Swipe om te navigeren naar een ander artikel
Despite an increasing interest in the relationships among multiple symptoms and quality of life (QOL), little known about the association between anxiety, depression, and pain and both disease-specific and generic QOL in patients with chronic obstructive pulmonary disease (COPD).
In a cross-sectional study of 100 COPD patients, disease-specific QOL was measured by St. George’s Respiratory Questionnaire and generic QOL by the QOL scale. Anxiety and depression were evaluated using the Hospital Anxiety and Depression Scale, and pain was assessed with a numeric rating scale.
Of the 100 patients, 31 % reported clinically meaningful anxiety, 13 % depression, and 45 % reported the presence of pain. Younger patients (p = 0.02) and those with higher anxiety scores (p = 0.02) reported worse disease-specific QOL. Patients with lower physical function (p = 0.04) and those with higher depression scores (p < 0.001) reported worse generic QOL. Age, comorbidity, physical function, anxiety, depression, and pain explained 19.2 and 49.6 % of the variance in disease-specific and generic QOL scores, respectively.
Findings from this study suggest that the relationships between patient characteristics and common symptoms and QOL differ when disease-specific and generic measures of QOL are evaluated. Additional research is warranted to confirm these findings in COPD patients. Clinicians need to evaluate these common symptoms when planning and implementing symptoms management interventions to improve COPD patients’ QOL.
Log in om toegang te krijgen
Met onderstaand(e) abonnement(en) heeft u direct toegang:
Blindermann, C. D., Homel, P., Billings, A., Tennstedt, S., & Portenoy, R. K. (2009). Symptoms, distress and quality of life in patients with advanced chronic obstructive pulmonary disease. Journal of Pain and Symptom Management,38(1), 115–123. CrossRef
Anderson, K. L. (1995). The effect of chronic obstructive pulmonary disease on quality of life. Research in Nursing & Health,18(6), 547–556. CrossRef
Stavem, K. J., Eriksen, J., & Boe, J. (1999). Health status, dyspnea, lung function and exercise capacity in patients with chronic obstructive pulmonary disease. The International Journal of Tuberculosis Lung Disease,3(10), 921–926.
Wilke, S., Janssen, D. J. A., Wouters, E. F. M., Schols, J. M. G. A., Franssen, F. M. E., & Spruit, M. A. (2012). Correlations between disease-specific and generic health status questionnaires in patients with advanced COPD: A one-year observational study. Health Qual Life Outcomes,10(98), 1–13.
Pickard, S., Yang, Y., & Lee, T. (2011). Comparison of health-related quality of life measures in chronic obstructive pulmonary disease. Health Qual Life Outcomes,9(26), 1–6.
Wood-Dauphniee, S. (1999). Assessing quality of life in clinical research: From where have we come and where are we going? Journal of Clinical Epidemiology,52(4), 355–363. CrossRef
Wilson, I. B., & Cleary, P. D. (1995). Linking clinical variables with health-related quality of life. A conceptual model of patient outcomes. The Journal of the American Medical Association,273(1), 59–65. CrossRef
Snaith, R. P. (1987). The concepts of mild depression. The British Journal of Medicine Psychiatry,150(Mars), 387–393. CrossRef
Snaith, R. P., & Zigmond, A. S. (1994). The hospital anxiety and depression scale manual. London: NFRF-Nelson Publishing Company Ltd.
Dowson, C., Laing, R., Barraclough, R., Mulder, R., & Norris, K. (2001). The use of Hospital Anxiety and Depression Scale (HADS) in patients with chronic obstructive pulmonary disease: A pilot study. New Zealand Medical Journal,114(1141), 447–449. PubMed
Olssøn, I., Mykletun, A., & Dahl, A. A. (2003). The Hospital Anxiety and Depression rating Scale: A cross-sectional study of psychometrics and case finding abilities in general practice. BMC Psychiatry,5, 46. CrossRef
Trappenburg, J. C., Troosters, T., Spruit, M. A., Vandebrouck, N., Decramer, M., & Gosselink, R. (2005). Psychosocial conditions do not affect short-term outcome of multidisciplinary rehabilitation in chronic obstructive pulmonary disease. Archives of Physical Medicine and Rehabilitation,86(9), 1788–1792. PubMedCrossRef
Lundber, T., Lund, I., Dahlin, L., Borg, E., Gustafsson, C., & Sandin, L. (2001). Reliability and responsiveness of three different pain assessments. Journal of Rehabilitation Medicine,33(6), 279–283. CrossRef
Jones, P. W., Spencer, S., & Adie, S. (2003). The St. George`s Respiratory Questionnaire manual. London: Respiratory Medicine, St George’s Hospital Medical School.
Burckhardt, C. S., Woods, S. L., Schultz, A. A., & Ziebarth, D. M. (1989). Quality of life of adults with chronic illness: A psychometric study. Research in Nursing & Health,12(6), 347–354. CrossRef
Burckhardt, C. S., Anderson, K. L., Archenholtz, B., & Hägg, O. (2003). The Flanagan Quality of Life Scale: Evidence of construct validity. Health and Quality of Life Outcomes,1(1), 159–166.
Burckhardt, C. S., & Anderson, K. L. (2003). The Quality of Life Scale (QOLS): Reliability, validity, and utilization. Health and Quality of Life Outcomes,23(1), 60–67. CrossRef
Wahl, A., Burckhardt, C., Wiklund, I., & Hanestad, B. R. (1998). The Norwegian version of the Quality of Life Scale (QOLS-N). Scandinavian Journal of Caring Sciences,12(4), 215–222. PubMed
Quanjer, P. H., Tammeling, J. E., Cotes, J. E., Pedersen, O. F., Peslin, R., & Yernault, J. C. (1993). Lung volumes and forced ventilatory flows. Report working party standardization of lung function tests European community for steel and coal. Official statement of the European respiratory society. European Respiratory Journal,16(Suppl), 5–40. PubMedCrossRef
GOLD. (2013). Global strategy for the diagnosis, management and prevention of chronic obstructive pulmonary disease. GOLD Science Committee (pp. 1–76). Oregon: Global Initiative for Chronic Obstructive Lung Disease.
Singh, S. J., Morgan, M. D. L., & Hardam, A. E. (1996). The shuttle walking test manual. Leicester: Department of Respiratory Medicine, The Glenfield Hospital.
Singh, S. J., Morgan, M. D. L., Hardam, A. E., Rowe, C., & Bardsley, P. A. (1994). Comparison of oxygen uptake during a conventional treadmill test and the shuttle walking test in chronic airflow limitation. European Respiratory Journal,7(11), 2016–2020. PubMed
Haave, E., Hyland, M. E., & Engvik, H. (2007). Improvements in exercise capacity during a 4-weeks pulmonary rehabilitation program for COPD patients do not correspond with improvements in self-reported health status or quality of life. International Journal of Chronic Obstructive Pulmonary Disease,2(3), 355–359. PubMedCentralPubMed
VonLeupoldt, A., & Dahme, B. (2005). Cortical substrates for perception of dyspnea. Chest,128(1), 345–354. CrossRef
DePeuter, S., VanDiest, I., Lemaigre, V., Verleden, G., Demedts, M., & VandenBergh, O. (2004). Dyspnea: The role of psychological processes. Clinical Psychology Review,24(5), 557–581. CrossRef
Lansing, R. W., Gracely, R. H., & Banzet, R. B. (2009). The multiple dimensions of dyspnea: Review and hypotheses. Respiratory Physiology & Neurobiology,167(1), 53–60. CrossRef
Rinder, S. H. (2004). Psychological distress: Concept analysis. Journal of Advanced Nursing,45(5), 536–545. CrossRef
Bandura, A. (1997). Self-efficacy. The exercise of control. New York: Freeman and Company.
Fayers, P. M., & Machin, D. (2007). Quality of life. The assessment, analysis and interpretation of patient-reported outcomes. West Sussex: Wiley.
Sprangers, M. A. G., DeRegt, E. B., Andries, F., & van Agt, H. M. E. (2000). bijl RV, DeBoer JB, Foets M, Hoeymans N, Jacobs AE, Kempen GIJM, Miedema HS, Tijhuis MAR, DeHaes HCJM: Which chronic conditions are associated with better or poorer quality of life? J Clin Epidemiol,53(9), 895–907. PubMedCrossRef
Altman, D. G. (1999). Practical statistics for medical research. London: Champmand & Hall/CRC.
Lohne, V., Heer, H. C. D., Andersen, M., Miaskowski, C., Kongerud, J., & Rustøen, T. (2010). Qualitative study of pain of patients with chronic obstructive pulmonary disease. Heart and Lung,39(3), 225–234. CrossRef
- Demographic and clinical characteristics associated with quality of life in patients with chronic obstructive pulmonary disease
Signe Berit Bentsen
- Springer International Publishing