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

Yıl 2016, Cilt: 18 Sayı: 3, 94 - 100, 15.12.2016

Yeliz Akkuş , Elanur Yılmaz Karabulutlu , Selin Yağcı

https://doi.org/10.24938/kutfd.263813

Cited By: 2

Öz

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.

Anahtar Kelimeler

KOAH, depresyon, bilişsel durum, anksiyete

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

Öz

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.

Anahtar Kelimeler

Anxiety, cognitive status, depression, COPD

Kaynakça

• 1- Mannino DM, Buist AS. Global burden of COPD: risk factors, prevalence, and future trends. Lancet 2007; 370:765–773.
• 2- Dodd JW, Getov SV, Jones PW. Cognitive functions in COPD. Eur Respir J 2010; 35: 913-22.
• 3- Etnier J, Johnston R, Dagenbach D, et al. The relationships among pulmonary function, aerobic fitness, and cognitive functioning in older COPD patients. Chest 1999;116(4):953-60.
• 4- Dodd JW, Charlton RA, van den Broek MD, Jones PW. Cognitive Dysfunction in Patients Hospitalized with Acute Exacerbation of Chronic Obstructive Pulmonary Disease (COPD). Chest 2013; 144(1):119-27.
• 5- Hopkins RO. Pulmonary disorders. In: Medical Neuropsychology , second ed. New York; Kluwer academic/Plenum. Bigler ED, 2001:25-50
• 6- Hung WW, Wisnivesky JP, Siu AL, Ross JS. Cognitive decline among patients with chronic obstructive pulmonary disease. Am J Respir Crit Care Med. 2009;180(2):134-7.
• 7- Orth M, Kotterba S, Duchna K, et al. Cognitive deficits in patients with chronic obstructive pulmonary disease (COPD). Pneumologie 2006 Oct;60(10):593-9.
• 8- Liesker JJ, Postma DS, Beukema RJ, et al. Cognitive performance in patients with COPD. Respir Med 2004 Apr;98(4):351-6.
• 9- Ambrosino N, Bruletti G, Scala V, Porta R, Vitacca M. Cognitive and perceived health status in patient with chronic obstructive pulmonary disease surviving acute on chronic respiratory failure: a controlled study. Intensive Care Med. 2002 Feb;28(2):170-7.
• 10- Isoaho R, Puolijoki H, Huhti E, et al. Chronic obstructive pulmonary disease and cognitive impairment in the elderly. Int Psychogeriatr 1996; 8:113 – 25.
• 11- Kim HFS, Kunik ME, Molinari VA, et al. Functional impairment in COPD patients The impact of anxiety and depression. Psychosomatics 2000;41:465 – 71.
• 12- Coventry PA, Hind D.Cognitive declineamong patients with chronic obstructive pulmonary disease. Am J Respir Crit Care Med. 2009;180(2):134-7
• 13- Klein M, Gauggel S, Sachs G, Pohl W. Impact of chronic obstructive pulmonary disease (COPD) on attention functions. Respir Med. 2010;104(1):52-60
• 14- Mikkelsen RL, Middelboe T, Pisinger C, Stage KB. Anxiety and depression in patients with chronic obstructive pulmonary disease (COPD). A review. Nord J Psychiatry 2004;58:66 – 70.
• 15- Li P, Gong Y, Zeng G, et al. A new mode of community continuing care service for COPD patients in China: participation of respiratory nursespecialists. Int J Clin Exp Med. 2015 Sep 15;8(9):15878-88.
• 16- Aydemir Ö. Hastane Anksiyete ve Depresyon Ölçeği Türkçe formunun geçerlilik ve güvenilirlik çalışması. Türk Psikiyatri Dergisi 1997;8:280-7.
• 17- Güngen C, Ertan T, Eker E (2002) Standardize Mini Mental Test’in Türk toplumunda hafif demans tanısında geçerlik ve güvenirliği. Türk Psikiyatri Dergisi 13(4), 273-251.
• 18- Ertan T, Eker E, Güngen C ve ark. The Standardized Mini Mental State Examination for illeterate Turkish elderly population. 2th International Symphosium on Neuropsychological assesment of mental and Behavioral Disorders, August 28-30, Kirazlıyayla, Bursa,Turkey. 1999.
• 19- Anar C, Tatar D, Gediktaş E, ve ark. Frequency Of Anxiety-Depression Among Chronic Obstructive Pulmonary Disease (Copd) Patients Who Use Home Oxygen Therapy. İzmir Göğüs Hastanesi Derg 2012; 24 (2): 83-89.
• 20- Afşar BB, Yalçınsoy M, Yakar Hİ, ve ark. Evaluation of individuals with Chronic Obstructive Pulmonary Disease in terms of disability, anxiety and depression, Cumhuriyet Medical J 2012; 34:260-267
• 21- Tutuk SPM, Altun ÖŞ. Determination of Hospital Anxiety and Depression Levels of Patients Admitted to Hospitals with COPD Diagnosis. Sted, 2014, 23 (6):216-224.
• 22- Puhan MA, Frey M, Büchi S, Schünemann HJ. The minimal important difference of the hospital anxiety and depression scale in patientswith chronic obstructive pulmonary disease. Health Qual Life Outcomes. 2008 Jul 2;6:46. doi: 10.1186/1477-7525-6-46.
• 23- Asnaashari AM, Talaei A, Haghigh B. Evaluation of psychological status in patients with asthma and COPD. Iran J Allergy Asthma Immunol 2012;11(1):65-71.
• 24- Büyükkoyuncu N. Kronik obstruktif akciğer hastalığı olan hastalarda kognitif fonksiyonların değerlendirilmesi. Trakya Üniversitesi Tıp Fakültesi Nöroloji Anabilim Dalı, Uzmanlık Tezi, 2008.
• 25- Dal Negro RW, Bonadiman L, Bricolo FP, et al.. Cognitive dysfunction in severe chronic obstructive pulmonary disease (COPD) with or without Long-Term Oxygen Therapy (LTOT). Multidiscip Respir Med. 2015 19;10(1):17. doi: 10.1186/s40248-015-0013-4.
• 26- Federman AD, Wolf MS, Sheng T, et al. Diminished Cognitive Function Among Chronic Obstructive Pulmonary Disease Patients During Periods of Acute Illness Exacerbation. J Gerontol A Biol Sci Med Sci 2015; 0(0):1-2.
• 27- Dulohery MM, Schroeder DR, Benzo RP. Cognitive function and living situation in COPD: is there a relationship with self-management and quality of life? Int J Chron Obstruct Pulmon Dis. 2015;10:1883-9
• 28- Ozyemisci-Taskiran O, Bozkurt SO, Kokturk N, Karatas GK. Is there any association between cognitive status and functional capacity during exacerbation of chronic obstructive pulmonary disease? Chron Respir Dis. 2015;12(3):247-55. doi: 10.1177/1479972315589748. Epub 2015 Jun 11.
• 29- Wang CC, Lu TH, Liao WC, et al. Cigarette smoking and cognitive impairment: a 10-year cohort study in Taiwan. Arch Gerontol Geriatr 2010; 51: 143–148.
• 30- Moussas G, Tselebis A, Karkanias A, Stamouli D, Ilias I, Bratis D, Vassila-Demi K. A comparative study of anxiety and depression in patients with bronchial asthma,chronic obstructive pulmonary disease and tuberculosis in a general hospital ofchest diseases. Ann Gen Psychiatry. 2008;7:7. doi: 10.1186/1744-859X-7-7.
• 31- Mah L, Szabuniewicz C, Fiocco AJ. Can anxiety damage the brain? Curr Opin Psychiatry. 2016;29(1):56-63.