scholarly journals Quality of life of patients with schizophrenia and chronic obstructive pulmonary disease: An observational study

2017 ◽  
Vol 26 (2) ◽  
pp. 140
Author(s):  
Smitha Ramadas ◽  
Vyjayanthi Bonanthaya
Author(s):  
Poonam Salwan ◽  
Juhi Singla ◽  
Shalini Salwan

Background: Drug utilization studies promote rational use of drugs and help to decrease the adverse drug reactions. Such studies are powerful tools to evaluate the role of drugs in the society. The present study is aimed to analyse and evaluate the trends and patterns of prescribing drugs among chronic obstructive pulmonary disease (COPD) patients.Methods: A prospective observational study was conducted in 112 patients of COPD admitted in the general and pulmonary medicine departments over a period of 1-year in SGT Medical College, Hospital and Research Institute, SGT University, Gurugram. Patients, who satisfied the inclusion criteria, were enrolled in the study after taking informed consent. Data was collected by using the specially designed data entry form and put in tabulated form. The results were expressed as percentages. The following information was collected for each patient: social demographics, smoking history, prescribed COPD treatments. Health related quality of life indices were obtained using validated questionnaires.Results: Out of the 112-study population, male patients were more in number (76.36%). The majority of the patients were from the age group of 61-70 years (47.2%) with 56.36% patients showing severe rating (poor score) of quality of life on COPD assessment test. Smoking was found to be more prominent in the study population (71.42%). Inhaled corticosteroids (67.85%) were most prescribed class of drugs in the management of COPD followed by systemic bronchodilators (64.28%). The most commonly prescribed bronchodilator was systemic methylxanthine (deriphylline-64.28%) followed by systemic β2 agonist (Terbutaline-62.5%). Inhaled corticosteroids (67.85%) were prescribed more often than systemic corticosteroids. Among antimicrobials, the most commonly prescribed drug was Amoxicillin-clavulanic combination (35.71%) and ceftriaxone (35.71%). Considering the drugs prescribed for co-morbid conditions, proton- pump inhibitors (73.21%) topped the list followed by antihistaminic (37.5%) for allergic conditions.Conclusions: The study concludes that symptomatic treatment was given to COPD patients in the hospital. The prescribing pattern was found to be in concordance with the current global Initiative for chronic obstructive lung disease (GOLD) guidelines in the management of COPD patients.


Author(s):  
Somayeh Ghadimi ◽  
Atefeh Fakharian ◽  
Mohsen Abedi ◽  
Reyhaneh Zahiri ◽  
Mahsan Norouz Afjeh ◽  
...  

Background: Chronic Obstructive Pulmonary Disease (COPD) leads to limited activity and reduced quality of life. Treatment of this disease is a long-term process that requires the cooperation of patients in monitoring and treatment. Methods: In the present study which was conducted from April 2019 to March 2021 in Masih Daneshvari Hospital, Tehran, Iran, 75 patients were randomly divided into telerehabilitation and control groups. Patients in the control group received pulmonary rehabilitation including respiratory, isometric, and aerobic exercises for 8 weeks, three times per week. In the second group, patients were given a lung rehabilitation booklet and asked to repeat the exercises three times a week for four weeks according to a specific schedule. In addition, patients installed Behzee care application on the mobile phone that recorded various indicators such as heart rate, SpO2, dyspnea, fatigue, and daily activities. This application reminded the patient of the program every day and at a specific time. Finally, the patients’ conditions were compared in the two groups after 8 weeks using CAT and mMRC questionnaires and 6-Minute Walk (6MW) exercise indices as well as spirometry tests. Results: In all four indicators (6MW, CAT,  and mMRC questionnaires as well as spirometry), patients showed improvement after rehabilitation (p<0.001). This improvement was significantly higher in the telemedicine group compared to the other group (p<0.01). Conclusion: The use of telerehabilitation in COPD patients is effective in improving spirometry indices, quality of life, as well as activity and sports indices.


Author(s):  
Uma Rani Adhikari ◽  
Soma Roy

Chronic obstructive pulmonary disease (COPD) is recently the most common chronic lung disease and presents a serious medical, economic, and social problem for people. A correlational survey research was adopted to identify relationship between quality of life and disease severity among Chronic Obstructive Pulmonary Disease (COPD) clients attending Pulmonary Medicine OPD in a selected hospital, Kolkata with the objectives to assess the quality of life of Chronic Obstructive Pulmonary Disease (COPD) clients and to find out correlation between disease severity and quality of life among Chronic Obstructive Pulmonary Disease (COPD) clients. Purposive sampling technique was adapted to select 138 Chronic Obstructive Pulmonary Disease (COPD) clients attending Pulmonary Medicine OPD in a tertiary care hospital, Kolkata. The structured interview schedule was used to collect on demographic data and standardized WHO QOL BREF tool was used to assess Quality of Life. Standardized GOLD criteria were used to assess disease severity of COPD clients. Reliability of the demographic data collection tool was established by inter- rater method and r was 0.77. All the tools were tried out before final data collection. The finding of the study revealed statistically non-significant relationship between all the domain of QOL and disease severity of COPD patients. Total Quality of Life score is also not significantly related with COPD Disease severity score. The study results also showed that QOL is not associated with sociodemographic characteristics. The study concluded that, there is no correlation between quality of life and disease severity.


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