It was found that age, gender, level of education, occupation, smoking status, feeling restless, and loss of interest in work were significantly associated with the quality of life among participants.
BACKGROUND Poor medication adherence among Chronic Obstructive Pulmonary Disease (COPD) patients can lead to higher costs and worse health outcomes. The study aimed to examine medication adherence patterns and the factors influencing them in patients with COPD.
METHOD This is a descriptive cross-sectional study conducted at Out Patient Department of Universal College of Medical Sciences (UCMS), Bhairahawa, Nepal from 25th February 2023 to 24th August 2023. Patients having age ≥18 years of either sex. and diagnosed with COPD were included in this study and purposive sampling method was used. Ethical approval was obtained from the Institutional Review Committee of UCMS with reference number (Ref. No. UCMS/IRC/204/22). A validated structured questionnaire was used to collect the data and Statistical analysis performed using descriptive statistics and chi-square tests using Statistical Package for Social Sciences (SPSS) version 20.
RESULTS Out of 175 patients enrolled in this study, 53.7% had a medium level, 30.9% had a high level, and 15.4% had a low level of medication adherence. The chi square test showed that medication adherence pattern was significantly associated with age (p=0.03), education status (p=0.047), number of medications (p=0.02), medication cost (p<0.001) and information provided about their medication (p=0.03). About 56.6% of patients had missed the dose and the major reason was forgetfulness (41.9%). Most of the patients had discontinued their medication due to symptomatic relief (32.6%).
CONCLUSION Factors affecting low adherence included the number of medications, age, education level, and cost. Further research should be conducted to enhance patient education among COPD patients and increase medication adherence.
A. Yadav, Barsha Subedi· Journal of Advances in Inter...· 0 citations
Background: Chronic respiratory conditions are a serious public health issue in India. Chronic respiratory diseases have a significant effect on patients' quality of life (QOL). Understanding the factors influencing health-related quality of life (HRQOL) is essential to improving patient care and treatment strategies. Objectives: The purpose of our study was to assess the HRQOL of individuals with chronic respiratory conditions and to determine the associated factors. Methodology: A cross-sectional observational study was conducted in a tertiary care hospital's outpatient pulmonary medicine department. 428 participants who were selected via convenience sampling were added to the study after meeting the inclusion criteria. Results: Our research shows that patients with long-term respiratory conditions have lower HRQOL. A strong association was found with advancing age, occupation, smoking status, and comorbidity with poor HRQOL in these patients. Conclusion: Our research concluded that several factors might impact a patient's HRQOL with respiratory disease. Determining these factors in advance can help identify individuals who are more likely to have poorer HRQOL and make interventions that could improve patient outcomes.
A. B., Bhagyasri Ray, Sharanabasappa S et al.· Nigerian Medical Journal· 0 citations
Pakistan patients with COPD experienced marked symptom burden and HRQoL impairment, supporting multidimensional assessment beyond spirometry alone, and CAT, FEV₁, and probable depression remained independently associated with HRQoL.
Zarish Younas, Ashar Yousaf, Adden Anis Khan et al.· Journal of Health and Rehabi...· 0 citations
COPD is a worldwide public health problem; approximately 5% of all global deaths are attributed to COPD. Among chronic respiratory conditions, COPD contributes to 50% of the disease burden and 70% of DALYs in India. In India, it accounted for 9.5% of all deaths. There is limited community-based data on the prevalence of COPD and its risk factors in India.
A community-based cross-sectional study was conducted in an urban poor locality of Bangalore. Sample size was calculated to be 1560. Population proportion to size (PPS) sampling technique was used. Information was collected from subjects aged >30 years through the interview method using a pretested semistructured questionnaire. A spirometry test was used to diagnose COPD.
Descriptive statistics such as mean, standard deviation, and percentages were used. A Chi-square test was used to assess the association between categorical variables. Multivariate logistic regression was done.
The prevalence of COPD among individuals aged above 30 years was 10.38%. The prevalence among males was 14.4% and among females was 7.1%. The majority (74.06% had a moderate to severe stage of COPD. On multivariate logistic regression analysis, the association of the risk factors for COPD was found to be statistically significant with age, history of tobacco smoke, smokeless tobacco, type of fuel used, biomass fuel exposure, ETS exposure, and indoor air pollution.
The prevalence of COPD among the population aged more than 30 years in an urban poor locality of a metropolitan city is high, with males having a higher prevalence than females.
G. Gowda, Sunil M Guruoadaswamy, S. Athani et al.· Indian Journal of Community...· 0 citations
The AE non CB and AE-CB phenotypes were found to have the most significant impact on HR-QoL among COPD patients, suggesting that individuals with the AE-CB phenotype notably require a tailored treatment approach that specifically addresses both the frequent exacerbations and the chronic bronchitis component to improve their overall QoL.
Naresh Bhagora, S. Meena, Pushpendra Bairwa et al.· Journal of Clinical and Diag...· 0 citations
BACKGROUND
Patients with coronary heart disease (CHD) and type 2 diabetes mellitus (T2DM) face significantly higher mortality and poorer health-related quality of life (HRQoL) than those with a single condition. However, evidence on HRQoL and its associated factors in these patients remains limited.
OBJECTIVES
To evaluate HRQoL in patients with CHD and T2DM and identify associated factors.
METHODS
A cross-sectional study was conducted among 207 patients with CHD and T2DM from a tertiary hospital in Shiyan. Sociodemographic questionnaire, Euro Quality-of-Life 5 Dimensions 5-Level Questionnaire, the Morisky Medication Adherence Scale-8, and the Center for Epidemiologic Studies-Depression scale were used to investigate the participants' HRQoL, medication adherence, and depression level. Data analysis was conducted using single-factor analysis and multiple linear regression to explore the factors influencing HRQoL.
RESULTS
The mean Euro Quality-of-Life 5 Dimensions 5-Level Questionnaire score was 0.96 (standard deviation = 0.09), with pain/discomfort and anxiety/depression being the most frequently reported. Multiple regression analysis revealed that family history of disease, whether or not an individual knows something about the Chinese Food Guide Pagoda, sleep duration, regularity of work schedule, and severity of depression as potential factors associated with HRQoL in patients with CHD and T2DM.
CONCLUSIONS
Patients with CHD and T2DM generally exhibited a relatively high HRQoL. However, family history of disease, unhealthy lifestyle behaviors, and depressive symptoms were significantly associated with lower HRQoL. Targeted interventions emphasizing health education, behavioral modification, and psychological support may effectively enhance both physical and mental health in this population, thereby contributing to improved long-term outcomes and overall quality of life.
Xin Yang Liu, Lele Bi, Qiao-Yun Jin et al.· Journal of Cardiovascular Nu...· 0 citations