Faktor-faktor yang memengaruhi kualitas hidup pasien penyakit paru obstruktif kronis

https://doi.org/10.22146/bkm.26393

Putri Tiara Rosha(1*), Fatwa Sari Tetra Dewi(2)

(1) Department of Biostatistic, Epidemiology, and Population Health Faculty of Medicine, Universitas Gadjah Mada
(2) Department of Health Behaviour, Environmental Health and Social Medicine Faculty of Medicine, Universitas Gadjah Mada
(*) Corresponding Author

Abstract


Factors associated with quality of life among patients with chronic obstructive pulmonary disease

Purpose

This study is conducted to examine factors associated with quality of life among patients with the chronic obstructive pulmonary disease.

Methods

This study was a cross-sectional study involving 146 patients from Muhammadiyah and Temanggung hospital. The quality of life was measured using clinical questionnaire. The independent variables were body mass index, smoking status, severity level, hypertension, diabetes mellitus, and depression. Data were analyzed using Chi-Square and Poisson regression.

Results

The majority of patients aged 67 years (36.3%) are male (61%), had normal weight (55.5%) and quitted smoking for 0-5 years (20.6%). Spirometry shows that almost half (40,4%) patients are at the moderate level. The highest proportion of comorbidities are hypertension (34.2%), depression (32.9%) and diabetes mellitus (6.2%). There are 28.1% patients who had a poor quality of life. Multivariate analysis shows that current smoker, very severe level of the disease and depression related to the quality of life.

Conclusion

Current smoker, very severe level of the disease and depression could lead to a worse quality of life. Medication management programs should encourage patients to stop smoking. The development of interventions focusing on depression is also needed.


Keywords


depression; COPD; smoking; spirometry; quality of life



References

  1. Global Initiative for Chronic Obstructive Lung Disease. Global Management for The Diagnosis, Management, and Prevention of Chronic Obstructive Pulmonary Disease. Belgium: Global Initiative for Chronic Obstructive Lung Disease; 2014.
  2. Oemiati R. Kajian Epidemiologis Penyakit Paru Obstruktif kronis (PPOK). Media Litbangkes. 2013;23(2):82–8.
  3. Mathers CD, Loncar D. Projections of Global Mortality and Burden of Disease from 2002 to 2030. PLoS Med. 2006;3(11):2011–30.
  4. Kementerian Kesehatan. Riset Kesehatan Dasar Tahun 2013. Jakarta; 2013.
  5. Kementerian Kesehatan. Buletin Penyakit Tidak Menular. Jakarta; 2012.
  6. Kwon HY, Kim E. Factors contributing to the quality of life in COPD patients in South Korea. International journal of chronic obstructive pulmonary disease. 2016;11:103.
  7. Galaznik A, Chapnick J, Vietri J, Tripathi S, Zou KH, Makinson G. Burden of smoking on quality of life in patients with chronic obstructive pulmonary disease. Expert review of pharmacoeconomics & outcomes research. 2013 Dec 1;13(6):853-60.
  8. Miravitlles M, Molina J, Naberan K, Cots JM, Ros F, Llor C. Factors determining the quality of life of patients with COPD in primary care. 2007;85–92.
  9. Henoch I, Strang S, Löfdahl CG, Ekberg-Jansson A. Health-related quality of life in a nationwide cohort of patients with COPD related to other characteristics. European clinical respiratory journal. 2016 Jan 1;3(1):31459.
  10. Sundh J, Ställberg B, Lisspers K, Montgomery SM, Janson C. Co-morbidity, body mass index and quality of life in COPD using the Clinical COPD Questionnaire. COPD: Journal of Chronic Obstructive Pulmonary Disease. 2011 May 27;8(3):173-81.
  11. Ioanna T, Kocks J, Tzanakis N, Siafakas N, van der Molen T. Factors that influence disease-specific quality of life or health status in patients with COPD: a systematic review and meta-analysis of Pearson correlations. Primary Care Respiratory Journal. 2011 Apr 6;20:257-68.
  12. Wacker ME, Jörres RA, Karch A, Wilke S, Heinrich J, Karrasch S, Koch A, Schulz H, Watz H, Leidl R, Vogelmeier C. Assessing health-related quality of life in COPD: comparing generic and disease-specific instruments with focus on comorbidities. BMC pulmonary medicine. 2016 May 10;16(1):70.
  13. Wijnhoven HA, Kriegsman DM, Hesselink AE, De Haan M, Schellevis FG. The influence of co-morbidity on health-related quality of life in asthma and COPD patients. Respiratory medicine. 2003 May 1;97(5):468-75.
  14. Weldam SW, Lammers JW, Decates RL, Schuurmans MJ. Daily activities and health-related quality of life in patients with chronic obstructive pulmonary disease: psychological determinants: a cross-sectional study. Health and quality of life outcomes. 2013 Nov 5;11(1):190.
  15. Setyorini I. Hubungan antara Efikasi Diri dengan Kualitas Hidup Pasien Penyakit Paru obstruktif Kronis dalam Konteks Asuhan Keperawatan di Rumah Sakit Paru Batu dan RSU Dr. Saiful Malang Jawa Timur. Universitas Indonesia; 2011.
  16. Koskela J, Kilpeläinen M, Kupiainen H, Mazur W, Sintonen H, Boezen M, Lindqvist A, Postma D, Laitinen T. Co-morbidities are the key nominators of the health related quality of life in mild and moderate COPD. BMC pulmonary medicine. 2014 Jun 19;14(1):102.
  17. Cheruvu VK, Odhiambo LA, Mowls DS, Zullo MD, Gudina AT. Health-related quality of life in current smokers with COPD: factors associated with current smoking and new insights into sex differences. International journal of chronic obstructive pulmonary disease. 2016;11:2211.
  18. Brashier BB, Kodgule R. Risk factors and pathophysiology of chronic obstructive pulmonary disease (COPD). J Assoc Physicians India. 2012 Feb;60(Suppl):17-21.
  19. Ståhl E, Lindberg A, Jansson SA, Rönmark E, Svensson K, Andersson F, Löfdahl CG, Lundbäck B. Health-related quality of life is related to COPD disease severity. Health and quality of life outcomes. 2005 Sep 9;3(1):56.
  20. Channareddy LR, Ravula ER, Kumar GV. Depression and quality of life in patients with severe chronic obstructive pulmonary disease-A cross sectional study. IAIM.[Internet]. 2016;3(4).
  21. Jimenez-Garcia R, de Miguel-Díez J, Rejas-Gutierrez J, Martín-Centeno A, Gobartt-Vázquez E, Hernandez-Barrera V, de Miguel AG, Carrasco-Garrido P. Health, treatment and health care resources consumption profile among Spanish adults with diabetes and chronic obstructive pulmonary disease. Primary care diabetes. 2009 Aug 31;3(3):141-8.
  22. Hillas G, Perlikos F, Tsiligianni I, Tzanakis N. Managing comorbidities in COPD. International Journal of chronic obstructive pulmonary disease. 2015;10:95.
  23. Hassan HA, Aziz NA, Hassan Y, Hassan F. Does the duration of smoking cessation have an impact on hospital admission and health-related quality of life amongst COPD patients?. International journal of chronic obstructive pulmonary disease. 2014;9:493.



DOI: https://doi.org/10.22146/bkm.26393

Article Metrics

Abstract views : 4926 | views : 5320

Refbacks

  • There are currently no refbacks.


Bookmark and Share


Copyright (c) 2018 Berita Kedokteran Masyarakat



Berita Kedokteran Masyarakat ISSN 0215-1936 (PRINT), ISSN: 2614-8412 (ONLINE).

Indexed by:

 

Web Analytics Visitor Counter