UZUN SÜRELİ OKSİJEN TEDAVİSİ UYGULANAN KOAH'LI OLGULARDA ANKSİYETE DEPRESYON SIKLIĞI

Yıl 2012, Cilt: 26 Sayı: 2, 83 - 89, 01.10.2012

Ceyda Anar Dursun Tatar Esengül Gediktaş Yasemin Yıldırım Hüseyin Halilçolar

Öz

-

Anahtar Kelimeler

KOAH, depresyon, anksiyete

FREQUENCY OF ANXIETY-DEPRESSION AMONG CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) PATIENTS WHO USE HOME OXYGEN THERAPY

Öz

To assess the frequency of anxiety-depression
among COPD patients with frequent emergency
room admission who has home oxygen therapy.
COPD patients with frequent admissions to
emergency room in the 01 January- 31 March
period and had oxygen therapy at home were
assessed. A questionnaire examining their sociodemographic
characteristics and psychological
state was given to the patients in addition to
their routine therapy. Also their admissions and
hospitalizations were noted in January-March
period. Anxiety-depression levels were assessed
in accordance with hospital anxiety-depression
scale. How psychological state is affected by the
disease and sociodemographic data were
investigated.
Seven (17.5%) of total 40 COPD patients were
female and 33 (82.5%) were male. Their mean
age were 61.73±9.13 (40-77). Mean anxiety value
was 14.27±4.16 (3-21) and mean depression value was 13.67±4.28 (4-20). There was no
correlation between anxiety-depression level
and age, sex, education, marital status, location
and income level (p>0.05). The patients who
were looked after by their mate or children had
lower depression levels (p<0.001).Frequent
emergency room admission and long
hospitalization durations were two factors
affecting psychological status in a negative
manner. (p<0.05)
Frequent hospital admission, long hospitalization
durations and parental neglect affected
psychological status of COPD patients who had
oxygen therapy at home.

Anahtar Kelimeler

COPD, Depression, anxiety

Kaynakça

• 1. Gagnon LM, Patten SB. Major depression and its association with long-term medical conditions. Can J Psychiatry 2002;47: 149- 52.
• 2. Hall RCW, Rundel JR, Popkin MK. Costeffectiveness of the Consultation-Liasion Service. Wise MG, Rundell RJ, editors. Textbook of Consultation-Liasion Psychiatry. Washington, DC: American Psychiatric Publishing, 2002; 25-32.
• 3. Özcan S. Psikiatrik t›p: Konsültasyon-Liyezon 1993; 83-117.
• 4. ATS. Definitions, epidemiology, pathophysiology, diagnosis and staging COPD. Am J Respir Crit Care Med 1995; 152: 78-83.
• 5. Ede LV, Yzermans CJ, Brouwer HJ. Prevalence of depression in patients with chronic obstructive pulmonary disease: a systematic review. Thorax 1999; 54: 688-92.
• 6. Zigmond AS, Snaith PR. The Hospital Anxiety and Depression Scale. Acta Psychiatr Scand, 1983; 67: 361-70.
• 7. Aydemir Ö, Güvenir T, Küey L, Kültür S. Hastane Anksiyete ve Depresyon Ölçe¤i Türkçe formunun geçerlilik ve Güvenilirli¤i. Türk Psikiyatri Dergisi, 1997; 8: 280-7.
• 8. Öner N, LeCompte A. Durumluk-Sürekli Kayg› Envanteri El Kitab›. 2. bask›, Bo¤aziçi Üniversitesi Yay›nlar›, ‹stanbul, 1998.
• 9. Hisli N. Beck depresyon envanterinin geçerli¤i üzerine bir çal›flma. Türk Psikoloji Dergisi 1989; 22: 118-26.
• 10. Saryal B, Ac›can T .Güncel Bilgiler Ifl›¤›nda Kronik Obstrüktif Akci¤er Hastal›¤›. Bilimsel T›p Yay›nevi, (2003). Ankara.
• 11. Tel H, Akdemir N. KOAH’ l› hastalara uygulanan planl› hasta ö¤retiminin ve hasta izleminin hastalar›n hastal›kla bafl etme durumlar›na etkisi. Cumhuriyet Üniversitesi Hemflirelik Yüksekokulu Dergisi 1998; 2(2 ): 44-52.
• 12. Kömürcüo¤lu B, Balio¤lu M, Öztuna I. Büyükflirin M, Ifl›k E, Perim K. KOAH’ l› erkek olgularda depresyon. Toraks Dergisi 2000; 1(3): 31-4.
• 13. Çelik P, Esen A, Ak›n M ve ark. Kronik obstrüktif akci¤er olgular›nda depresyon. Solunum Hastal›klar› 1998; 9 (1): 25-32.
• 14. Dahlen I, Jansob C .Anxiety and depression are related to the outcome of emergency treatment in patients with chronic obstructive pulmonary disease. Chest 2000; 122 (5): 1633-7.
• 15. Dawson CA, Town GI, Frampton C, Mulder RT. Psychopsthology and illness beliefs influence COPD self-management. Journal of Psychosomatic Research 2004; 56(3): 333- 40.
• 16. Korkmaz T, Tel H. KOAH’l› hastalarda anksiyete, depresyon ve sosyal destek durumunun belirlenmesi.Anadolu Hemflirelik ve Sa¤l›k Bilimleri Dergisi, 2010; 13: 2: 79-86
• 17. Engstrem CP, Persson LO, Larsson S, Rydén A, Sullivan M. Functional status and wellbeing in COPD with regard to clinical parameters and smoking: a descriptive and clinical study. Thorax 1996; 51: 825-30.
• 18. Sözer K, Öngen G, Sungar A, Oktay M, fienocak M, Yaman M. Diffüz obstrüktif akci¤er hastal›klar›nda depresyon ve anksiyete görülme s›kl›¤›. Solunum 1990; 18: 1-7.
• 19. Üskül B, Selvi A, Meliko¤lu A, Varol N, Türker H. Gö¤üs hastal›klar› klini¤inde yatan hastalarda anksiyete ve depresyon düzeyinin sosyo-demografik faktörlerin ve hastal›k tan›lar›n›n iliflkisi. Akci¤er Arflivi 2006; 7(1): 11-5.
• 20. Sorias O. Sosyal destek kavram›. Ege Üniversitesi T›p Fakültesi Dergisi 1988; 27 (1): 353-7.
• 21. Kara M, Mirici A. Loneliness, depression, and social support of Turkish patients with chronic obstructive pulmonary disease and their spouses. Journal of Nursing Scholarship 2004; 36(4): 331-6.