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An assessment of health-related quality of life among patients with chronic obstructive pulmonary diseases attending a tertiary care hospital in Bhubaneswar City, India
BACKGROUND: Chronic obstructive pulmonary disease (COPD) is a major public health challenge in India with significant economic burden and healthcare utilization and contributes to patients’ daily life limitations. Health-related quality of life (HRQoL) reflects the health- and disease-related aspect...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6259520/ https://www.ncbi.nlm.nih.gov/pubmed/30598955 http://dx.doi.org/10.4103/jfmpc.jfmpc_37_18 |
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author | Pati, Sandipana Swain, Subhashisa Patel, Sangram Kishor Chauhan, Abhimanyu Singh Panda, Nutan Mahapatra, Pranab Pati, Sanghamitra |
author_facet | Pati, Sandipana Swain, Subhashisa Patel, Sangram Kishor Chauhan, Abhimanyu Singh Panda, Nutan Mahapatra, Pranab Pati, Sanghamitra |
author_sort | Pati, Sandipana |
collection | PubMed |
description | BACKGROUND: Chronic obstructive pulmonary disease (COPD) is a major public health challenge in India with significant economic burden and healthcare utilization and contributes to patients’ daily life limitations. Health-related quality of life (HRQoL) reflects the health- and disease-related aspects of QoL. Limited studies have examined this dimension in healthcare settings. We explored the HRQoL among patients with COPD attending a tertiary care facility and the factors (enablers and constraints) influencing it. MATERIALS AND METHODS: A parallel mixed-method study design was adopted to undertake the study. Data were collected from 110 patients with COPD attending the outpatient department of the tertiary care hospital at Bhubaneswar, Odisha, during June and July 2014. The translated and pretested version of St. George Respiratory Questionnaire (SGRQ) was used. In addition, in-depth interviews were held with 11 patients. RESULTS: The overall HRQoL was significantly lower in females and patients from rural area. It declined with increasing age and was worst in patients age 70 years or above. Patients having two or more comorbid conditions had the poorest HRQoL. Reason for not using inhalers was mentioned to be perceived harm due to prolonged use. Family support and better financial condition were enablers while easy accessibility of healthcare facilities helped in early interventions. CONCLUSION: COPD has considerable negative impact on the QoL with advancing age and is worse among the geriatric age group population. Acute exacerbations impair HRQoL. The degree of severity of COPD could be determined by SGRQ which reflects the impairment of their HRQoL. |
format | Online Article Text |
id | pubmed-6259520 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-62595202018-12-31 An assessment of health-related quality of life among patients with chronic obstructive pulmonary diseases attending a tertiary care hospital in Bhubaneswar City, India Pati, Sandipana Swain, Subhashisa Patel, Sangram Kishor Chauhan, Abhimanyu Singh Panda, Nutan Mahapatra, Pranab Pati, Sanghamitra J Family Med Prim Care Original Article BACKGROUND: Chronic obstructive pulmonary disease (COPD) is a major public health challenge in India with significant economic burden and healthcare utilization and contributes to patients’ daily life limitations. Health-related quality of life (HRQoL) reflects the health- and disease-related aspects of QoL. Limited studies have examined this dimension in healthcare settings. We explored the HRQoL among patients with COPD attending a tertiary care facility and the factors (enablers and constraints) influencing it. MATERIALS AND METHODS: A parallel mixed-method study design was adopted to undertake the study. Data were collected from 110 patients with COPD attending the outpatient department of the tertiary care hospital at Bhubaneswar, Odisha, during June and July 2014. The translated and pretested version of St. George Respiratory Questionnaire (SGRQ) was used. In addition, in-depth interviews were held with 11 patients. RESULTS: The overall HRQoL was significantly lower in females and patients from rural area. It declined with increasing age and was worst in patients age 70 years or above. Patients having two or more comorbid conditions had the poorest HRQoL. Reason for not using inhalers was mentioned to be perceived harm due to prolonged use. Family support and better financial condition were enablers while easy accessibility of healthcare facilities helped in early interventions. CONCLUSION: COPD has considerable negative impact on the QoL with advancing age and is worse among the geriatric age group population. Acute exacerbations impair HRQoL. The degree of severity of COPD could be determined by SGRQ which reflects the impairment of their HRQoL. Medknow Publications & Media Pvt Ltd 2018 /pmc/articles/PMC6259520/ /pubmed/30598955 http://dx.doi.org/10.4103/jfmpc.jfmpc_37_18 Text en Copyright: © 2018 Journal of Family Medicine and Primary Care http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Pati, Sandipana Swain, Subhashisa Patel, Sangram Kishor Chauhan, Abhimanyu Singh Panda, Nutan Mahapatra, Pranab Pati, Sanghamitra An assessment of health-related quality of life among patients with chronic obstructive pulmonary diseases attending a tertiary care hospital in Bhubaneswar City, India |
title | An assessment of health-related quality of life among patients with chronic obstructive pulmonary diseases attending a tertiary care hospital in Bhubaneswar City, India |
title_full | An assessment of health-related quality of life among patients with chronic obstructive pulmonary diseases attending a tertiary care hospital in Bhubaneswar City, India |
title_fullStr | An assessment of health-related quality of life among patients with chronic obstructive pulmonary diseases attending a tertiary care hospital in Bhubaneswar City, India |
title_full_unstemmed | An assessment of health-related quality of life among patients with chronic obstructive pulmonary diseases attending a tertiary care hospital in Bhubaneswar City, India |
title_short | An assessment of health-related quality of life among patients with chronic obstructive pulmonary diseases attending a tertiary care hospital in Bhubaneswar City, India |
title_sort | assessment of health-related quality of life among patients with chronic obstructive pulmonary diseases attending a tertiary care hospital in bhubaneswar city, india |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6259520/ https://www.ncbi.nlm.nih.gov/pubmed/30598955 http://dx.doi.org/10.4103/jfmpc.jfmpc_37_18 |
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