Nonadherence to treatment and quality of life among patients with chronic obstructive pulmonary disease

Mohsen, Shorouk; Hanafy, Fadia Zaki; Fathy, Amal; El‐Gilany, Abdel‐Hady

doi:10.4103/lungindia.lungindia_340_18

Cited by 9 publications

(3 citation statements)

References 31 publications

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“…Repeated infections aggravate the continuous development of airway in ammation (49). The current study con rmed the adverse effect of hospital admission on QOL among COPD patients (50,51). COPD exacerbations are a common cause of hospitalization.…”

Section: Discussionsupporting

confidence: 66%

Factors associated with good quality of life among chronic objective pulmonary disease patients in Zhejiang province, China

Ying

Khunthason

Nilvarangkul

2022

Preprint

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Background Chronic obstructive pulmonary disease (COPD) is a chronic, progressive and debilitating disease that affects an individual's quality of life (QOL). Many factors are closely associated with good QOL among COPD patients. This study aimed to assess QOL among COPD patients and to determine the factors associated with good QOL in Zhejiang, China. Methods This was an analytical cross-sectional study conducted in 6 tertiary hospitals in Zhejiang Province. A validated questionnaire was used to collect general information, environmental factors, COPD stage and treatment for included patients. The standardised St. George's Respiratory Questionnaire (SGRQ) tool was used to assess QOL. Questionnaires were completed by the researcher in face-to-face and phone interviews. Binary regression analysis was used to analyse the associations between factors and QOL at a level of α = 0.05. Results A total of 420 participants collected by random sampling were enrolled in this study. The level of good QOL among COPD patients in Zhejiang Province was 25.71%. After controlling for all potential confounding factors, six variables were found to be associated with good QOL among COPD patients: educational level (adjusted odds ratio (aOR) 3.20 (1.11–9.22)), treatment expenses (aOR 3.68 (1.31–10.34)), type of medical insurance (aOR 2.21 (1.04–4.71)), airflow limitation severity (aOR 8.69 (2.65–28.46)), duration of illness (aOR 8.25 (1.98–34.29)), and number of hospitalizations within the past 3 months (aOR 5.39 (1.07–27.24)). Conclusions The level of good QOL among COPD patients in Zhejiang Province was higher than that in other areas in China. There were six factors associated with good QOL among COPD patients. Improving social insurance systems and reducing medical expenses are necessary to improve the QOL of COPD patients. Public health interventions should be developed and implemented to improve QOL.

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Section: Discussionsupporting

confidence: 66%

Factors associated with good quality of life among chronic objective pulmonary disease patients in Zhejiang province, China

Ying

Khunthason

Nilvarangkul

2022

Preprint

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“…This finding is consistent with the result of other studies. 24,30,36 This present study found that the more years a patient has had smoked, the worst their quality of life was. Various authors have reported similar results.…”

Section: Discussionmentioning

confidence: 51%

Quality of Life of Patients with Chronic Obstructive Pulmonary Disease Attending a Tertiary Care Hospital, Kavre, Nepal

Pandey

Chalise

Shrestha

et al. 2021

Kathmandu Univ. Med. J.

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Background Chronic Obstructive Pulmonary Disease (COPD) is one of the most common chronic health conditions and is increasingly becoming a major public health problem among the elderly population. As the chronic obstructive pulmonary disease is not curable, evaluation of and methods to improve quality of life among such patients is of utmost importance. Objective The objective of the study was to assess the quality of life among patients living with chronic obstructive pulmonary disease. Method This is a cross-sectional carried out in Dhulikhel Hospital, Kathmandu University Hospital, Nepal in 2017-2018. A total of 274 patients aged 40 years and above were selected for this study. The quality of life of participants was assessed through the widely used shorter version ST George’s Respiratory Questionnaire (SGRQ-C). Result The mean age of the participants was 68.19 (SD ± 10.36) years, with the age range of 40–94 years. More than half (55.5%) of respondents were females, 55% were from rural areas, 42.7% were illiterate and 53.3% were from joint families. Agriculture (35.4%) and homemakers (32.5%) were the most prevalent occupation. The mean total score for all domains of quality of life was 68.06 (±18.87). The mean quality of life scores for symptom, activity, and impact domains was 70.11 (±22.33), 67.59 (±20.41), 67.64 (±20.41) respectively which suggested marked impairments in quality of life in all SGRQ-C domains. The symptoms and impact domains were most affected during the activity. Among socio-demographic variables, educational status, ethnicity, number of family members, type of family and economic status had a statistically significant effect on the quality of life. Initial health condition, smoking habit, number of cigarettes smoked, and years of smoking had statistically significant effects on quality of life. Conclusion Patients with chronic obstructive pulmonary disease have a low quality of life in three components of symptom, activity, and impact domains. Major factors associated with poor quality of life were low educational status, large family size, poor health condition, and smoking.

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“…A greater number of hospitalizations indicated disease severity and patients with repeated admissions had significantly reduced QOL. Many studies 57 – 59 reported that COPD patients who had been hospitalized had poorer QOL. Physical, psychological, and social life impacts were detected among COPD patients who were frequently admitted to a hospital 60 – 62 , which directly impacted QOL.…”

Section: Discussionmentioning

confidence: 99%

Influencing factors of good quality of life among chronic obstructive pulmonary disease patients living in Zhejiang Province, China

Ying,

Khunthason,

Apidechkul

et al. 2024

Sci Rep

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Chronic obstructive pulmonary disease (COPD) is a chronic, progressive and debilitating disease that affects quality of life (QOL), especially among patients living in poor environments. This study aimed to determine the influencing factors of good QOL among COPD patients living in Zhejiang, China. A cross-sectional study was conducted to collect data from participants in six tertiary hospitals in Zhejiang Province by a simple random sampling method. A validated questionnaire was used to collect general information, environmental factors, and COPD stage. The standardized St. George's Respiratory Questionnaire (SGRQ) was used to assess QOL. Logistic regression was used to determine influencing factors of good QOL among COPD patients at a significance level of α = 0.05. A total of 420 participants were recruited for analysis. The overall prevalence of patients with good QOL was 25.7%. Six variables were found to be associated with good QOL in the multivariable analysis. Patients who were employed had 2.35 times (95% CI 1.03–5.34) greater odds of having good QOL than those who were unemployed. Those whose family income was higher than 100,000 CNY had 2.49 times (95% CI 1.15–5.39) greater odds of having good QOL than those whose family income was lower than 100,000 CNY. Those who had treatment expenses less than 5,000 CNY had 4.57 (95% CI 1.57–13.30) times greater odds of having good QOL than those who had treatment expenses of 5,000 CNY or higher. Those who had mild or moderate airflow limitation were 5.27 times (95% CI 1.61–17.26) more likely to have good QOL than those who were in a severe or very severe stage of COPD. Those who had a duration of illness less than 60 months had 5.57 times (95% CI 1.40–22.12) greater odds of having good QOL than those who had a duration of illness of 120 months or more. Those who were not hospitalized within the past 3 months had 9.39 times (95% CI 1.62–54.43) greater odds of having good QOL than those who were hospitalized more than twice over the past 3 months. Socioeconomic status, disease stage and accessibility were associated with good QOL among COPD patients in Zhejiang Province, China. Increasing family income and implementing measures to improve the accessibility of medical care, including developing a proper system to decrease the cost of treatment for COPD patients, can improve patients’ QOL.

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Nonadherence to treatment and quality of life among patients with chronic obstructive pulmonary disease

Cited by 9 publications

References 31 publications

Factors associated with good quality of life among chronic objective pulmonary disease patients in Zhejiang province, China

Factors associated with good quality of life among chronic objective pulmonary disease patients in Zhejiang province, China

Quality of Life of Patients with Chronic Obstructive Pulmonary Disease Attending a Tertiary Care Hospital, Kavre, Nepal

Influencing factors of good quality of life among chronic obstructive pulmonary disease patients living in Zhejiang Province, China

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