ASTIMLI HASTALARDA YAŞAM KALİTESİNİN DEĞERLENDİRİLMESİ

Yıl 2006, Cilt: 20 Sayı: 1, 1 - 10, 01.05.2006

Tansu Yakar Ateş Baran Murat Yalçınsoy Onur Çelik Sinem Güngör Günay Can Esen Akkaya

Öz

Astım, hayatı fiziksel, emosyonel ve sosyal açılardan etkileyen kronik bir hastalıktır. Son yıllarda hastalığın bu yönünü de değerlendirmek amacı ile yaşam kalitesi ölçüm formları geliştirilmiştir. Çalışmamızda astımlı hastalarda yaşam kalitesi değerlendirildi. Merkezimiz astım ve allerji polikliniğinde en az bir yıldır takip edilmekte olan ve Toraks Derneği uzlaşı raporları doğrultusunda daha önce astım tanısı almış 120 hasta çalışmaya alındı. Hastaların K/E oranı 98/22 olup, yaş ortalaması 38.19±10.99 idi. Hastalara AQ 20 ve Q Score yaşam kalitesi anket formları dolduruldu. Formlarda; soru adedi, puan değişimi ve ölçtükleri zaman süresi, sırasıyla; 20 soru/4 soru; 0-20 puan/0-8 puan; 30 gün- 7 gün idi. AQ 20 ortalaması 8.49±4.26, Q Score ortalaması 3.14±2.02 olarak bulundu. Hastalar yaşam kalitelerine göre düşük, orta, yüksek olarak sınıflandırıldığında bu değerler AQ 20 de sırası ile %20, %32.5, %47.5; Q Score da %25, %48.33, %26.66 olarak bulundu. Gece ve gündüz semptom skorları, FEV1 % değer değişimi, PEF değer değişimi ile yaşam kalitesi skorları arasında anlamlı bir ilişki bulundu (p 0.05). Sonuç olarak; astımlı hastalarda tedaviden amaç sadece akciğer fonksiyonlarının düzelmesi olmayıp, hastalığın fiziksel, emosyonel ve psikolojik boyutunu da gösteren yaşam kalitesi ölçüm sonuçlarının düzelmesi de dikkate alınmalıdır.

Anahtar Kelimeler

Astım, yaşam kalitesi

ASSESSMENT OF QUALITY OF LIFE IN PATIENTS WITH ASTHMA

Öz

Asthma is chronic disease that affects life physically, socially and emotionally. Recently, to evaluate this aspect of the disease, life quality assessment forms are developed. In the present study, life quality of asthmatic patients are evaluated. 120 asthmatic patients that we followed in asthma and allergy clinic in our center was included in the study. The diagnosis of asthma was based on Turkish Thoracic Society recommendations. F/M was 98/22, mean age was 38.19±10.99; AQ 20 and Q score life quality questionnaire forms were filled. The forms consists of 20 questions/4 questions; 0- 20 points and 0-8 points range; 30 days-7 days respectively. AQ mean score was 8.49± 4.26, Q mean score was 3.14±2.02. Patients were categorized into three groups according to quality of life as low, intermediate and high in AQ 20 as 20%, 32.5%, 47.5% and in Q as 25%, 48.33%, 26.66% respectively. There was a significant relation between life quality scores and night and daytime symptoms, % FEV 1 and PEF values (p0.05). In conclusion, treatment aim of asthmatic patients must be not only improving of respiratory functions but also improving of quality of life measurements reflecting physical, emotional and psychological side of illness.

Anahtar Kelimeler

Asthma, quality of life

Kaynakça

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