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http://dx.doi.org/10.7586/jkbns.2017.19.1.38

The Airflow Obstruction and Subjective Health Status Among Stable Chronic Obstructive Pulmonary Disease Patients Residing in the Community  

Song, Hee-Young (Department of Nursing, Wonju College of Medicine, Yonsei University)
Publication Information
Journal of Korean Biological Nursing Science / v.19, no.1, 2017 , pp. 38-47 More about this Journal
Abstract
Purpose: This study was undertaken to examine the relationship between airflow obstruction and subjective health status reported by stable patients with chronic obstructive pulmonary disease (COPD) residing in the community. Methods: A cross-sectional descriptive study was conducted with 78 stable COPD patients aged 69.7 years old on average and selected by a convenient sampling from an outpatient department of pulmonology in tertiary hospitals. They completed a constructed questionnaire including general characteristics, smoking history, dyspnea by modified medical research council (mMRC) scale, and health status by COPD assessment test (CAT). Anthropometric measurements were performed for body mass index (BMI) and pulse oxymetry for $O_2$ saturation (Sat $O_2$). Medical records were reviewed to obtain disease-related characteristics including duration of the disease, cardiovascular comorbidity, and forced expiratory volume in 1 second ($FEV_1$). Data were analyzed using PASW statistics 20.0. Results: Mean $FEV_1%$ and CAT scores were 55.11% and 17.73, respectively. Those in the lower stage of mMRC showed significantly higher $FEV_1$ and lower CAT. $FEV_1$ and CAT showed significant negative correlations; age and BMI with $FEV_1$, and Sat $O_2$ with CAT. Conclusion: The findings suggest that the less airway obstruction was, the better health status was, and provide the support for using subjective measures in clinical practices for COPD patients.
Keywords
Chronic obstructive pulmonary disease; airflow obstruction; health status; COPD assessment test;
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1 Vestbo J, Hurd SS, Agusti AG, Jones PW, Vogelmeier C, Anzueto A, et al. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease: GOLD executive summary. American Journal of Respiratory and Critical Care Medicine. 2013;187(4):347-365. http://dx.doi.org/10.1164/rccm.201204-0596PP   DOI
2 Dijk WD, Bemt L, Haak-Rongen S, Bischoff E, Weel C, Veen JC, et al. Multidimensional prognostic indices for use in COPD patient care. A systematic review. Respiratory Research, 2011;12:151-161. http://dx.doi.org/10.1186/1465-9921-12-151   DOI
3 Esteban C, Quintana JM, Aburto M, Moraza J, Capelastegui A. A simple score for assessing stable chronic obstructive pulmonary disease. QJM : Monthly Journal of the Association of Physicians. 2006;99(11):751-759. http://dx.doi.org/10.1093/qjmed/hcl110   DOI
4 Van der Molen T, Diamant Z, Kocks JW, Tsiligianni IG. The use of health status questionnaires in the management of chronic obstructive pulmonary disease patients in clinical practice. Expert Review of Respiratory Medicine. 2014;8(4):479-491. http://dx.doi.org/10.1586/17476348.2014.918851   DOI
5 Jones PW, Quirk FH, Baveystock CM, Littlejohns P. A self-complete measure of health status for chronic airflow limitation:The St. George's Respiratory Questionnaire. The American Review of Respiratory Diseas., 1992;145(6):1321-1327. http://dx.doi.org/10.1164/ajrccm/145.6.1321   DOI
6 Guyatt GH, Berman LB, Townsend M, Pugsley SO, Chambers LW. A measure of quality of life for clinical trials in chronic lung disease. Thorax. 1987;42(10):773-778. http://dx.doi.org/10.1136/thx.42.10.773   DOI
7 McGarvey L. Keeping up appearances: the importance of maintaining health status in COPD. Thorax. 2015;70(9):813-814. http://dx.doi.org/10.1136/thoraxjnl-2015-207355   DOI
8 Nici L, Donner C, Wouters E, Zuwallack R, Ambrosino N, Bourbeau J, et al. American Thoracic Society/European Respiratory Society statement on pulmonary rehabilitation. American Journal of Respiratory and Critical Care Medicine. 2006;173(12):1390-1413. http://dx.doi.org/10.1164/rccm.200508-1211ST   DOI
9 Yoon HS. Health insurance policies preparing the aging society. KDI Economic trend, 2013;2:31-42.
10 Jones PW, Harding G, Berry P, Wiklund I, Chen WH, Kline Leidy N. Development and first validation of the COPD Assessment Test. The European Respiratory Journal. 2009;34(3):648-654. http://dx.doi.org/10.1183/09031936.00102509   DOI
11 Silva GP, Morano MT, Viana CM, Magalhaes CB, Pereira ED. Portuguese-language version of the COPD Assessment Test: validation for use in Brazil. Jornal Brasileiro de Pneumologia. 2013;39(4):402-408. http://dx.doi.org/10.1590/S1806-37132013000400002   DOI
12 Kim S, Oh J, Kim YI, Ban HJ, Kwon YS, Oh IJ, et al. Differences in classification of COPD group using COPD assessment test (CAT) or modified Medical Research Council (mMRC) dyspnea scores: a cross-sectional analyses. BMC Pulmonary Medicine. 2013;13:35. http://dx.doi.org/10.1186/1471-2466-13-35   DOI
13 Lee CH, Ko SJ, Kwak NW, Kim JH, Bae W, Lee HY, et al. Comparison between chronic obstructive pulmonary disease assessment Test (CAT) and modified medical round council (mMRC) in COPD patients. Conference Proceeding of Korean Academy of Tuberculosis of Respiratory Disease. 2012;114(0):225.
14 Irwin DE, Atwood CA, Jr., Hays RD, Spritzer K, Liu H, Donohue JF, et al. Correlation of PROMIS scales and clinical measures among chronic obstructive pulmonary disease patients with and without exacerbations. Quality of Life Research. 2015;24(4):999-1009. http://dx.doi.org/10.1007/s11136-014-0818-1   DOI
15 Cohen J. Statistical power analysis for the behavior science. 2nd ed. Hillsdale, NJ: Lawrence Erlbaum Associate; 1988.109-138.
16 Vercoulen JH, Daudey L, Molema J, Vos PJ, Peters JB, Top M, et al. An Integral assessment framework of health status in chronic obstructive pulmonary disease (COPD). International Journal of Behavioral Medicine. 2008;15(4):263-279. http://dx.doi.org/10.1080/10705500802365474   DOI
17 Bestall JC, Paul EA, Garrod R, Garnham R, Jones PW, Wedzicha JA. Usefulness of the Medical Research Council (MRC) dyspnoea scale as a measure of disability in patients with chronic obstructive pulmonary disease. Thorax. 1999;54(7):581-586. http://dx.doi.org/10.1136/thx.54.7.581   DOI
18 American Thoracic Society. Standardization of Spirometry, 1994 Update. American Journal of Respiratory and Critical Care Medicine. 1995;152(3): 1107-1136. http://dx.doi.org/10.1164/ajrccm.152.3.7663792   DOI
19 Jones PW. Health status and the spiral of decline. COPD. 2009;6(1):59-63. http://dx.doi.org/10.1080/15412550802587943   DOI
20 Hwang YI, Jung KS, Lim SY, Lee YS, Kwon NH. A Validation Study for the Korean Version of Chronic Obstructive Pulmonary Disease Assessment Test (CAT). Tuberculosis and Respiratory Diseases. 2013;74(6):256-263. http://dx.doi.org/10.4046/trd.2013.74.6.256   DOI
21 Agusti A, Soler-Cataluna JJ, Molina J, Morejon E, Garcia-Losa M, Roset M, et al. Does the COPD assessment test (CATTM) questionnaire produce similar results when self- or interviewer administered? Quality of Life Research. 2015;24(10):2345-2354. http://dx.doi.org/10.1007/s11136-015-0983-x   DOI
22 Wedzicha JA, Seemungal TA, MacCallum PK, Paul EA, Donaldson GC, Bhowmik A, et al. Acute exacerbations of chronic obstructive pulmonary disease are accompanied by elevations of plasma fibrinogen and serum IL-6 levels. Thrombosis and Haemostasis. 2000;84(2):210-215.   DOI
23 Donaldson GC, Hurst JR, Smith CJ, Hubbard RB, Wedzicha JA. Increased risk of myocardial infarction and stroke following exacerbation of COPD. Chest. 2010;137(5):1091-1097. http://dx.doi.org/10.1378/chest.09-2029   DOI
24 Ham HS, Lee HY, Lee SJ, Cho YJ, Jung YY, Kim HC, et al. Relationship between systemic inflammatory marker, oxidative stress and body mass index in stable COPD patient. Tuberculosis and Respiratory Diseases. 2006;61(4):330-338. http://dx.doi.org/10.4046/trd.2006.61.4.330   DOI
25 Wilke S, Jones PW, Mullerova H, Vestbo J, Tal-Singer R, Franssen FM, et al. One-year change in health status and subsequent outcomes in COPD. Thorax. 2015;70(5):420-425. http://dx.doi.org/10.1136/thoraxjnl-2014-205697   DOI
26 Cunningham S, McMurray A. The availability and use of oxygen saturation monitoring in primary care in order to assess asthma severity. Primary Care Respiratory Journal. 2006;15(2):98-101. http://dx.doi.org/10.1016/j.pcrj.2006.01.005   DOI
27 Schermer T, Leenders J, in 't Veen H, van den Bosch W, Wissink A, Smeele I, et al. Pulse oximetry in family practice: indications and clinical observations in patients with COPD. Family Practice. 2009;26(6):524-531. http://dx.doi.org/10.1093/fampra/cmp063   DOI
28 Jensen LA, Onyskiw JE, Prasad NG. Meta-analysis of arterial oxygen saturation monitoring by pulse oximetry in adults. Heart & Lung. 1998;27(6):387-408.   DOI