DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20181719

Health related quality of life in COPD patients: a cross-sectional study

Nilam C. Gaude, Archana M. Desai

Abstract


Background: Chronic obstructive pulmonary disease (COPD) is a progressive lung disease that causes breathlessness (initially with exertion) and predisposes to exacerbations and serious illness. COPD is not curable, improvement of quality of life of such patients is thus of importance. The aims and objective of the study was to assess health related quality of life and its determinants in patients with COPD.

Methods: Cases were first identified from the medical records of Department of RHTC, Mandur. Eligible cases were then interviewed by home visits. Health Related Quality of Life (HRQL) of participants was assessed using St. George’s Respiratory Questionnaire (SGRQ). ANOVA, student’s t test and correlation were used to interpret the data.

Results: This study shows an impaired quality of life in COPD patients. Quality of life was impaired in all the domains. However, activity domain was the most affected while impact domain was least affected. Age, sex, smoking, BMI, socioeconomic status, occupation did not impact quality of life in significant manner.

Conclusions: This study shows an impaired quality of life in COPD patients. As COPD is slowly progressing disease with no specific cure, we should focus more on treatable aspects of quality of life.


Keywords


Chronic obstructive pulmonary disease, Health related quality of life, St. George’s respiratory questionnaire, Breathlessness

Full Text:

PDF

References


World Health Organization. Chronic obstructive pulmonary disease. Burden of COPD. Available at: http://www.who.int/respiratory/copd/burden/en/. Accessed on 13 January 2017.

Jones PW, Forde Y. Division of Cardiac and Vascular Science. UK: St George's, University of London; St George's Respiratory Questionnaire for COPD Patients (SGRQ-C) Manual 2009. Available at: http://www.healthstatus.sgul.ac.uk/SGRQ_ download/SGRQ C%20Manual%202009.pdf. Accessed on 01 December 2016.

Ahmed M, Neyaz A, Aslami A. health-related quality of life of chronic obstructive pulmonary disease patients: Results from a community based cross-sectional study in Aligarh, Uttar Pradesh, India. Lung India. 2016;33:148-53.

Negi H, Sarkar M, Raval A, Pandey K, Das P. Health-related quality of life in patients with chronic obstructive pulmonary disease in North India. J Postgrad Med . 2014;60(1):7.

Obaseki DO, Erhabor GE, Awopeju OF, Obaseki JE, Adewole OO. Determinants of health related quality of life in a sample of patients with chronic obstructive pulmonary disease in Nigeria using the St. George’s respiratory questionnaire. Afr Health Sci. 2013;13(3):694–702.

Halvani A, Pourfarokh N, Nasiriani K. Quality of life and related factors in patients with chronic obstructive pulmonary disease. Tanaffos. 2006;5(3):51–6.

Shavro SA, Ezhilarasu P, Augustine J, Bechtel JJ, Christopher DJ. Correlation of health-related quality of life with other disease severity indices in Indian chronic obstructive pulmonary disease patients. Int J Chron Obstruct Pulmon Dis. 2012;7:291–6.

Gobartt E, Lucas P De, Group S. Health-related quality of life in outpatients with COPD in daily practice: the VICE Spanish study. Int J Chron Obstruct Pulmon Dis. 2008;3(4):683–92.

Wijnhoven H a, Kriegsman DM, Hesselink AE, Penninx BW, de Haan M. Determinants of different dimensions of disease severity in asthma and COPD : pulmonary function and health-related quality of life. Chest. 2001;119(4):1034–42.

Zamzam MA, Azab NY, El Wahsh RA, Ragab AZ, Allam EM. Quality of life in COPD patients. Egypt J Chest Dis Tuberc. 2012;61(4):281–9.

de Miguel Díez J, Izquierdo Alonso JL, Rodríguez González-Moro JM, de Lucas Ramos P, Bellón Cano JM, Molina París J. Quality of Life With Chronic Obstructive Pulmonary Disease: the Influence of Level of Patient Care. Arch Bronconeumol. 2004;40(10):431–7

Moy ML, Reilly JJ, Ries AL, Mosenifar Z, Kaplan RM, Lew R, et al. Multivariate models of determinants of health-related quality of life in severe chronic obstructive pulmonary disease. J Rehabil Res Dev. 2009;46(5):643–54.