The Effect of Dsypnea On Quality of Life and Depression In Patients With Chronic Obstructive Pulmonary Disease
Abstract
Aim: The purpose of the study was to examine the effect of dsypnea on quality of life and depression in patients with chronic obstructive pulmonary disease COPD .Materials and methods: The study was conducted with patients admitted to the Mustafa Kemal University Health Practice and Research Hospital Chest Diseases Clinic, who had been referred to the physiotherapy department for respiratory rehabilitation. Data from previous patients were also included. 40 patients 22 male, 18 female with a mean age of 65.55±11.77, all of whom had been diagnosed with COPD, were included in the study. Demographic data, the Modified Medical Research Council Dyspnea Scale score which looks at the patient’s level of dyspnea , the Beck Depression Inventory score which screens for depression and the Short Form-36 which examines quality of life were each recorded. Results: 22.5% of the patients had grade I, 40% had grade II, 27.5% had grade III and 10% had grade IV dyspnea. 30% of the patients had severe, 40% moderate and 30% mild COPD. According to the Beck Depression Inventory, 10% had moderate depression, whilst 62.5% had severe depression. Significant differences were found in depression, quality of life and dyspnea severity p
Keywords
References
- Dewar M, Curry W Jr. Chronic Obstructive Pulmonary Disease: Diagnostic Considerations. Am Fam Physician 2006;73:669–76.
- Global Initiative for Chronic Obstructive Lung Disease, Executive Summary 2003. https://goldcopd.org/
- Global strategy for the diagnosis management and prevention of chronic obstructive pulmonary disease. NHLBI/WHO Global initiative for Chronic Obstructive Lung Disease (GOLD) Workshop Report Chapter 1: 2–5. Bethesda: National Heart, Lung and Blood Institute; 2003.
- Pierson DJ. Pathophysiology and Clinical Effects of Chronic Hypoxia. Respir Care 2000;45:39–51.
- Seemungal TAR, Donaldson GC, Paul EA, Bestall JC, Jeffries DJ, Wedzicha JA. Effect of exacerbation on quality of life in patients with chronic obstructive pulmonary disease. Am J Respir Crit Care Med 1998;157:1418–22. [CrossRef]
- Taytard A, Cousson F. Symptoms and life of patients with chronic bronchitis. Preliminary results. Rev Pneumol Clin 1996;52:379–85.
- Özkan S. Psikiyatrik Tıp: Konsültasyon-Liyezon Psikiyatrisi. İstanbul: Roche Yayınları; 1993. ss.83–11.
- Yohannes AM, Baldwin RC, Connolly MJ. Mood disorders in elderly patients with chronic obstructive pulmonary disease. Rev Clin Gerontol 2000;10:193–202. [CrossRef]
- Garcia-Aymerich J, Farrero E, Felez MA, Izquierdo J, Marrades RM, Antó JM. Risk factors of readmission to hospital for a COPD exacerbation: a prospective study. Thorax 2003;58:100–5. [CrossRef]
- Dahlén I, Janson C. Anxiety and depression are related to the outcome of emergency treatment in patients with obstructive pulmonary disease. Chest 2002;122:1633–7. [CrossRef]
- Ede LV, Yzermans CJ, Brouwer HJ. Prevalence of depression in patients with chronic obstructive pulmonary disease: a systematic review. Thorax 1999;54:688–92. [CrossRef]
- American Thoracic Society. Dyspnea –mechanisms, assessment, and management: a consensus statement. Am J Resp Crit Care Med 1999;159:321–40. [CrossRef]
- Özalevli S, Uçan ES. Farklı Dispne Skalalarının Kronik Obstrüktif Akciğer Hastalığında Karşılaştırılması. Toraks Derg 2004;5:90–4.
- Eakin EG, Resnikoff PM, Prewitt LM, Ries AL, Kaplan RM. Validation of a New Dyspnea Measure: The UCSD Shortness Of Breath Questionnaire. University of California, San Diego. Chest 1998;113:619–24. [CrossRef]
- Crisafulli E, Clini EM. Measures of dyspnea in pulmonary rehabilitation. Multidiscip Respir Med 2010;5:202–10. [CrossRef]
- Hersen M, Turner SM, Beidel DC. Adult Psychopathology and Diagnosis. USA: John Wiley & Sons Inc.; 2011.
- Hisli Sahin N. Beck Depresyon Envanteri’nin Üniversite Öğrencileri için Geçerliği, Güvenirliği. Psikoloji Derg 1989;7:3–13.
- Soyyiğit Ş, Erk M, Güler N, Kılınç G. Kronik obstrüktif akciğer hastalığında yaşam kalitesinin belirlenmesinde SF-36 sağlık taramasının değeri. Tüberküloz ve Toraks Derg 2006;54:259–66.
- Klaus R, Suzanne H, Antonio A, Peter B, Sonia B, Peter C, et al. Kronik Obstrüktif Akciğer Hastalığının Tanısı, Tedavisi ve Önlenmesi İçin Küresel Strateji 2006; Çev: Ali Kocabaş A.
- Abul Y, Özlü T. Türkiye’de KOAH Epidemiyolojisi. Güncel Göğüs Hastalıkları Serisi 2013;1:7–12.
- Di Marco F, Verga M, Reggente M, Casanova FM, Santus P, Blasi F, et al. Anxiety and depression in COPD patients: The roles of gender and disease severity. Respir Med 2006;100:1767–74. [CrossRef]
- Kunik ME, Veazey C, Cully JA, Souchek J, Graham DP, Hopko D, et al. COPD education and cognitive behavioral therapy group treatment for clinically significant symptoms of depression and anxiety in COPD patients: A randomized controlled trial. Psychol Med 2007;38:1–12. [CrossRef]
- Çelik P, Esen A, Akın M, İçelli İ, Yorgancıoğlu A. Kronik obstrüktif akciğer hastalığı olgularında depresyon. Solunum Hastalıkları 1998;9:25–32.
- Öztürk MO. Duygulanım Bozuklukları, Ruh Sağlığı ve Bozuklukları. Ankara: Feryal Matbaası; 2004. ss.295.
- Seamark DA, Blake SD, Seamark CJ, Halpin DMG. Living with severe chronic obstructive pulmonary disease (COPD): Perceptions of patients and their carers. J Palliat Med 2004;18:619–25. [CrossRef]
- Leupoldt A, Dahme B. Psychological aspects in the perception of dyspnea in obstructive pulmonary diseases. Respir Med 2007;101:411–22. [CrossRef]
- Alonso J, Prieto L, Ferrer M, Vilagut G, Broquetas JM, Roca J, et al. for the Quality of life in COPD Study Group. Testing the measurement properties of the Spanish version of the SF-36 Health Survey among male patients with COPD. J Clin Epidemol 551:1087–94. [CrossRef]
- Hajiro T, Nishimura K, Tsuniko M, Ikeda A, Koyama H, Izumi T. Comparison of discriminative properties among disease spesific questionnaires for measuring health-related quality of life in patients with chronic obstructive pulmonary disease. Am J Respir Crit Care 1998;157:785–90. [CrossRef]
- Hogg JC. Pathophysiology of airflow limitation in chronic obstructive pulmonary disease. Lancet 2004;364:709–21. [CrossRef]
- Özgür ES, Atış S, Kanık A. KOAH’da dinamik hiperinflasyonun egzersiz dispnesi, egzersiz kapasitesi ve yaşam kalitesine etkisi. Tüberküloz ve Toraks Derg 2008;56:296–303.
- Kent BD, Mitchell PD, McNicholas WT. Hypoxemia in patients with COPD: cause, effects, and disease progression. Int J Chron Obstruct Pulmon Dis 2011;6:199–208. [CrossRef]
- Takabatake N, Nakamura H, Abe S, Inoue S, Hino T, Saito H, et al. The relationship between chronic hypoksemia and activation of the tumor necrosis factor-alpha system in patients with COPD. Am J Respir Crit Care Med 2000;161:1179–84. [CrossRef]
- Savcı S. Fizyoterapi ve Rehabilitasyon Uygulamaları. İçinde: Çöplü L, editör. KOAH Tedavisi Kitabı; 2007. ss.75–94.
Year 2019,
Issue: 1, 84 - 88, 01.03.2019
Abstract
Amaç: Bu çalışmanın amacı, kronik obstruktif akciğer KOAH hastalarında dispnenin yaşam kalitesi ve depresyon üzerine etkisini incelemektir. Materyal Metod: Araştırma, Mustafa Kemal Üniversitesi Uygulama ve Araştırma Hastanesi Göğüs Hastalıkları Polikliniği’ne başvuran ve solunum rehabilitasyonu için fizyoterapiye yönlendirilen ve solunumla ilgili değerlendirme kayıtları arşivimizde olan hastalar dahil edilerek yapılmıştır. KOAH tanısı konulan, yaş ortalaması 65.55±11.77 olan 40 hasta 22 erkek, 18 kadın çalışmaya dahil edilmiştir. Araştırmada demografik bilgiler kaydedilip, dispne şiddetini ölçen Modified Medical Research Council Dyspnea Scale, depresyon düzeyini değerlendiren Beck Depresyon Ölçeği, yaşam kalitesi düzeyini belirten Kısa Form-36 sonuçları analiz edilmiştir. Bulgular: Hastaların %22.5’inin grade I, %40’ ının grade II, %27.5’inin grade III, %10’unun grade IV düzeyinde dispne yaşadığı görülmüştür. KOAH düzeyleri açısından değerlendirildiğinde ise %30’unun ağır, %40’ının orta, %30’unun hafif olduğu bulunmuştur. Hastaların depresyon düzeyleri değerlendirildiğinde Beck Depresyon Ölçeği’ne göre %10’unun orta, %62,5’inin ağır düzeyde depresif olduğu görülmüştür. Hastaların dispne durumu ile yaşam kalitesi ve depresyon düzeyi arasında anlamlı fark olduğu belirlenmiştir p
Keywords
References
- Dewar M, Curry W Jr. Chronic Obstructive Pulmonary Disease: Diagnostic Considerations. Am Fam Physician 2006;73:669–76.
- Global Initiative for Chronic Obstructive Lung Disease, Executive Summary 2003. https://goldcopd.org/
- Global strategy for the diagnosis management and prevention of chronic obstructive pulmonary disease. NHLBI/WHO Global initiative for Chronic Obstructive Lung Disease (GOLD) Workshop Report Chapter 1: 2–5. Bethesda: National Heart, Lung and Blood Institute; 2003.
- Pierson DJ. Pathophysiology and Clinical Effects of Chronic Hypoxia. Respir Care 2000;45:39–51.
- Seemungal TAR, Donaldson GC, Paul EA, Bestall JC, Jeffries DJ, Wedzicha JA. Effect of exacerbation on quality of life in patients with chronic obstructive pulmonary disease. Am J Respir Crit Care Med 1998;157:1418–22. [CrossRef]
- Taytard A, Cousson F. Symptoms and life of patients with chronic bronchitis. Preliminary results. Rev Pneumol Clin 1996;52:379–85.
- Özkan S. Psikiyatrik Tıp: Konsültasyon-Liyezon Psikiyatrisi. İstanbul: Roche Yayınları; 1993. ss.83–11.
- Yohannes AM, Baldwin RC, Connolly MJ. Mood disorders in elderly patients with chronic obstructive pulmonary disease. Rev Clin Gerontol 2000;10:193–202. [CrossRef]
- Garcia-Aymerich J, Farrero E, Felez MA, Izquierdo J, Marrades RM, Antó JM. Risk factors of readmission to hospital for a COPD exacerbation: a prospective study. Thorax 2003;58:100–5. [CrossRef]
- Dahlén I, Janson C. Anxiety and depression are related to the outcome of emergency treatment in patients with obstructive pulmonary disease. Chest 2002;122:1633–7. [CrossRef]
- Ede LV, Yzermans CJ, Brouwer HJ. Prevalence of depression in patients with chronic obstructive pulmonary disease: a systematic review. Thorax 1999;54:688–92. [CrossRef]
- American Thoracic Society. Dyspnea –mechanisms, assessment, and management: a consensus statement. Am J Resp Crit Care Med 1999;159:321–40. [CrossRef]
- Özalevli S, Uçan ES. Farklı Dispne Skalalarının Kronik Obstrüktif Akciğer Hastalığında Karşılaştırılması. Toraks Derg 2004;5:90–4.
- Eakin EG, Resnikoff PM, Prewitt LM, Ries AL, Kaplan RM. Validation of a New Dyspnea Measure: The UCSD Shortness Of Breath Questionnaire. University of California, San Diego. Chest 1998;113:619–24. [CrossRef]
- Crisafulli E, Clini EM. Measures of dyspnea in pulmonary rehabilitation. Multidiscip Respir Med 2010;5:202–10. [CrossRef]
- Hersen M, Turner SM, Beidel DC. Adult Psychopathology and Diagnosis. USA: John Wiley & Sons Inc.; 2011.
- Hisli Sahin N. Beck Depresyon Envanteri’nin Üniversite Öğrencileri için Geçerliği, Güvenirliği. Psikoloji Derg 1989;7:3–13.
- Soyyiğit Ş, Erk M, Güler N, Kılınç G. Kronik obstrüktif akciğer hastalığında yaşam kalitesinin belirlenmesinde SF-36 sağlık taramasının değeri. Tüberküloz ve Toraks Derg 2006;54:259–66.
- Klaus R, Suzanne H, Antonio A, Peter B, Sonia B, Peter C, et al. Kronik Obstrüktif Akciğer Hastalığının Tanısı, Tedavisi ve Önlenmesi İçin Küresel Strateji 2006; Çev: Ali Kocabaş A.
- Abul Y, Özlü T. Türkiye’de KOAH Epidemiyolojisi. Güncel Göğüs Hastalıkları Serisi 2013;1:7–12.
- Di Marco F, Verga M, Reggente M, Casanova FM, Santus P, Blasi F, et al. Anxiety and depression in COPD patients: The roles of gender and disease severity. Respir Med 2006;100:1767–74. [CrossRef]
- Kunik ME, Veazey C, Cully JA, Souchek J, Graham DP, Hopko D, et al. COPD education and cognitive behavioral therapy group treatment for clinically significant symptoms of depression and anxiety in COPD patients: A randomized controlled trial. Psychol Med 2007;38:1–12. [CrossRef]
- Çelik P, Esen A, Akın M, İçelli İ, Yorgancıoğlu A. Kronik obstrüktif akciğer hastalığı olgularında depresyon. Solunum Hastalıkları 1998;9:25–32.
- Öztürk MO. Duygulanım Bozuklukları, Ruh Sağlığı ve Bozuklukları. Ankara: Feryal Matbaası; 2004. ss.295.
- Seamark DA, Blake SD, Seamark CJ, Halpin DMG. Living with severe chronic obstructive pulmonary disease (COPD): Perceptions of patients and their carers. J Palliat Med 2004;18:619–25. [CrossRef]
- Leupoldt A, Dahme B. Psychological aspects in the perception of dyspnea in obstructive pulmonary diseases. Respir Med 2007;101:411–22. [CrossRef]
- Alonso J, Prieto L, Ferrer M, Vilagut G, Broquetas JM, Roca J, et al. for the Quality of life in COPD Study Group. Testing the measurement properties of the Spanish version of the SF-36 Health Survey among male patients with COPD. J Clin Epidemol 551:1087–94. [CrossRef]
- Hajiro T, Nishimura K, Tsuniko M, Ikeda A, Koyama H, Izumi T. Comparison of discriminative properties among disease spesific questionnaires for measuring health-related quality of life in patients with chronic obstructive pulmonary disease. Am J Respir Crit Care 1998;157:785–90. [CrossRef]
- Hogg JC. Pathophysiology of airflow limitation in chronic obstructive pulmonary disease. Lancet 2004;364:709–21. [CrossRef]
- Özgür ES, Atış S, Kanık A. KOAH’da dinamik hiperinflasyonun egzersiz dispnesi, egzersiz kapasitesi ve yaşam kalitesine etkisi. Tüberküloz ve Toraks Derg 2008;56:296–303.
- Kent BD, Mitchell PD, McNicholas WT. Hypoxemia in patients with COPD: cause, effects, and disease progression. Int J Chron Obstruct Pulmon Dis 2011;6:199–208. [CrossRef]
- Takabatake N, Nakamura H, Abe S, Inoue S, Hino T, Saito H, et al. The relationship between chronic hypoksemia and activation of the tumor necrosis factor-alpha system in patients with COPD. Am J Respir Crit Care Med 2000;161:1179–84. [CrossRef]
- Savcı S. Fizyoterapi ve Rehabilitasyon Uygulamaları. İçinde: Çöplü L, editör. KOAH Tedavisi Kitabı; 2007. ss.75–94.
There are 33 citations in total.
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Research Article |
| Authors | |
| Publication Date | March 1, 2019 |
| Published in Issue | Year 2019Issue: 1 |