An Investigation of Anemia, Fatigue and Loneliness in Patients with Chronic Obstructive Pulmonary Disease and the Relationship between Them

Yıl 2019, Cilt: 8 Sayı: 1, 90 - 97, 28.03.2019

Tülay Sağkal Midilli Asli Kalkım Halide Yılmaz Erol Ozan

Öz

The objective of this study
was to investigate anemia, fatigue and loneliness in Chronic Obstructive Pulmonary Disease (COPD) patients, and to
establish the relation between them.

This
study was conducted this descriptive and cross-sectional type. The sample of
the study consisted of 250 patients who were receiving treatment in the
thoracic service. A Patient Description Form, the COPD and Asthma Fatigue Scale
(CAFS), and the UCLA Loneliness Scale were used in the collection of data.

The mean age of the
patients was found to be 68.21±12.34 (min: 24, max: 93) years; 64% were aged 65
or over, 66% were male. The patients’ mean hemoglobin value was found to be
12.47±1.93 (g/dl) (min: 5.40, max: 16.70), and 45.9% of the female patients,
52.1% of the males and 50% overall were anemic. The patients’ mean loneliness
score was 36.58±11.00, and their mean fatigue score was 81.51±16.30. It was
established that 60% were lonely at a low level. Eight out of ten patients in
the study were found to be fatigued. No correlation was found between patients’
mean loneliness scores and mean fatigue scores (r=0.003, p=0.962); a
significant correlation was found between their hemoglobin values and their
mean fatigue scores (r=0.21, p=0.001), but no significant correlation was found
between their hemoglobin values and their mean loneliness scores (r=0.011,
p=0.867).

It was concluded
that half of the COPD patients in the study were anemic, a large proportion had
fatigue, and that the loneliness rate was low. It was found that patients with
anemia had more fatigue.

Anahtar Kelimeler

Chronic Obstructive Pulmonary Disease, Anemic, Fatigue, Loneliness

Kronik Obstruktif Akciğer Hastalığı olan Hastaların Anemi, Yorgunluk ve Yalnızlık Durumları ve Aralarındaki İlişkilerin İncelenmesi

Öz

Bu çalışmanın amacı
Kronik Obstruktif Akciğer Hastalığı (KOAH) olan hastalarda anemi, yorgunluk ve
yalnızlık durumlarını incelemek ve aralarındaki ilişkiyi saptamaktır.

Bu çalışmatanımlayıcı ve kesitsel
tipte yapılmıştır. Araştırmanın örneklemini tedavi gören 250 KOAH hastası
oluşturmuştur. Veriler Hasta Tanıtım Formu, KOAH ve Astım Yorgunluk Ölçeği (KAYÖ) ve UCLA Yalnızlık Ölçeği kullanılarak
toplanmıştır.

Hastaların yaş ortalaması 68.21±12.34
(min:24, max: 93), %64’ü 65 yaş ve üzeri, %66’sı erkek olduğu saptanmıştır.
Hastaların hemoglobin değeri ortalaması 12,47±1.93 (g/dl) (min:5,40, max:16,70)
olarak bulunmuş olup, %50’sinde anemi olduğu, kadınlarda bu oranın %45,9,
erkeklerde %52,1 olarak bulunmuştur. Hastaların yalnızlık puan ortalaması
36,58±11,00, ve yorgunluk puan ortalaması 81,51±16,30’dur. Hastaların %60’nın
düşük düzeyde yalnız olduğu saptanmıştır. Araştırmada 10 hastanın 8’i yorgun
bulunmuştur. Hastaların yalnızlık puan ortalaması ile yorgunluk puan ortalaması
arasında ilişki yok (p=0,962), hemoglobin değeri ile yorgunluk puan ortalaması
arasında anlamlı bir ilişki olduğu (p=0,001) ve hemoglobin değeri ile yalnızlık
puan ortalaması arasında anlamlı bir ilişki olmadığı (p=0,867) ortaya
çıkmıştır. 

Sonuç olarak araştırmada KOAH
hastalarının yarısının anemi olduğu, çoğunluğunun yorgun olduğu, ve yalnızlık
oranının düşük olduğu belirlenmiştir. Anemisi olan  hastaların yorgunluğunun daha fazla olduğu
bulunmuştur. 

Anahtar Kelimeler

Kronik Obstruktif Akciğer Hastalığı, Anemi, Yorgunluk, Yalnızlık

Kaynakça

• World Health Organization. Chronic respiratory diseases. Available from: http://www.who.int/respiratory/copd/en/ (Erişim tarihi: 02.03.2018)
• Guo J, Zheng C, Xiao Q, Gong S, Zhao Q, Wang L, et al. Impact of anaemia on lung function and exercise capacity in patients with stable severe chronic obstructive pulmonary disease. BMJ Open 2015;5:e008295. doi:10.1136/bmjopen-2015-008295
• Türk Toraks Derneği'nin GOLD 2017 KOAH Raporuna Bakışı, Available from: http://toraks.org.tr/uploadFiles/book/file/1042017161917-tumu.pdf (Erişim tarihi: 19.04.2018)
• Global Strategy for the Diagnosis, Management and Prevention of COPD, Global Initiative for Chronic Obstructive Lung Disease (GOLD) 2017. Available from: http://goldcopd.org (Erişim tarihi: 08.03.2018)
• Türkiye Halk Sağlığı Kurumu 2015 Faaliyet Raporu. Available from: http://www.saglikaktuel.com/d/file/thsk_2015_faaliyet_raporu.pdf
• Pavliša G, Labor M, Puretić H, Hećimović A, Jakopović M, Samaržija M. (2017). “Anemia, hypoalbuminemia, and elevated troponin levels as risk factors for respiratory failure in patients with severe exacerbations of chronic obstructive pulmonary disease requiring invasive mechanical ventilation.” Croat Med J., 58:395-405.
• Silverberg DS, Mor R, Weu MT, Schwartz IF, Chernin G. (2014). “Anemia and iron deficiency in COPD patients: prevalence and the effects of correction of the anemia with erythropoiesis stimulating agents and intravenous iron.” BMC Pulm Med., 14: 1-8.
• de Benoist B, Erin McLean, Egli I, Cogswell M (Eds). Worldwide prevalence of anaemia 1993 2005 WHO Global Database on Anaemia. Geneva: WHO, 2008. Available from: http://www.who.int/vmnis/publications/anaemia_prevalence/en/index.html
• Gadre SK, Jhand AS, Abuqayyas S, Wang X, Guzman J, Duggal A. (2017). “Effect of anemia on mortality in mechanically ventilated patients with chronic obstructive pulmonary disease.” J Intensive Care Med., Jan 1:885066617739561. doi: 10.1177/0885066617739561.
• Çınar S, Olgun N. (2010). “Determining of fatigue and sleep disturbance in patients with Chronic Obstructive Pulmonary Disease.” J Nurs Sci., 2: 24-31.
• Kara M, Mirici A. (2004). “Loneliness, depression, and social support of Turkish patients with chronic obstructive pulmonary disease and their spouse.” J Nurs Scholarsh., 36: 331-6.
• Kiliçkaya C, Asi Karakaş S. (2016). “The effect of illness perception on loneliness and coping with stress in patients with Chronic Obstructive Pulmonary Disease (COPD).” Int J of Caring Sci., 9: 481-8.
• Fidan A, Tokmak M, Kıral N, Şener Cömert S, Saraç G, Salepçi B, et al. (2012). “Bir sistemik hastalık olarak KOAH ile anemi birlikteliği.” Solunum Dergisi, 14:18-26.14. Karakurt P, Ünsal A. (2013). “Fatigue, anxiety and depression levels, activities of daily living of patients with chronic obstructive pulmonary disease.” Int J Nurs Pract., 19: 221–31.
• Yel F., Ergüney S. (2012). Kronik Obstrüktif Akciğer Hastalığı ve Astım Yorgunluk Ölçeğinin Kronik Obstrüktif Akciğer Hastalığında Geçerlik ve Güvenirlik Çalışması. Atatürk Üniversitesi Sağlık Bilimleri Ensitütüsü İç Hastalıkları Hemşireliği Anabilimdalı (Yükseklisans Tezi), Erzurum.
• Demir A. (1989). “Validity and reliability of UCLA loneliness scale.” Turkish Journal of Psychology 1989; 23:14–18.
• Similowski T, Agustí A, Mac Nee W, Schönhofer B. (2006). “The potential impact of anaemia of chronic disease in COPD.” Eur Respir J., 27: 390-6.
• Comeche Casanova L, Echave-Sustaeta JM, García Luján R, Albarrán Lozano I, Alonso González P, Llorente Alonso MJ. (2013). “Prevalence of anaemia associated with chronic obstructive pulmonary disease.” Study of associated variables. Arch Bronconeumol, 49: 383–7.
• Arslan S, Oztunc G. (2016). “The effects of a walking exercise program on fatigue in the person with COPD.” Rehabilitation Nursing 41: 303-12.
• Şahin ZA, Dayapoğlu N. (2015). “Effect of progressive relaxation exercises on fatigue and sleep quality in patients with chronic obstructive lung disease (COPD).” Complement Ther Clin Pract., 21: 277-81.
• Mollaoglu M, Fertelli TK, Tuncay FO. (2011). “Fatigue and disability in elderly patients with chronic obstructive pulmonary disease (COPD).” Arch Gerontol and Geriatr., 53: 93-8.
• Inal-Ince D, Savci S, Saglam M, Calik E, Arikan H, Bosnak-Guclu M, et al. (2010). “Fatigue and multidimensional disease severity in chronic obstructive pulmonary disease.” Multidisciplinary Respiratory Medicine., 5: 162-7.
• Arikan H, Savci S, Calik-Kutucu E, Vardar-Yagli N, Saglam M, Inal-Ince D, et al. (2015). “The relationship between cough-specific quality of life and abdominal muscle endurance, fatigue, and depression in patients with COPD.” Int J Chron Obtruct Pulmon Dis., 10: 1829–35.
• Antoniu SA, Petrescu E, Stanescu R, Anisie E and Boiculese L. (2016). “Impact of fatigue in patients with chronic obstructive pulmonary disease: results from an exploratory study.” Ther Adv Respir Dis., 10: 26–33.
• Peters JB, Heijdra YF, Daudey L, Boer LM, Molema J. Dekhuijzen PNR, et al. (2011). “Course of normal and abnormal fatigue in patients with Chronic Obstructive Pulmonary Disease, and its relationship with domains of health status.” Patient Educ and Couns., 85: 281-5.
• Zakerimoghadam M, Tavasoli K, Nejad AK, Khoshkesht S. (2011). “The effect of breathing exercises on the fatigue levels of patients with chronic obstructive pulmonary disease.” Acta Med Indones-Indones J Intern Med, 43: 29-33.
• Wong CJ, Goodridge D, Marciniuk DD, Rennie D. (2010). “Fatigue in patients with COPD participating in a pulmonary rehabilitation program.” Int J Chron Obtruct Pulmon Dis, 5: 319–26.
• Eckerblad J, T€odt K, Jakobsson P, Unosson M, Skargren E, Kentsson M, et al. (2014). “Symptom burden in stable COPD patients with moderateor severe air flow limitation.” Heart Lung, 43: 351–7.
• Pantilat S, O’Riordan D, DibbleS, Landefeld CS. (2012). “Longitudinal assessment of symptom severity among hospitalized elders diagnosed with cancer, heart failure, and chronic obstructive pulmonary disease.” J Hosp Med., 7: 567–72.
• Aras A, Tel H. (2009). “Kronik obstrüktif akciğer hastalığı olan hastalarda algılanan sosyal destek ve ilişkili faktörlerin belirlenmesi.” Turk Toraks Der., 10: 63-8.
• Pirotte M, Guiot J, Beguin Y, Louis R. (2016). Anemia in patients with severe chronic obstructive pulmonary disease, a comorbity more common than previously thought. Rev Med Liege, 71: 488-94.
• Ekin S, Sertoğullarından B, Günbatar H, Yıldız H, Arısoy A, Özbay B. (2015). “Sigara ve biomas dumanına bağlı gelişen KOAH olgularında anemi sıklığı.” Tıp Araştırmaları Dergisi, 13: 123-7.
• Alvarez-Gutierrez FJ, Miravitlles M, Calle M, Gobartt E, Lo´ pez F, Martin A, Grupo de Estudio EIME. (2007). “Impact of chronic obstructive pulmonary disease on activities of daily living: result of the multicenter EIME multicenter study.” Arch. Bronchoneumol, 43: 64–72.
• Bilgili N. (2012). “Yaşlılarda yalnızlık, uyku kalitesi ve etkileyen faktörlerin değerlendirilmesi.” Tur Geriatri Derg 15: 82-90.
• Christensen VL, Holm AM, Kongerud J, Bentsen SB, Paul SM, Miaskowski C, et al. (2016). “Occurrence, characteristics, and predictors of pain in patients with chronic obstructive pulmonary disease.” Pain Manag Nurs 17:107-18.