Jakość życia zależna od stanu zdrowia u chorych na astmę oskrzelową

Uchmanowicz, Bartosz; Manulik, Stanisław; Uchmanowicz, Izabella; Rosińczuk, Joanna

doi:10.5603/piap.2014.0049

Cited by 6 publications

(2 citation statements)

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“…Obiektywne i subiektywne determinanty jakości życia osób niepełnosprawnych (Minczakiewicz 2007) Na płaszczyźnie medycznej zainteresowanie jakością życia wiązało się z powstaniem modelu holistycznej opieki nad pacjentem, opierającej się na definicji zdrowia, jaką sformułowała w 1948 roku Światowa Organizacja Zdrowia (WHO). Koncepcja ta zakłada, że chorym trzeba zapewnić nie tylko pomoc medyczną, ale również wsparcie społeczne i psychologiczne (Uchmanowicz i in. 2014).…”

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Problematyka jakości życia niepełnosprawnych w wybranych krajach europejskich (Niemczech, Norwegii i Polsce) w kontekście uregulowań prawnych

Olszak-Winiarska

2019

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<p>Jakość życia to ocena odczuwanego dobrostanu, poczuciu szczęścia i zadowolenia z życia. Osoby z niepełnosprawnością, ze względu na stan swojego zdrowia i kondycji fizycznej, odróżniają się niższą jakością życia od osób pełnosprawnych. Na poziom jakości życia wpływa szereg czynników, w tym społeczno-ekonomiczne oraz uregulowania prawne. Niniejszy artykuł przedstawia sytuację osób niepełnosprawnych w wybranych krajach Europy, ze szczególnym uwzględnieniem uregulowań prawnych odnoszących się do osób niepełnosprawnych. Na podstawie przeprowadzonej analizy można stwierdzić, że ustawodawstwo niemieckie i norweskie jest bardziej przychylne niepełnosprawnym niż polskie.</p>

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Problematyka jakości życia niepełnosprawnych w wybranych krajach europejskich (Niemczech, Norwegii i Polsce) w kontekście uregulowań prawnych

Olszak-Winiarska

2019

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“…Low self-confidence or self-efficacy is also common, which may lead to worsened ability to cope with chronic disease (93,100). Depression is negatively associated with acceptance of illness, which could negatively impact patient care and decrease treatment compliance (111).…”

Section: Effect On Quality Of Lifementioning

confidence: 99%

Cognitive behavioural therapy (CBT) for patients with chronic lung disease and psychological comorbidities undergoing pulmonary rehabilitation

Pumar¹

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Background: Anxiety and depression are psychological conditions that are highly prevalent among patients with chronic lung disease. These conditions are associated with increased morbidity and, in certain groups, increased mortality. Cognitive behaviour therapy (CBT) has shown potential as a treatment of anxiety and depression among patients with COPD, asthma and bronchiectasis. Pulmonary rehabilitation has the strongest evidence regarding its benefit in these patients, mainly through improved physical capacity and education. Consequently, the combination of both treatments (CBT and pulmonary rehabilitation) is promising, with potentially enhanced therapeutic benefits. The primary aim of this thesis was to determine the impact of cognitive behavioural therapy (CBT) as a treatment for patients with chronic lung disease and psychological comorbidities undergoing pulmonary rehabilitation. The study also assessed risk factors for the presence of anxiety and depression in patients attending pulmonary rehabilitation, the effect of CBT on quality of life and, through a subgroup analysis, the impact of mild cognitive impairment on CBT.Methods: A parallel group, randomised controlled trial (RCT) was conducted, with longitudinal follow-up of 12 months. Participants were screened from the pulmonary rehabilitation program at The Prince Charles Hospital and recruited if they had Geriatric Depression Scale (GDS) ≥4/15 or Geriatric Anxiety Inventory (GAI) ≥3/20, suggestive of depression or anxiety, respectively. In addition to pulmonary rehabilitation, the Intervention group received CBT comprised by two face-to-face sessions and 4 phone sessions, while the Control group received usual care. The main outcome measures were GDS and GAI; secondary outcomes were St. Georges Respiratory Questionnaire (SGRQ), pulmonary rehabilitation attendance and 6 minute walk test (6MWT). Results:The majority of patients attending pulmonary rehabilitation had COPD (58.5%), with the remainder having asthma (19.7%), interstitial lung disease (ILD) (9%) and bronchiectasis (12.4%). Of the patients screened, 25 (13%) had only symptoms of anxiety, 33 (17%) of only depression and 62 (32%) had symptoms of both anxiety and depression. Anxiety and depression were strongly correlated with SGRQ (p<0.01) and pulmonary rehabilitation program attendance. GDS scores were also correlated with 6MWT (p<0.01), past smoking (p<0.01), body-mass index (p<0.01), and body-mass index, airflow obstruction, dyspnea, and exercise capacity index (BODE) scores (p<0.01); while GAI was not correlated with other parameters. 65 patients were randomised to the study (24 in the Intervention group, 41 in the Control group). Of the 24 patients in the Intervention group, 10 (42%) failed to attend pulmonary rehabilitation or withdrew from the study. In the Intervention group, GDS significantly improved, compared to baseline, at the end of rehabilitation (mean difference -3.1, 95% CI -4.39 to -1.7; P<0.01), 3 months follow-up (mean difference -1.46, 95% CI -4.17 to -0.75; P<0.01) and 12 m...

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Assessment of life quality indicators and the role of commitment in achieving control in severe bronchial asthma

et al. 2021

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Introduction. One of their main aspects in the treatment of patients with bronchial asthma is maintaining adequate control over the course of the disease.The aim: to assess the level of control, the causes of the uncontrolled course of the disease and the quality of life in patients with severe bronchial asthma.Materials and methods. The study involved 160 patients with severe bronchial asthma taking basic anti-inflammatory therapy. The assessment of adherence to baseline therapy was assessed by questionnaires of patients with a modified Morisky-Green questionnaire and a test to assess adherence to inhalers (TAI). A quality of life questionnaire for patients with bronchial asthma (AQLQ) was used to assess quality of life.Results. It was revealed that all patients had reported daily symptoms and a daily need for short acting beta-agonists; 96.6% of the patients enrolled in the study had night awakenings and physical activity restriction. The survey of patients with the help of the Morisky-Green questionnaire showed that deliberate low adherence to therapy was noted in 45.6% of cases, which was formed due to inattention to the hours of medication – 67.1% and missing the drug in good health in 47.9% of patients. Low motivation and low awareness of their disease is recorded in 24.4% of patients.Conclusions. All patients did not achieve control of the disease. In half of patients with severe asthma, there is low deliberate adherence to basic anti-inflammatory therapy, which is formed mainly by missing the drug in good health and inattention to the hours of medication. Asthma symptoms have the greatest impact on the patient’s emotional state, physical activity, and overall quality of life.

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Jakość życia zależna od stanu zdrowia u chorych na astmę oskrzelową

Cited by 6 publications

References 27 publications

Problematyka jakości życia niepełnosprawnych w wybranych krajach europejskich (Niemczech, Norwegii i Polsce) w kontekście uregulowań prawnych

Problematyka jakości życia niepełnosprawnych w wybranych krajach europejskich (Niemczech, Norwegii i Polsce) w kontekście uregulowań prawnych

Cognitive behavioural therapy (CBT) for patients with chronic lung disease and psychological comorbidities undergoing pulmonary rehabilitation

Assessment of life quality indicators and the role of commitment in achieving control in severe bronchial asthma

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