 0.001 – 0.040; p < 0.001) except CAT 2 and activity components of SGRQ-c.Conclusions:The HRQoL of COPD patients was significantly different across COPD phenotypes. HRQoL was worst in AE, followed by ACO and NON-AE. This study supports phenotyping COPD patients based on their exacerbation frequency and COPD subtypes. The treatment of COPD should be personalised according to these two factors.


2021 ◽  
pp. 1-8
Author(s):  
Yating Zhang ◽  
Xiangfang Zhao

<b><i>Background:</i></b> Chronic obstructive pulmonary disease (COPD) is a chronic respiratory condition. COPD causes a heavy burden on the patients through negative impacts on the quality of life and psychological health. The health belief model (HBM) is proposed and modified by several social psychologists and is confirmed to have benefits in the recovery of various diseases. This research aimed to explore the effects of the HBM-based intervention on anxiety, depression, and quality of life in COPD patients entering pulmonary rehabilitation (PR). <b><i>Methods:</i></b> This research was conducted at the Tianjin Rehabilitation Recuperate Center of Chinese PLA in 2019. A total of 136 COPD patients were randomized into the intervention group and the control group. In the control group, patients received the PR program. In the intervention group, patients received both PR program and the HBM-based intervention. Quality of life was measured by the COPD assessment test. The outcomes of anxiety and depression were measured by the Hospital Anxiety and Depression Scale. <b><i>Results:</i></b> The HBM-based intervention decreased both anxiety and depression scores among COPD patients. The COPD assessment test score was declined by the HBM-based intervention, which also decreased the serum levels of interleukin-6 and C-reactive protein in COPD patients entering PR. <b><i>Conclusion:</i></b> The HBM-based intervention alleviates anxiety and depression, enhances quality of life, and inhibits inflammation in COPD patients entering PR.


2019 ◽  
Vol 8 (1) ◽  
pp. 16-22
Author(s):  
Dini Maulinda ◽  
Hendriyani Hendriyani ◽  
Reni Mayasari

ABSTRACT Cancer is one of the main causes of morbidity (conditions that change quality of life and health) and mortality (death). The highest prevalence of cancer in children is blood cancer (Leukemia). One of the factors that affect a person's quality of life is overprotective, related to the behavior undertaken by a person. The aim of this study was to determine the correlation overprotective behavior of parents to the quality of life of children with Acute Lympoblastic Leukimia. The study was conducted on 30  respondents in Poly Oncology Seruni RSUD Arifin Achmad Riau Province taken with purposive sampling technique. This stdy is quantitative with correlation design using cross sectional approach. The results showed that most parents have overprotective behavior as many as 18 people (60,0%), most children have poor quality of life as many as 18 people (60,0%). Based on chi square statistic test found that p value 0,024 (<0,05) that means there is correlation between overprotective behavior of parent to quality of life of child with Acute Lympoblastic Leukimia. The suggestion for further research to develop more about the correlation of support systems to the quality of life of children.   Keywords         : Overprotective behavior of parents, quality of life of children, acute lymphoblastic leukimia


Author(s):  
Nurdan Kokturk ◽  
Medhat Soliman ◽  
Amr Albanna ◽  
Richard Van Zyl Smit ◽  
Elmas Malvolti ◽  
...  

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Chee-Shee Chai ◽  
Sumastika Bt Mos ◽  
Diana-Leh-Ching Ng ◽  
Greta-Miranda-Kim-Choo Goh ◽  
Anselm-Ting Su ◽  
...  

Abstract Background The Spanish chronic obstructive pulmonary disease (COPD) guideline phenotypes patients according to the exacerbation frequency and COPD subtypes. In this study, we compared the patients’ health-related quality of life (HRQoL) according to their COPD phenotypes. Methods This was a cross-sectional study of COPD patients who attended the outpatient clinic of the Serian Divisional Hospital and Bau District Hospital from 23th January 2018 to 22th January 2019. The HRQoL was assessed using modified Medical Research Council (mMRC), COPD Assessment Test (CAT), and St George’s Respiratory Questionnaire for COPD (SGRQ-c). Results Of 185 patients, 108 (58.4%) were non-exacerbators (NON-AE), 51 (27.6%) were frequent exacerbators (AE), and the remaining 26 (14.1%) had asthma-COPD overlap (ACO). Of AE patients, 42 (82.4%) had chronic bronchitis and only 9 (17.6%) had emphysema. Of the 185 COPD patients, 65.9% had exposure to biomass fuel and 69.1% were ex- or current smokers. The scores of mMRC, CAT, and SGRQ-c were significantly different between COPD phenotypes (p <  0.001). There were significantly more patients with mMRC 2–4 among AE (68.6%) (p <  0.001), compared to those with ACO (38.5%) and NON-AE (16.7%). AE patients had significantly higher total CAT (p = 0.003; p <  0.001) and SGRQ-c (both p <  0.001) scores than those with ACO and NON-AE. Patients with ACO had significantly higher total CAT and SGRQ-c (both p <  0.001) scores than those with NON-AE. AE patients had significantly higher score in each item of CAT and component of SGRQ-c compared to those with NON-AE (all p <  0.001), and ACO [(p = 0.003–0.016; p = < 0.001–0.005) except CAT 1, 2 and 7. ACO patients had significantly higher score in each item of CAT and component of SGRQ-c (p = < 0.001–0.040; p <  0.001) except CAT 2 and activity components of SGRQ-c. Conclusions The HRQoL of COPD patients was significantly different across different COPD phenotypes. HRQoL was worst in AE, followed by ACO and NON-AE. This study supports phenotyping COPD patients based on their exacerbation frequency and COPD subtypes. The treatment of COPD should be personalised according to these two factors.


2019 ◽  
Vol 3 (1) ◽  
pp. 10-23
Author(s):  
Ruhamah Yousaf ◽  
Muhammad Arif ◽  
Qudrat Ullah ◽  
Saima Rafique ◽  
Asif Hanif ◽  
...  

Abstract: Background: The significant reason for anguish as well as incapacity is chronic obstructive pulmonary disease (COPD). Activities of daily living might be relentlessly curbed among patients with COPD and appraisal needs evaluation regarding influence of infirmity and detriments on day-to-day living. The primary objective was to know the daily activity associated quality of life in COPD adults. The secondary objective was to analyze demographical profile, such as gender and age of COPD subjects as well as evaluate the physical activity related breathlessness in COPD patients. Methodology: This study was executed at Gulab Devi Chest Hospital. We used cross sectional study design to collect the data. For collecting the statistics of 150 subjects aged 40-60 years of either gender Saint George’s Questionnaire was liable. It included the patient’s biodata, effect of COPD on physical activities and limitations in routine work. Results: The ages of 150 COPD patients selected were between 40 and 60 years. Patients were classified into two categories on the basis of disease severity according to GOLD criteria 71 (47.3%) were with moderate severity and 79 (52.7%) were with severe severity. 113 (75.3%) patients were smokers while 37 (24.7%) patients were non-smokers. 110 (73.3%) COPD patients were active smokers in comparison 40 (26.7%) COPD patients were passive smokers. COPD patients with current smoking status were 79 (52.7%) and with past smoking status were 71 (47.3%). 19 (12.7%) COPD patients felt breathlessness while sitting and lying. 53(35.3%) COPD patients felt breathless while getting washed or dressed. 85(56.7%) COPD patients felt breathless while walking around the home. 114 (96%) COPD patients discerned breathlessness while walking up a flight of stairs. 145 (96.7%) COPD patients had breathlessness while playing sports or games. 146 (97.3%) COPD patients experienced difficulty in breathing during activities like carrying load. 88 (58.7%) COPD patients discerned breathlessness during entertainment or recreation. 88 (58.7%) COPD patients discerned breathlessness during entertainment or recreation. 7 (4.7%) COPD patients felt breathlessness while moving from bed or chair. Conclusion: As with the progression of COPD impairment in activities become worse due to breathlessness causing decline in patient’s ability making them unable to complete their task to fulfill the needs of life and ultimately become bed bound due to shortness of breath.


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