عوامل مربوط به کیفیت زندگی مرتبط با سلامت در بیماران مبتلا به انسداد مزمن ریه

نوع مقاله : مقاله های پژوهشی

نویسندگان

1 مربی، گروه پرستاری داخلی- جراحی، دانشکده‌ی پرستاری و مامایی، دانشگاه علوم پزشکی شاهرود، شاهرود، ایران

2 مربی، مرکز تحقیقات علوم رفتاری و اجتماعی در سلامت، دانشگاه علوم پزشکی شاهرود، شاهرود، ایران

3 مربی، گروه پرستاری داخلی- جراحی، دانشکده‌ی پرستاری و مامایی، دانشگاه علوم پزشکی ایران، تهران، ایران

4 مربی، گروه آمار، دانشکده‌ی بهداشت، دانشگاه علوم پزشکی شاهرود، شاهرود، ایران

5 مربی، گروه مامایی، دانشکده‌ی پرستاری و مامایی، دانشگاه علوم پزشکی شاهرود، شاهرود، ایران

چکیده

مقدمه: بیماری انسداد مزمن ریه (Chronic obstructive pulmonary disease یا COPD) طیفی از تغییرات پاتولوژیک در سیستم تنفسی است که با تنگی تنفس، سرفه و تولید خلط همراه می‌باشد. اهداف اصلی در مدیریت این بیماری شامل کاهش علایم و در نهایت، بهبود کیفیت زندگی بیمار است. مطالعه‌ی حاضر، با هدف تعیین تأثیر نشانه‌های تنفسی بر کیفیت زندگی مرتبط با سلامت در بیماران مبتلا به COPD صورت گرفت.روش‌ها: این مطالعه‌ی توصیفی- مقطعی در سال 1392 بر روی 331 بیمار مبتلا به COPD مراجعه کننده به بیمارستان‌های منتخب آموزشی شهر تهران با شیوه‌ی نمونه‌گیری در دسترس انجام شد. اطلاعات با استفاده از پرسش‌نامه‌های متغیرهای جمعیت‌شناختی، SGRQ (St. George’s Respiratory Questionnaire) حیطه‌ی نشانه‌ها و کیفیت زندگی مرتبط با سلامت (36SF-) جمع‌آوری شد. تجزیه و تحلیل اطلاعات با استفاده از آزمون‌های آماری Independent t، ضریب همبستگی Spearman، ANOVA و مدل آماری Multivariate analysis of covariance صورت گرفت.یافته‌ها: تنگی نفس، حملات تنگی نفس و خس خس سینه در حضور متغیر سن و مدت زمان ابتلا به بیماری، با بعد سلامت جسمی ارتباط معنی‌داری داشت (049/0 = P). کاهش نمره‌ی کیفیت زندگی و افزایش شدت نشانه‌های تنفسی نیز با ابتلای طولانی مدت به بیماری، مصرف هم‌زمان دو دسته‌ی دارویی و افزایش تعداد دفعات بستری رابطه‌ی مستقیمی داشت. همچنین، بین کیفیت زندگی با جنسیت و سطح تحصیلات پایین‌تر ارتباط مستقیم مشاهده شد (011/0 = P).نتیجه‌گیری: استفاده از رویکردهای مناسب مراقبتی ارتقای کیفیت زندگی مرتبط با سلامت، در بیماران مبتلا به بیماری مزمن انسدادی ریه توصیه می‌شود.

کلیدواژه‌ها

عنوان مقاله [English]

Factors Associated with Health-Related Quality of Life in Patients with Chronic Obstructive Pulmonary Disease

نویسندگان [English]

  • Nasrin Fadaeeaghdam 1
  • Akram Sadat Montazeri 2
  • Daryadokht Masroor 3
  • Roqayeh Aliyari 4
  • Azam Hamidzadeh 5
1 Instructor, Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Shahroud University of Medical Sciences, Shahroud, Iran
2 Instructor, Center for Health-Related Social and Behavioral Sciences Research, Shahroud University of Medical Sciences, Shahroud, Iran
3 Instructor, Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran
4 Instructor, Department of Biostatistics and Epidemiology, School of Health, Shahroud University of Medical Sciences, Shahroud, Iran
5 Instructor, Department of Midwifery, School of Nursing and Midwifery, Shahroud University of Medical Sciences, Shahroud, Iran
چکیده [English]

Background: Chronic obstructive pulmonary disease (COPD) is a spectrum of pathological changes in the respiratory system associated with dyspnea, cough and sputum production. The main objectives of management the disease are reducing the symptoms and improving quality of life. The present study aimed to determine the impact of respiratory symptoms on health-related quality of life in patients with chronic obstructive pulmonary disease.Methods: This cross-sectional descriptive study was conducted in 2013 with participation of 331 patients with chronic obstructive pulmonary disease in educational hospitals of Tehran city, Iran, chosen by available sampling. Data was collected using demographic variables questionnaire, St. George's Respiratory Questionnaire (symptoms section) and SF-36 health related quality of life questionnaire. Using independent t-test, Spearman correlation ratio, ANOVA and multivariate analysis of covariance, the data were analyzed.Findings: In presence of age and duration of disease variables, the symptoms of dyspnea, acute episodes of breathlessness and wheezing were significantly associated with physical health (P = 0.049). Reduced quality of life score and increased respiratory symptoms had a direct relation with chronicity of disease, concomitant usage of two drug categories and increase in the number of admissions (P = 0.011).Conclusion: The use of appropriate approaches to health care and quality of life in patients with chronic obstructive pulmonary disease is recommended.

کلیدواژه‌ها [English]

  • Respiratory symptoms
  • Health-Related Quality of Life
  • Chronic obstructive pulmonary disease

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مجله دانشکده پزشکی اصفهان
دوره 33، شماره 326 - شماره پیاپی 326
فروردین و اردیبهشت 1394
صفحه 275-286

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سابقه مقاله

  • تاریخ دریافت: 06 اسفند 1392
  • تاریخ بازنگری: 04 اردیبهشت 1403
  • تاریخ پذیرش: 17 فروردین 1401

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