Department of Pulmonology, Oncology and Allergology, Medical University, Lublin, Poland.
Department of Applied Psychology, Chair of Psychology, Medical University, Lublin, Poland.
Ann Agric Environ Med. 2020 Dec 22;27(4):689-694. doi: 10.26444/aaem/114103. Epub 2019 Dec 12.
Chronic Obstructive Pulmonary Disease (COPD) is a condition that affects over 2 million adults in Poland. In recent years, increasing attention has been focused on improving the quality of life of patients with COPD, which includes alleviating their physical discomfort and relates to their mental health. It is therefore critically important to evaluate research tools that can accurately assess the relationship between the physical and mental health of patients with this disease.
This aim of the study is to evaluate the relationship between the COPD Assessment Test (CAT) and the Distress Thermometer and Problem List results in COPD patients.
The research evaluated 70 patients with COPD as defined by the Global Initiative for Chronic Obstructive Pulmonary Disease (GOLD) criteria. Demographic data was obtained at baseline. Disease-specific quality of life was assessed using the CAT score, while overall distress was determined using the Distress Thermometer (DT) scale and a modified Problem List. The relationship between the CAT scores and the results of the Distress Thermometer and Problem List was statistically compared. The study was approved by the Bioethics Committee, and all patients provided written informed consent.
The mean ± SD age was 69.6±9.05 (range 47-90) years. The average distress level was 4.09±1.95. A significant relationship was established between the CAT score and the results of the Distress Thermometer Scale (p<0.001); patients with higher CAT scores showed the highest level of distress.
CAT was shown to be a simple, fast and clear measurement of disease-specific quality of life and was correlated with levels of distress in patients with COPD. Every patient with COPD should be evaluated using a scale such as the DT to measure their level of psychological distress.
慢性阻塞性肺疾病（COPD）影响着波兰超过 200 万成年人。近年来，人们越来越关注改善 COPD 患者的生活质量，这包括减轻他们的身体不适和与他们的心理健康相关的问题。因此，评估能够准确评估患有这种疾病的患者身心健康之间关系的研究工具至关重要。
本研究旨在评估 COPD 评估测试（CAT）与 COPD 患者的困扰温度计和问题清单结果之间的关系。
该研究评估了 70 名符合全球慢性阻塞性肺疾病倡议（GOLD）标准的 COPD 患者。在基线时获得了人口统计学数据。使用 CAT 评分评估疾病特异性生活质量，使用困扰温度计（DT）量表和改良的问题清单评估总体困扰。对 CAT 评分与困扰温度计和问题清单结果之间的关系进行了统计学比较。该研究得到了生物伦理学委员会的批准，所有患者均提供了书面知情同意书。
平均年龄±SD 为 69.6±9.05 岁（范围 47-90 岁）。平均困扰水平为 4.09±1.95。CAT 评分与困扰温度计量表的结果之间存在显著相关性（p<0.001）；CAT 评分较高的患者表现出最高水平的困扰。
CAT 是一种简单、快速、明确的疾病特异性生活质量测量方法，与 COPD 患者的困扰水平相关。每个 COPD 患者都应该使用 DT 等量表进行评估，以衡量他们的心理困扰程度。
