Changes in health status, psychological distress, and quality of life in COPD patients after hospitalization
Changes in health status, psychological distress, and quality of life in COPD patients after hospitalization
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DOI：
10.1007/s11136-005-0890-7
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发表时间：
2006-03-01
影响因子：
3.5
通讯作者：
Wahl, AK
中科院分区：
文献类型：
--
作者：
Andenæs, R;Moum, T;Wahl, AK
本文的目的是描述慢性阻塞性肺疾病（COPD）急性加重后的生活质量（QoL），并检查QoL，健康状况，心理困扰和QoL之间可能存在的关系。这项前瞻性纵向研究检查了在9个月内收集的住院和随后两个阶段的数据。样本由51名年龄48-87岁的COPD患者组成。健康状况采用St乔治呼吸问卷（SGRQ）评估;心理困扰采用霍普金斯症状自评量表（HSCL）评估;生活质量采用世界卫生组织生活质量量表（WHOQOL - Bref）评估。健康状况在9个月内显著改善; SGRQ总分从65.95改善至59.40（p = 0.001）。从住院到1个月评估（T2），心理困扰显著改善（p = 0.001）。生活质量保持稳定，除了从住院到T2的物理领域和从住院到T2和T3的环境领域显著增加。WHOQOL-Bref的重测相关性较高。结果表明，尽管存在高水平的心理困扰和生活质量降低，但COPD加重后出院后9个月内的健康状况有所改善。
The purpose of this paper was to describe quality of life (QoL) following an acute exacerbation of chronic obstructive pulmonary disease (COPD), and to examine possible relationships between QoL, health status, psychological distress and QoL. This prospective longitudinal study examined data from hospitalization and two subsequent phases, collected over a 9-month period. The sample consisted of 51 COPD patients aged 48-87 years. Health status was assessed with the St George's Respiratory Questionnaire (SGRQ); psychological distress with the Hopkins Symptom Checklist (HSCL); and quality of life using the World Health Organization Quality of Life - Bref (WHOQOL - Bref). Health status improved significantly over the 9 months; from 65.95 to 59.40 (p = 0.001) in the SGRQ total score. Psychological distress improved significantly from hospitalization to the 1-month assessment (T2) (p = 0.001). QoL remained stable except for a significant increase in the physical domain from hospitalization to T2, and in the environmental domain from hospitalization to T2 and T3. Test-retest correlations of the WHOQOL - Bref were high. The results suggest an improvement in the health status over a 9-month period from being discharged after an exacerbation of COPD in spite of high levels of psychological distress and reduced QoL.