KRONİK OBSTRÜKTİF AKCİĞER HASTALARINDA (KOAH) ANKSİYETE VE DEPRESYONUN BİLİŞSEL DURUMA ETKİSİ

Abstract

Giriş: Bu çalışma Kronik Obstrüktif Akciğer Hastalığı (KOAH) hastalarında anksiyete ve depresyonun bilişsel duruma etkisini belirlemek amacıyla tanımlayıcı olarak yapılmıştır.

Gereç ve Yöntem: Çalışmanın örneklemini Göğüs Hastalıkları hastanesinde tedavi gören 80 hasta oluşturmuştur. Verilerin toplanmasında Hastane Anksiyete ve Depresyon ölçeği (HADÖ) ve Standardize Mini Mental değerlendirme testi (SMMT-E) kullanılmıştır.

Bulgular: Çalışmaya katılan hastaların yaş ortalaması 67.73 (10.33) yıldır. HADÖ anksiyete puanı ortalaması 10.44 (2.38), HADÖ depresyon puanı ortalaması 9.98 (2.23) ve SMMT-E puanı 14.68 (2.66)’dır. HADÖ anksiyete skoru ile SMMT-E arasında negatif yönde ilişki saptanmıştır (r=-0.29, p= 0.01). Çoklu regresyon analizinde sigara kullanma durumu ve HADÖ-anksiyetenin SMMT-E’yi ne ölçüde belirlediği değerlendirilmiş ve R ve R2 faktörleri sırasıyla 0.445 ve 0,19 olarak bulunmuştur Ayrıca SMMT-E’deki toplam varyansın %19’unun bu değişkenlerce açıklandığı görülmüştür (y=19.876-0.320*X1-1.187*X2).

Sonuç: KOAH hastalarında anksiyete düzeyinin SMMT-E’yi etkilediği ve bu nedenle KOAH hastalarında anksiyetenin azaltılmasına yönelik önlemlerin alınması önerilmiştir.

Keywords

• KOAH,depresyon,bilişsel durum,anksiyete

The Effect of Anxiety-Depression on the Cognitive Status in Patients with Chronic Obstructive Diseases

Abstract

Introduction: This descriptive study was to performed on the effect of anxiety-depression on the cognitive status in patients with chronic obstructive diseases (COPD).

Material and Methods: The study was conducted with 80 COPD patients treated at Lung diseases hospital inpatient departments. Subjects were surveyed using Hospital Anxiety and depression scale (HADS) and Standardize Mini Mental State Examination (SMMT-E).

Results: The mean age patients was 67.73 (10.33) years. HADS anxiety was 10.44 (2.38), HADS depression was 9.98 (2.23), SMMT-E was 14.68. According to the results of multipl regression analysis, variables such as smoking status and HADS-anxiety predict the SMMT-E, the R and R2 factors were 0.445 and 0.19, respectively. Also it was observed that 19% of the total variance of the SMMT-E was explained by the above variables (y=19.876-0.320*X1-1.187*X2).

Conclusion: It was determined that anxiety effects to SMMT-E and therefore it could be advised to taking measures to reduce anxiety COPD patients.

Keywords

• Anxiety,cognitive status,depression,COPD

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