Kathmandu University School of Medical Sciences, Dhulikhel Hospital, Kathmandu University Hospital, Dhulikhel, Kavre, Nepal.
Population Association of Nepal, Kathmandu, Nepal.
Kathmandu Univ Med J (KUMJ). 2021 Apr-Jun;19(74):180-185.
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.
慢性阻塞性肺疾病（COPD）是最常见的慢性健康问题之一，在老年人群中日益成为一个主要的公共卫生问题。由于慢性阻塞性肺疾病无法治愈，因此评估此类患者的生活质量并改善其生活质量至关重要。目的：研究的目的是评估患有慢性阻塞性肺疾病的患者的生活质量。方法：这是 2017-2018 年在尼泊尔的 Dhulikhel 医院和加德满都大学医院进行的一项横断面研究。共选择了 274 名年龄在 40 岁及以上的患者参加这项研究。通过广泛使用的较短版本圣乔治呼吸问卷（SGRQ-C）评估参与者的生活质量。结果：参与者的平均年龄为 68.19 岁（SD ± 10.36），年龄范围为 40-94 岁。超过一半（55.5%）的受访者为女性，55%来自农村地区，53.3%来自联合家庭，53.3%为文盲，53.3%来自联合家庭。农业（35.4%）和家庭主妇（32.5%）是最常见的职业。所有生活质量领域的总分平均为 68.06（±18.87）。症状、活动和影响领域的平均生活质量得分为 70.11（±22.33）、67.59（±20.41）、67.64（±20.41），这表明 SGRQ-C 所有领域的生活质量都有明显受损。在活动期间，症状和影响领域受到的影响最大。在社会人口统计学变量中，教育程度、民族、家庭成员人数、家庭类型和经济状况对生活质量有统计学意义的影响。初始健康状况、吸烟习惯、吸烟支数和吸烟年限对生活质量有统计学意义的影响。结论：慢性阻塞性肺疾病患者在症状、活动和影响三个方面的生活质量较低。与生活质量差相关的主要因素是教育程度低、家庭规模大、健康状况差和吸烟。
