Stress associated with hospitalization in patients with COPD: the role of social support and health related quality of life

Background: The objective of this study was to determine stress levels during hospitalization in patients with Chronic Obstructive Pulmonary Disease (COPD). We wanted to relate stress to previous level of quality of life and patients’ Social Support. Methods: 80 patients (70.43; SD = 8.13 years old) with COPD were assessed by means of: Hospital Stress Rating Scale, Nottingham Health Profile, St. George’s Respiratory Questionnaire and Social Support Scale. Results: COPD patients’ stress levels are lower than expected independently from the severity or number of previous hospitalizations. Linear regression analysis shows the predictive value of Quality of Life and Social Support on stress level during hospitalization (p < 0.0001). Conclusion: HRQOL and social support can be associated with stress during hospitalization.

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Impact of cataract on health-related quality of life in a longitudinal Japanese chronic obstructive pulmonary cohort

Chronic Respiratory Disease ◽

10.1177/1479972317745735 ◽

2017 ◽

Vol 15 (4) ◽

pp. 329-338 ◽

Cited By ~ 3

Author(s):

Hidehiro Irie ◽

Shotaro Chubachi ◽

Minako Sato ◽

Mamoru Sasaki ◽

Naofumi Kameyama ◽

...

Keyword(s):

Quality Of Life ◽

At Risk ◽

Chronic Obstructive ◽

Health Related Quality ◽

Obstructive Pulmonary Disease ◽

Copd Patients ◽

Related Quality ◽

Health Related ◽

St George's Respiratory Questionnaire

Cigarette smoking increases the risk of developing both cataract and chronic obstructive pulmonary disease (COPD). The prevalence of cataract and the clinical characteristics of COPD patients with cataract were retrospectively investigated in a 2-year observational COPD cohort. We analyzed 395 patients with complete data on ophthalmologic evaluation (319 subjects with COPD and 76 subjects at risk of COPD). There was no difference in the prevalence of cataract between COPD patients and those at risk (47.0% vs. 42.1%, p = 0.44). Age ≥ 75 years, low body mass index, and hypertension were independently associated with cataract as a comorbidity in COPD. The incidence of exacerbation within 2 years was significantly higher in COPD patients with cataract than those without cataract (36.6% vs. 18.3%, p = 0.0019). COPD patients with cataract exhibited significantly higher COPD assessment test score compared to those without cataract (13.7 ± 8.9 vs. 11.5 ± 7.2, p = 0.0240). Overall St George’s Respiratory Questionnaire score and each component were significantly worse in COPD patients with cataract compared to those without cataract. COPD patients with cataract exhibited poor health-related quality of life and frequent exacerbations. The association between cataract and exacerbations of COPD deserves further attention.

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Medication adherence and health-related quality of life among patients with chronic obstructive pulmonary disease

Acta Pharmaceutica ◽

10.2478/acph-2018-0006 ◽

2018 ◽

Vol 68 (1) ◽

pp. 117-125 ◽

Cited By ~ 3

Author(s):

Nejc Horvat ◽

Igor Locatelli ◽

Mitja Kos ◽

Ana Janežič

Keyword(s):

Quality Of Life ◽

Medication Adherence ◽

Chronic Obstructive ◽

Health Related Quality ◽

Obstructive Pulmonary Disease ◽

Related Quality ◽

Health Related ◽

St George's Respiratory Questionnaire ◽

Lower Hrqol

Abstract This study evaluated medication adherence and health-related quality of life (HRQoL) of Slovenian patients with chronic obstructive pulmonary disease (COPD) and examined the factors associated with HRQoL. Demographic and therapy information was collected from 65 patients through interviews. The St. George’s Respiratory Questionnaire and the Morisky Medication Adherence Scale were used to evaluate HRQoL and adherence, resp. A multiple linear regression model was used to assess the association between the factors and HRQoL. The mean St. George’s Respiratory Questionnaire score (range 0-100, with higher scores indicating lower HRQoL) was 41.4. COPD affected patients’ daily activities more than their social and psychological functioning. Slightly more than 53 % of the patients were optimally adherent, while 12 % were non-adherent. Patients with lower HRQoL had a larger number of medications for concomitant diseases, experienced COPD exacerbation in the last year, and had less education. No statistically significant correlation was found between medication adherence and HRQoL.

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Prevalence of depression and anxiety in patients with chronic obstructive pulmonary disease and their association with psychosocial outcomes: A cross-sectional study from Pakistan

SAGE Open Medicine ◽

10.1177/20503121211032813 ◽

2021 ◽

Vol 9 ◽

pp. 205031212110328

Author(s):

Muhammad Omair Husain ◽

Imran B Chaudhry ◽

Amy Blakemore ◽

Suleman Shakoor ◽

Muhammad Ali Husain ◽

...

Keyword(s):

Quality Of Life ◽

Social Support ◽

Chronic Obstructive Pulmonary Disease ◽

Pulmonary Disease ◽

Social Stress ◽

Chronic Obstructive ◽

Depression And Anxiety ◽

Cross Sectional ◽

Obstructive Pulmonary Disease

Objectives: Chronic obstructive pulmonary disease contributes to substantial health and economic burden worldwide. Co-morbid depression and anxiety are highly prevalent in patients with chronic obstructive pulmonary disease. Depressive symptoms in chronic obstructive pulmonary disease are associated with poorer survival, longer hospitalisation and impaired quality of life. Literature on chronic obstructive pulmonary disease is largely derived from high-income countries; yet 90% of deaths related to chronic obstructive pulmonary disease occur in low- and middle-income countries. We aimed to establish the prevalence of anxiety and depression in patients with chronic obstructive pulmonary disease, as well as the association with psychosocial outcomes. Methods: This was a cross-sectional study of chronic obstructive pulmonary disease patients attending outpatient primary care clinics in Karachi, Pakistan. The Patient Health Questionnaire-9 was used to assess depression and the Generalised Anxiety Disorder-7 scale was used for the assessment of anxiety. Health-related quality of life was assessed with EuroQol–Five Dimensions, social support with Oslo-3 and social stress with Life Events Checklist. We recruited 293 subjects. Results: The prevalence of depression and anxiety in the sample was 51% ( n = 149) and 20% ( n = 59), respectively. Depressed chronic obstructive pulmonary disease patients reported significantly lower health-related quality of life scores as compared to non-depressed patients. Participants with depression had significantly higher levels of anxiety, less social support, higher social stress and more subjective impairment in quality of life. Conclusion: Given the association with reduced social support and increased perceived stress, the role of psychosocial interventions must be explored in improving outcomes of chronic obstructive pulmonary disease patients in Pakistan.

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Questionnaires

Canadian Respiratory Journal ◽

10.1155/2004/408498 ◽

2004 ◽

Vol 11 (7) ◽

pp. 469-470

Author(s):

Nick R Anthonisen

Keyword(s):

Quality Of Life ◽

Chronic Obstructive ◽

Life Questionnaire ◽

Obstructive Pulmonary Disease ◽

Chronic Respiratory Questionnaire ◽

Copd Patients ◽

Standard Quality ◽

St George's Respiratory Questionnaire ◽

Met Expectations

In this issue of theCanadian Respiratory Journal, Bourbeau et al (pages 480-486) publish what could be loosely described as a validation of a French-Canadian translation of the Chronic Respiratory Questionnaire (CRQ) (1) and the St George's Respiratory Questionnaire (SGRQ) (2). They translated the questionnaires and went over them in detail until they were convinced that the questionnaires actually asked the questions that they were supposed to. They then administered them to two groups of chronic obstructive pulmonary disease (COPD) patients. One group had stable COPD and was tested twice with a two-week period between tests to examine test-retest reproducibility. The second group consisted of patients who either had an exacerbation of their COPD or who underwent rehabilitation for their disease. Both situations are associated with improvements in quality of life that should be detectable by the questionnaires. These results were compared with a third standard quality of life questionnaire. The results were very good. The questionnaire results met expectations: they were reproducible in stable patients and showed when patients improved. In psychometric terms, they were reliable and valid. I recommend the paper to people who are interested in developing and testing such instruments, both for the knowledge displayed by the authors and for the clarity of their presentation.

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