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Sociodemographic and clinical factors affecting the quality of life of patients with chronic obstructive pulmonary disease

Authors Rosińczuk J, Przyszlak M, Uchmanowicz I

Received 16 February 2018

Accepted for publication 29 June 2018

Published 12 September 2018 Volume 2018:13 Pages 2869—2882

DOI https://doi.org/10.2147/COPD.S165714

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Amy Norman

Peer reviewer comments 4

Editor who approved publication: Dr Richard Russell


Joanna Rosińczuk,1 Maria Przyszlak,2 Izabella Uchmanowicz3

1Department of Nervous System Diseases, Faculty of Health Sciences, Wroclaw Medical University, Wroclaw, Poland; 2Center of Postgraduate Education for Nurses and Midwives, Warsaw, Poland; 3Division of Nursing in Internal Medicine Procedures, Wroclaw Medical University, Wroclaw, Poland

Background: COPD remains a significant challenge for contemporary medicine. It is one of the most common respiratory illnesses and leads to disability as well as deteriorating patient’s quality of life (QOL).
Objective: The objective of this study was to determine the impact of selected sociodemographic and clinical factors on QOL and level of illness acceptance (LIA) of patients with COPD.
Design: This study was a cross-sectional, prospective, observational study.
Patients and methods: The study involved 100 patients (34 women and 66 men) suffering from COPD for at least half a year, treated in the Allergology Clinic at the Department of Internal Medicine, Geriatrics and Allergy, Wroclaw Medical University in Poland. Standardized questionnaires such as Short Form-36 Health Survey, Saint George’s Respiratory Questionnaire, Acceptance of Illness Scale, and COPD Author’s Questionnaire were used to assess QOL and LIA.
Results: Among the most significant results, there were no statistically significant differences between the patients’ sex and their QOL and LIA (P>0.05). It has been observed that with an increase in the age of patients, a statistically significant decrease in LIA is observed, especially after 60 years of age (P=0.001). It was found that the higher level of education of the patients was statistically significant in the higher QOL (P<0.05) and in the greater LIA (P<0.05). Interestingly, there was no statistically significant effect of active smoking and overweight on QOL and LIA (P>0.05).
Conclusion: Sex of COPD patients does not affect their QOL or LIA, nonetheless, the age decreases the level of QOL and LIA. Higher education improves QOL scores; however, factors such as dyspnea, longer duration of illness, comorbidities, oxygen therapy undertaking, and family burden of respiratory disease affect deterioration of QOL.

Keywords: chronic obstructive pulmonary disease, sociodemographic factors, clinical factors, quality of life, QOL, the level of illness acceptance, LIA, chronic illness acceptance, observational study, SF-36, Saint George’s Respiratory Questionnaire

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