The Journal of Korean Physical Therapy

  • 제26권4호
  • /
  • Pages.262-268
  • /
  • 2014
  • /
  • 1229-0475(pISSN)
  • /
  • 2287-156X(eISSN)
대한물리치료학회 (The Korean Society of Physical Therapy)
권호 표지

만성폐쇄성폐질환환자의 피로도가 우울정도와 건강관련 삶의 질에 미치는 영향

The Effect of Fatigue of Patients with Chronic Obstructive Pulmonary Disease on Depression and The Health-Related Quality of Life

  • 강정일 (세한대학교 물리치료학과) ;
  • 정대근 (세한대학교 일반대학원 물리치료학과) ;
  • 최현 (세한대학교 일반대학원 물리치료학과)
  • Kang, Jeong-Il (Department of Physical Therapy, Sehan University) ;
  • Jeong, Dae-Keun (Department of Physical Therapy, Graduate School, Sehan University) ;
  • Choi, Hyun (Department of Physical Therapy, Graduate School, Sehan University)
  • 투고 : 2014.07.11
  • 심사 : 2014.08.12
  • 발행 : 2014.08.25
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose: This study was conducted in order to measure fatigue as an objective index, depression and health-related quality of life of patients with COPD in daily life, to understand the correlation between them, and to present reasons for using the results clinically. Methods: This study is intended to evaluate and compare depression, the health-related quality of life of each group after measuring lactic acid levels of 39 male patients with COPD, and dividing those with measurement values than the normal value into the experimental group, and those with normal values into the control group. Results: When comparing depression between the experimental group and the control group, it was measured at 10.38 in the experimental group, and at 7.00 in the control group (p<0.05). Health-related quality of life between the experimental group and the control group was measured at 51.8 in the experimental group, and at 48.67 in the control group (p>0.05). Conclusion: According to the results described above, it appears that patients with COPD have adapted to their disease in some degree for a long period of time, and they are physically and psychologically adjusting to the fatigue they experience, in their own ways of adapting. These results imply that improving physical activity is associated with relief of fatigue and improvement of the quality of life. Thus, there is a need for developing and researching an exercise program and a physical therapy intervention for enhancement of physical activity.

키워드

참고문헌

  1. Statistics korea, Life expectancy and healthy life. Retrieved April 20. 2011.
  2. Korea Statistical Information Service, Deaths and death rates by cause. Retrieved April, 20. 2011.
  3. Ministry of Health & Welfare, Retrieved from URL: 2009;3-4.
  4. Celli BR, MacNee W; ATS/ERS Task Force. Standards for the diagnosis and treatment of patients with COPD: a summary of the ATS/ERS position paper. Eur Respir J. 2004;23(6):932-46. https://doi.org/10.1183/09031936.04.00014304
  5. Graydon JE, Ross E. Influence of symptoms, lung function, mood, and social support on level of functioning of patients with COPD. Res Nurs Health. 1995;18(6):525-33. https://doi.org/10.1002/nur.4770180608
  6. Small S, Lamb M. Fatigue in chronic illness: the experience of individuals with chronic obstructive pulmonary disease and with asthma. J Ady Nurs. 1999;30(2):469-78. https://doi.org/10.1046/j.1365-2648.1999.01102.x
  7. Theander K, Unosson M. Fatigue in patients with chronic obstructive pulmonary disease. J Adv Nurs, 2004;45(2):172-7. https://doi.org/10.1046/j.1365-2648.2003.02878.x
  8. Oh EG, Kim CJ, Lee WH. Factors Influencing Functional Status in People with Chronic Lung Disease. J Korean Acad Nurs. 2002;32(5):1598-2874.
  9. Jones PW, Bosh TK. Quality of life changes in COPD patients treated with salmeterol. Am J Respir Crit Care Med. 1997;155(4):1283-9. https://doi.org/10.1164/ajrccm.155.4.9105068
  10. Ng TP, Niti M, Fones C et al. Co-morbid association of depression and COPD: a population-based study. Respir Med. 2009;103(6):895-901. https://doi.org/10.1016/j.rmed.2008.12.010
  11. Ryu YJ, Chun EM, Sim YS et al. Depression and Anxiety in Outpatients with Chronic Obstructive Pulmonary Disease. Tuberculosis and Respiratory Diseases. 2007;62(1):11-8. https://doi.org/10.4046/trd.2007.62.1.11
  12. van Manen JG, Bindels PJ, Dekker FW et al. Risk of depression in patients with chronic obstructive pulmonary disease and its determinants. Thorax. 2002;57(5):412-6. https://doi.org/10.1136/thorax.57.5.412
  13. Simon GE, Von Korff M, Lin E et al. Clinical and functional outcomes of depression treatment in patients with and without chronic medical illness. Psychol Med. 2005;35(2):271-9 https://doi.org/10.1017/S0033291704003071
  14. Vestbo J, Hurd SS, Agusti AG et al. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease: GOLD executive summary. Am J Respir Crit Care Med. 2013;187(4):347-65. https://doi.org/10.1164/rccm.201204-0596PP
  15. Kang GJ,. Kim MH, Hwang SK. Self-Care, Symptom Experience, and Health-Related Quality of Life by COPD Severity. Korean J Adult Nurs. 2008;20(1):163-75.
  16. Na HR. Explorative study on fatigue in patients with chronic obstructive pulmonary disease. Kyung Hee University. Dissertation of Master's Degree. 2000.
  17. Kim HC, Lee GD, Hwang YS. Skeletal Muscle Dysfunction in Patients with Chronic Obstructive Pulmonary. Tuberculosis and Respiratory Diseases. 2010;68(3):125-39. https://doi.org/10.4046/trd.2010.68.3.125
  18. Rennard S, Decramer M, Calverley PM et al. Impact of COPD in North America and Europe in 2000: subjects' perspective of Confronting COPD International Survey. Eur Respir J. 2002;20(4):799-805. https://doi.org/10.1183/09031936.02.03242002
  19. GOLD. Global Initiative for Chronic Obstructive Lung Disease, Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease. Retrieved April, 20, 2011.
  20. Kapella MC, Larson JL, Patel MK et al. Subjective fatigue, influencing variables, and consequences in chronic obstructive pulmonary disease. Nurs Res. 2006;55(1):10-7. https://doi.org/10.1097/00006199-200601000-00002
  21. Bang SY. Influencing Factors on Fatigue in Patients with Chronic Obstructive Pulmonary Disease. J Korean Acad Nurs. 2007;37(6):855-62. https://doi.org/10.4040/jkan.2007.37.6.855
  22. Breukink SO, Strijbos JH, Koorn M et al. Relationship between subjective fatigue and physiological variables in patients with chronic obstructive pulmonary disease. Respir Med. 1998;92(4):676-82. https://doi.org/10.1016/S0954-6111(98)90517-0
  23. Arne M, Janson C, Janson S et al. Physical activity and quality of life in subjects with chronic disease: chronic obstructive pulmonary disease compared with rheumatoid arthritis and diabetes mellitus. Scand J Prim Health Care. 2009;27(3):141-7. https://doi.org/10.1080/02813430902808643
  24. Park SJ. Explanatory model on quality of life for patients with chronic obstructive pulmonary disease. Yonsei University. Dissertation of Doctorate Degree. 2001.
  25. Kim EJ, Park JH, Yonn SJ et al. Relationship between Dyspnea and Disease Severity, Quality of Life, and Social Factor in Patients with Chronic Obstructive Pulmonary Disease. Tuberc Respir Dis. 2006;60(4):397-403. https://doi.org/10.4046/trd.2006.60.4.397
  26. Dahlén I, Janson C. Anxiety and depression are related to the outcome of emergency treatment in patients with obstructive pulmonary disease. Chest. 2002;125(5):1633-7.
  27. Shin KC. Clinical Year-in-Review of Chronic Obstructive Pulmonary Disease in Korea. Tuberculosis and Respiratory Diseases. 2011;71(1):1-7. https://doi.org/10.4046/trd.2011.71.1.1
  28. Jee YS, Lee HJ. Literature Review on Depression Reduction Intervention Study in Patients with COPD. Global Health and Nursing. 2011;1(2):45-54.
  29. Kang IS, Jeon JH. Pulmonary Function, Dyspnea and SGRQ in Patients With COPD. JKAIS. 2009;10(8):2134-40.
  30. Kim YN. Comparison of Effectiveness of Breathing Intervention Program for Improvement of Pulmonary Functions according to Prevalence Period in Patients with COPD. J Korean Soc Phys Ther. 2012;24(5):355-61.
  31. Reishtein JL. Relationship between symptoms and functional performance in COPD. Res Nurs Health. 2005;28(1):39-47. https://doi.org/10.1002/nur.20054
  32. Vorrink SN, Kort HS, Troosters T et al. Level of daily physical activity in individuals with COPD compared with healthy controls. Respir Res. 2011;12(33):1186-93.