Fatigue, anxiety and depression levels, activities of daily living of patients with chronic obstructive pulmonary disease

Abstract

The aim of this cross-sectional study was to determine the fatigue, anxiety and depression levels, activities of daily living of patients with chronic obstructive pulmonary disease (n = 255). It was found that there was significant difference between Visual Analogue Scale for Fatigue (VAS-F) point averages and gender, education levels, marital status and economical status of patient with chronic obstructive pulmonary disease. Among the participants in this study, 36.5% had an anxiety disorder whereas 69.0% exhibited depression. In the study, it was determined that 85.5% of those were independent in their Katz's Index of Activities of Daily Living (ADLs) and 49.4% of those were independent in their Lawton and Brody's Index of Instrumental Activities of Daily Living (IADLs). This study has shown that VAS-F, the Hospital Anxiety and Depression Scale, ADL and IADL instruments that measure the various aspects of health-related quality of living can contribute considerably to a more diversified understanding of the patients' situation with chronic obstructive pulmonary disease.

Ansiedade e depressão em pacientes Portugueses com doença pulmonar obstrutiva crónica: um estudo multicêntrico, transversal

“…27 A higher frequency of symptoms of anxiety was found in younger and unemployed patients, which has been found previously. [25][26]28 These findings are relevant for clinical practice. It can be hypothesised that older patients interpret the occurrence of an illness as an expected late-life stressor.…”

“…Female gender was related to higher emotional distress, consistent with previously published results. [25][26] This may reflect the gender differences already found in the general population. 27 A higher frequency of symptoms of anxiety was found in younger and unemployed patients, which has been found previously.…”

Maintaining a Distinction Between Possible and Impossible Topics of Conversation in the Outpatient Respiratory Medical Clinic

“…Moreover, CRD is associated with an increased risk of anxiety, insomnia, fatigue, anorexia, loneliness, guilt, and depression and a decreased quality of life in patients. Several studies suggest a lack of opportunity in patients to influence the content of interaction with HCPs and a lack of attachment and emotional responsiveness in the HCPs to engage the concerns of the patients in the clinical encounter (Borge, Wahl, & Moum, 2010; Ek, Sahlberg-Blom, Andershed, & Ternestedt, 2011; Giot, Maronati, Becattelli, & Schoenheit, 2013; Gysels & Higginson, 2010; Karakurt & Ünsal, 2013; Kvangarsnes, Torheim, Hole, & Öhlund, 2013; Lindquist & Hallberg, 2010). Based on the physical, existence-threatening, and progressive nature of the CRD, there seems to be a growing awareness of the need for more palliative-directed treatment and care.…”

Physician-Patient Concordance in Pharmacological Management of Patients with COPD

“…COPD is a complex disorder with wide variability in pulmonary and extrapulmonary manifestations ( 1 – 3 ). The respiratory, social, and emotional impacts of COPD include pain ( 4 – 6 ), dyspnea ( 4 , 5 , 7 , 8 ), fatigue ( 5 , 7 , 9 ), anxiety ( 5 , 7 , 9 , 10 ), depression ( 5 , 6 , 9 , 10 ), and insomnia ( 11 , 12 ). Further studies also confirm diminished overall physical functioning ( 6 ) and quality of life based on validated, disease-specific and generic assessment instruments ( 6 , 10 , 13 , 14 ).…”