Health‐Related Quality of Life of People Living with COPD in a Semiurban Area of Western Nepal: A Community-Based Study

Adhikari, Tara Ballav; Rijal, Anupa; Acharya, Pawan; Högman, Marieann; Karki, Arjun; Drews, Arne; Cooper, Brendan; Sigsgaard, Torben; Neupane, Dinesh; Kallestrup, Per

doi:10.1080/15412555.2021.1920903

Cited by 3 publications

(7 citation statements)

References 35 publications

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“…Male had higher quality of life than female. This result in contrast with the finding of India, 8,11 western Nepal 15 and Chitwan. 9 There is no significant difference on QOL scores between currently married and single which is supported by other studies.…”

Section: Discussioncontrasting

confidence: 99%

“…9 There is no significant difference on QOL scores between currently married and single which is supported by other studies. 9,15 The finding of this study demonstrated the significant association among educational status and total, physical, psychological and environmental domain of QOL score which is similar with the study done in Chitwan. 9 On the contrary, the finding of Nepal has not evidenced any influence of educational status on total QOL of COPD patient.…”

Section: Discussionsupporting

confidence: 88%

“…In case of patient's quality of life in physical domain, the finding is in line with south India, 17 slightly higher than the finding of Chitwan 9 , Nigeria, 13 and lower than the finding of Kavre, 14 Chitwan. 16 According to finding of this study, there is no significant association between age and over all QOL of COPD patients which is consistent with the finding of India, 8 , 11,17 and Nigeria 13 whereas the finding is not supported by study done in Chitwan 9,16 and western Nepal 15 Sex was identified as a significant determinant for total and physical social and environmental domain of QOL. Male had higher quality of life than female.…”

Section: Discussionsupporting

confidence: 52%

“…Patients with habit of smoking perceived poor QOL. This finding is supported by the finding of study done in Chitwan 16 and Kavre 8 but contrary with the finding of western Nepal, 15 Chitwan 9 and India, Goa. 8 This discrepancy in the finding might be due to difference in design and nature of the sample selected in the study.…”

Section: Discussionmentioning

confidence: 43%

“…9 On the contrary, the finding of Nepal has not evidenced any influence of educational status on total QOL of COPD patient. 15 This variation might be due to difference in study design and sample size.…”

Section: Discussionmentioning

confidence: 99%

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Quality of Life Among Patients With Chronic Obstructive Pulmonary Disease Attending in Medical Opd of Chitwan Medical College, Chitwan

Chapagain¹,

Paudel²,

Paudel³

et al. 2022

JCMC

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Background: Chronic obstructive pulmonary disease is a major cause of morbidity and mortality worldwide which can severely impair the individual’s quality of life. The study aimed to assess the quality of life of patients having chronic obstructive pulmonary disease. Methods: A cross-sectional hospital-based study was conducted in medical OPD of Chitwan Medical College. Purposive sampling technique was used to select 203 patients with chronic pulmonary obstructive disease for at least 3 months. Data were collected from July 16, 2021 to January 14, 2022 using a WHO Quality of Life Scale-Brief through face-to-face interview. Transformation of the scores was done to standardize the raw scores by using the formula applied for linear transformation is as follows: [(Actual raw score - Lowest possible raw score)/Possible raw score range]*100. Results: The mean score and standard deviation of total QOL was 40.64 ± 18.41, where 52.23 ± 13.68 for physical, 47.84 ± 9.70 for psychological, 66.63 ± 9.25 for social and 54.62 ± 13.44 for environment domain showing higher impairment in psychological. Sex (0.031), type of family (0.042), educational status (<0.001), smoking habit (0.005) and duration of COPD (<0.001) were found statistically significant with total QOL of COPD patient. Conclusions: This study showed an impaired quality of life in COPD patients. Longer disease duration and smoking habit of patient impacted negatively on their QOL. Hence, attention should be paid by health professional for enhancing QOL by addressing those factors while treating them in health care setting.

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Section: Discussioncontrasting

confidence: 99%

Section: Discussionsupporting

confidence: 88%

Section: Discussionsupporting

confidence: 52%

Section: Discussionmentioning

confidence: 43%

Section: Discussionmentioning

confidence: 99%

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Quality of Life Among Patients With Chronic Obstructive Pulmonary Disease Attending in Medical Opd of Chitwan Medical College, Chitwan

Chapagain¹,

Paudel²,

Paudel³

et al. 2022

JCMC

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Care pathways versus usual care for chronic obstructive pulmonary disease (COPD)

Pajand Birjandi,

Ammous,

Kampo

et al. 2024

Cochrane Database of Systematic Reviews

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The IMPROVE trial: study protocol for a pragmatic cluster randomised controlled trial to assess the effectiveness of using lay health workers to improve uptake and completion of pulmonary rehabilitation in patients with chronic obstructive pulmonary disease

Gilworth,

Harris,

Morgan

et al. 2024

Trials

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Background Pulmonary rehabilitation (PR) is a programme of exercise and education and the most effective treatment for the symptoms and disability associated with chronic obstructive pulmonary disease. However, the benefits of PR are limited by poor uptake and completion. This trial will determine whether using trained volunteer lay health workers, called “PR buddies,” improves uptake and completion of PR and is cost-effective. This trial protocol outlines the methods for evaluating effectiveness, cost-effectiveness, and acceptability. Methods The IMPROVE trial is a pragmatic, open, cluster randomised controlled trial planned in 38 PR services across England and Wales. PR services will be randomised to either intervention arm—offering support from PR buddies to patients with chronic obstructive pulmonary disease—or to usual care as the control arm. PR staff in trial sites randomised to the intervention arm will receive training in recruiting and training PR buddies. They will deliver training to volunteers, recruited from among people who have recently completed PR in their service. The 3-day PR-buddy training programme covers communication skills, confidentiality, boundaries of the PR-buddy role and behaviour change techniques to help patients overcome obstacles to attending PR. An internal pilot will test the implementation of the trial in eight sites (four intervention sites and four in control arm). The primary outcome of the trial is the uptake and completion of PR. A process evaluation will investigate the acceptability of the intervention to patients, PR staff and the volunteer PR buddies, and intervention fidelity. We will also conduct a cost-effectiveness analysis. Discussion Improving outcomes for chronic obstructive pulmonary disease and access to PR are priorities for the UK National Health Service (NHS) in its long-term plan. The trial hypothesis is that volunteer PR buddies, who are recruited and trained by local PR teams, are an effective and cost-effective way to improve the uptake and completion rates of PR. The trial is pragmatic, since it will test whether the intervention can be incorporated into NHS PR services. Information obtained in this trial may be used to influence policy on the use of PR buddies in PR and other similar services in the NHS. Trial registration ISRCTN12658458. Registered on 23/01/2023.

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Health‐Related Quality of Life of People Living with COPD in a Semiurban Area of Western Nepal: A Community-Based Study

Cited by 3 publications

References 35 publications

Quality of Life Among Patients With Chronic Obstructive Pulmonary Disease Attending in Medical Opd of Chitwan Medical College, Chitwan

Quality of Life Among Patients With Chronic Obstructive Pulmonary Disease Attending in Medical Opd of Chitwan Medical College, Chitwan

Care pathways versus usual care for chronic obstructive pulmonary disease (COPD)

The IMPROVE trial: study protocol for a pragmatic cluster randomised controlled trial to assess the effectiveness of using lay health workers to improve uptake and completion of pulmonary rehabilitation in patients with chronic obstructive pulmonary disease

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