Activity Level and Quality of Life of Patients with Chronic Obstructive Pulmonary Disease

Öz

Backround: It is known that effective symptom management of chronic obstructive pulmonary patients can be achieved with an active patient participating in their own care.

Objective: To determine the activity level, the factors affecting the activity and the relationship between the activity level and quality of life in patients with chronic obstructive pulmonary disease (COPD).

Methods: This descriptive, cross-sectional and relational study was conducted in 120 patients with COPD between November 2019 and March 2020 in a chest diseases clinic of a university hospital. Data were collected using the Patient Identification Form, COPD Assessment Test, Patient Activation Measure (PAM), St. George’s Respiratory Questionnaire for quality of life. Descriptive statistics, Pearson correlation and regression analysis were used to evaluate the data.

Results: Individuals had PAM score a mean of 67.05 ± 14.69, CAT score mean of 22.33 ± 7.48, SGRQ symptom score mean of 55.80 ± 20.23, SGRQ activity score mean of 74.78 ± 21.59, SGRQ effect score mean of 49.78 ± 21.30, and SGRQ total score mean of 58.35 ± 20.00. It was found statistically significant and negative correlation between PAM and CAT (r = -.415; p = .01), statistically significant and negative correlation between PAM and SGRQ total score (r = -.529; p = .01), between CAT and SGRQ total score a statistically significant and positive correlation (r = 0.846; p = .01). PAM level decreases as CAT and age increase (R2 = .247). PAM level decreases as SGRQ total score and age increase (R2 = .329).

Conclusion: The activity level was found to be high in patients with COPD. As the patient’s activity level increases, the quality of life increases. Age, education level, income status, employment status, duration of illness, COPD stage, annual number of hospitalizations, annual attacks, COPD status and quality of life are factors affecting patient activity. As the patient’s activity level increases, the quality of life increases.

Anahtar Kelimeler

• Chronic Obstructive Pulmonary Disease
• Patient Activation
• Quality of Life

Kronik Obstrüktif Akciğer Hastalığı Olan Hastaların Aktiflik Düzeyi ve Yaşam Kalitesi

Öz

Giriş: Kronik obstrüktif akciğer hastalarının etkili semptom yönetiminin, kendi bakımına katılan, aktif bir hasta ile sağlanabileceği bilinmektedir.

Amaç: Kronik obstrüktif akciğer hastalığı (KOAH) olan hastalarda aktiflik düzeyini, aktifliği etkileyen faktörleri ve aktiflik düzeyi ile yaşam kalitesi arasındaki ilişkiyi belirlemektir.

Yöntem: Tanımlayıcı, kesitsel ve ilişkisel tipte olan bu araştırma Kasım 2019- Mart 2020 tarihleri arasında bir üniversite hastanesinin göğüs hastalıkları polikliniğinde 120 KOAH’lı hasta gerçekleştirilmiştir. Veriler Hasta Tanıtım Formu, KOAH Değerlendirme Testi (CAT), Hasta Aktiflik Düzeyi Ölçeği (HADÖ) ve yaşam kalitesi için St. George Solunum Anketi (SGRQ) kullanılarak toplanmıştır. Verilerin değerlendirilmesinde tanımlayıcı istatistikler, Pearson korelasyon ve regresyon analizi kullanılmıştır.

Bulgular: Bireylerin, HADÖ puan ortalaması 67.05 ± 14.69, CAT puan ortalaması 22.33 ± 7.48, SGRQ semptom puan ortalaması 55.80 ± 20.23, SGRQ aktivite puan ortalaması 74.78 ± 21.59, SGRQ etki puan ortalaması 49.78 ± 21.30, SGRQ toplam puan ortalaması 58.35 ± 20.0 olarak bulunmuştur. HADÖ ile CAT arasında istatistiksel olarak anlamlı ve negatif yönlü (r = -.415; p = .01), HADÖ ile SGRQ toplam puan arasında istatistiksel olarak anlamlı ve negatif yönlü (r = -.529; p = .01), CAT ile SGRQ toplam puan arasında istatistiksel olarak anlamlı ve pozitif yönlü (r = .846; p = .01) ilişki vardır. CAT ve yaş arttıkça HADÖ düzeyi düşmektedir (R2 = .247). SGRQ toplam puan ve yaş arttıkça HADÖ düzeyi düşmektedir (R2 = .329).

Sonuç: KOAH’lı hastalarda aktiflik düzeyi yüksek bulunmuştur. Hasta aktifliğini etkileyen faktörler yaş, eğitim düzeyi, gelir durumu, çalışma durumu, hastalık süresi, KOAH evresi, yıllık hastane yatış sayısı, yıllık atak, KOAH durumu ve yaşam kalitesidir. Hasta aktiflik düzeyi arttıkça yaşam kalitesi artmaktadır.

Anahtar Kelimeler

• Kronik Obstrüktif Akciğer Hastalığı
• Hasta Aktifliği
• Yaşam Kalitesi
• Quality of Life

Kaynakça

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