Factors associated with the quality of life in patients with chronic obstructive pulmonary disease

被引：9

作者：

Villar Balboa, Ivan ^{[1
]}

Carrillo Munoz, Ricard ^{[1
]}

Regi Bosque, Meritxell ^{[2
]}

Marzo Castillejo, Merce ^{[3
]}

Arcusa Villacampa, Nuria ^{[1
]}

Segundo Yaguee, Marta ^{[4
]}

机构：

[1] Inst Catala Salut, Equipo Atenc Primaria Florida Sud, Unitat Docent Multiprofess Atencio Familiar & Com, Barcelona, Spain

[2] Inst Catala Salut, Equipo Atenc Primaria Can Serra, Unitat Docent Multiprofess Atencio Familiar & Com, Barcelona, Spain

[3] Inst Catala Salut, Direccio Atencio Primaria Costa de Ponent, Unitat Suport Recerca Costa de Ponent, Inst Invest Atencio Primaria IDIAP Jordi Gol, Barcelona, Spain

[4] Inst Catala Salut, Equipo Atenc Primaria Moli Nou, Unitat Docent Multiprofess Atencio Familiar & Com, Barcelona, Spain

来源：

ATENCION PRIMARIA | 2014年 / 46卷 / 04期

关键词：

Pulmonary disease; Chronic obstructive; Quality of life; Primary health care; HEALTH-STATUS; BODE INDEX; EXERCISE CAPACITY; COPD; DETERMINANTS; VALIDATION; DYSPNEA;

D O I：

10.1016/j.aprim.2013.09.004

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Objective: To describe the relationship between individual or combined prognostic factors in the multidimensional classifications (BODE and ADO), and health-related quality of life (HRQOL) in patients with chronic obstructive pulmonary disease (COPD). Design: Cross-sectional descriptive study. Setting: Primary care. Participants: Systematic random sample of 102 patients diagnosed with COPD, excluding those patients with acute exacerbation, dementia, terminal illness or those who receive home care. Main measurements: Demographics variables, smoking habits, body mass index and number of exacerbations. Comorbidity. Degree of dyspnea. Respiratory function tests. Exercise capacity. The BODE index and the ADO index. The EuroQol-5D questionnaire (EQ-5D), and visual analogue scale (VAS). Results: EQ-5D: mobility: 43.9%; personal care: 13.3%; daily-life activities: 29.6%; pain/discomfort: 55.1%; anxiety/depression: 37.8%, and 34.7% VAS <= 60%. Exacerbations: Mobility, OR: 1.85 (95%CI: 1.08-3.20); personal care, OR: 2.12 (95%CI: 1.3-4.76); daily-life activities, OR: 2.35 (95%CI: 1.17-4.71); VAS, regression coefficient: -3.50 (95%CI: 6.31- -0.70). Dyspnea: mobility, OR: 4.47 (95%CI: 1.39-14.42); daily-life activities, OR: 7.71 (95%CI: 2.03-12.34); VAS, regression coefficient: -7.15 (95%CI: 11.71- -2.59). BODE: mobility, OR: 1.53 (95%Cl: 1.15-2.02); personal care, OR: 2.08 (95%Cl: 1.40-3.11); daily-life activities, OR: 1.97 (95%CI: 1.38-2.80); VAS, regression coefficient: -3.96 (95%CI: -5.51- -2.42). ADO: mobility, OR: 2.42 (95%CI: 1.39-4.20); personal care, OR: 3.21 (95%Cl: 1.67-6.18); daily-life activities, OR: 3.17 (95%CI: 1.69-5.93); VAS, regression coefficient: -3.53 (95%CI: -5.57- -1.49). Conclusions: The BODE index and the ADO index showed a significant association with HRQOL. Exacerbations and dyspnea were the best individual factors related to HRQoL. (C) 2013 Elsevier Espana, S.L. All rights reserved..

引用

页码：179 / 187

页数：9

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