Abstract
COPD is associated with airflow limitation which is only partly reversible. Thus the main focus of treatment is on bringing down the severity of symptoms and improving the quality of life in these subset of patients. This study evaluates the quality of life and variables which affect quality of life in COPD patients.
Materials and Methods: Patients with a registered diagnosis of COPD were enrolled and their quality of life assessed using the St George Respiratory Questionaire for COPD (SGRQ-C).Demographic and clinical data recorded. Severity of COPD was assessed by spirometry (GOLD Guidelines).
Results: HRQOL was significantly reduced in patients suffering from COPD. High HRQOL scores (reduced quality of life)had a strong positive correlation with severity of COPD, prolonged duration of illness and degree of dyspnoea.
Conclusion: Quality of life in COPD patients is poor due to chronic symptoms and frequent exacerbations. COPD evaluation should include HRQOL assessment in addition to pulmonary function test so that pulmonary rehabilitation measures and psychosocial interventions can be planned at the earliest to improve the quality of life.
Keywords: Quality of life, SGRQ-C,COPD.
References
- Vos T, Flaxman AD, Naghavi M, Lozano R, Michaud C, Ezzati M, et al. Years lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990-2010: A systematic analysis for the Global Burden of Disease Study 2010.2012;380:2163–96. [PubMed]
- Jones PW, Prince M, Wijkstra PJ, Patel V, Saxena S, Maj M, et al. Quality of life in patients with chronic obstructive pulmonary disease. Eur Respir Mon. 2006; 38:375–86.
- Hawthorne G, Richardson J, Osborne R. The Assessment of Quality of Life (AQoL) instrument: A psychometric measure of health-related quality of life. Qual Life Res.1999;8:209–24. [PubMed]
- Miller MR, Hankinson J, Brusasco V, Burgos F, Casaburi R, Coates A, et al. Standardization of spirometry. Eur Respir J 2005;26:319-38.
- Schünemann HJ, Griffith L, Jaeschke R, Goldstein R, Stubbing D, Austin P, et al. A comparison of the original chronic respiratory questionnaire with a standar-dized version.2003;124:1421–9. [PubMed)
- Jones PW, Forde Y.Division of Cardiac and Vascular Science. UK: St George's, University of London; [Last accessed on 2013 Mar 10]. St George's Respiratory Questionnaire for COPD Patients (SGRQ-C) Manual 2008. Available from: http://www.healthstatus.sgul.ac.uk/SGRQ_download/SGRQ-C%20Manual%202008.p
- Lung function impairment in women exposed to biomass fuels during cooking compared to cleaner fuels in uttarpradesh, india. Vipin Bihari et al.Journal of environmental biology. 2013;34:971-974.
- Global Initiative for Chronic Obstructive Lung Disease (GOLD) Workshop summary. Am J Respir Crit Care Med. 2001;163:1256-1276.
- Global Initiative for Chronic Obstructive Lung Disease. Global Strategy for the Diagnosis, Management, and Prevention of Chronic Obstructive Pulmonary Disease [Last accessed on 2014 Jan 14]. Available from: http://www.goldcopd.com.
- Arne M, Lundin F, Boman G, Janson C, Janson S, Emtner M. Factors associated with good self-rated health and quality of life in subjects with self-reported COPD. Int J Chron Obstruct Pulmon Dis. 2011;6:511–9. [PMC free article] [PubMed]
- Tsiligianni I, Kocks J, Tzanakis N, Siafakas N, van der Molen T. Factors that influence disease-specific quality of life or health status in patients with COPD: A review and meta-analysis of Pearson correlations. Prim Care Respir J. 2011; 20:257–68. [PubMed]
- Ferrer M, Alonso J, Morera J, Marrades RM, Khalaf A, Aguar MC, et al. Chronic obstructive pulmonary disease stage and health-related quality of life: The Quality of Life of Chronic Obstructive Pulmonary Disease Study Group. Ann Intern Med. 1997;127:1072–9.[PubMed]
- Prigatano GP, Wright EC, Levin D. Quality of life and its predictors in patients with mild hypoxemia and chronic obstructive pulmonary disease. Arch Intern Med. 1984;144:1613–9.[PubMed]
- Huijsmans RJ, de Haan A, ten Hacken NN, Straver RV, van’t Hul AJ. The clinical utility of the GOLD classification of COPD disease severity in pulmonary rehabilitation. Respir Med.2008;102:162–71. [PubMed]
- Miravitlles M, Molina J, Naberan K, Cots JM, Ros F, Llor C. EVOCA study. Factors determining the quality of life of patients with COPD in primary care. Ther Adv Respir Dis.2007;1:85–92. [PubMed]
- Hajiro T, Nishimura K, Tsukino M, Ikeda A, Oga T. Stages of disease severity and factors that affect the health status of patients with chronic obstructive pulmonary disease.Respir Med. 2000; 94:841–6. [PubMed]
- Andenaes R, Kalfoss MH, Wahl A. Psychological distress and quality of life in hospitalized patients with chronic obstructive pulmonary disease.J Adv Nurs. 2004;46:523–30. [PubMed]
- Dignani L, Toccaceli A, Lucertini C, Petrucci C, Lancia L. Sleep and quality of life in people with COPD: A descriptive-correlational study. Clin Nurs Res. 2015 Epub ahead of print. [PubMed]
Corresponding Author
Dr T.Bindu MBBS MD
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