The health-related quality-of-life of chronic obstructive pulmonary disease patients and disease-related indirect burdens
- 주제(키워드) Pulmonary disease , chronic obstructive , Health expenditures , Care-givers , Quality of life
- 주제(기타) Medicine, General & Internal
- 설명문(일반) [Choi, Hye Sook] Kyung Hee Univ, Dept Internal Med, Div Pulm Allergy & Crit Care Med, Med Ctr, Seoul, South Korea; [Yang, Dong-Wook] Seoul Natl Univ, Grad Sch Publ Hlth, Seoul, South Korea; [Rhee, Chin Kook] Catholic Univ Korea, Coll Med, Dept Internal Med, Div Pulm Allergy & Crit Care Med,Seoul St Marys H, Seoul, South Korea; [Yoon, Hyoung Kyu] Catholic Univ Korea, Coll Med, Dept Internal Med, Div Pulm Allergy & Crit Care Med,Yeouido St Marys, Seoul, South Korea; [Lee, Jin Hwa] Ewha Womans Univ, Dept Internal Med, Div Pulm Allergy & Crit Care Med, Coll Med, Seoul, South Korea; [Lim, Seong Yong] Sungkyunkwan Univ, Kangbuk Samsung Hosp, Dept Internal Med, Div Pulm Allergy & Crit Care Med,Sch Med, Seoul, South Korea; [Kim, Yu-Il] Chonnam Natl Univ Hosp, Dept Internal Med, Div Pulm Allergy & Crit Care Med, Gwangju, South Korea; [Yoo, Kwang Ha] Konkuk Univ, Dept Internal Med, Div Pulm Allergy & Crit Care Med, Sch Med, Seoul, South Korea; [Hwang, Yong-Il] Hallym Univ, Dept Internal Med, Div Pulm Allergy & Crit Care Med, Sacred Heart Hosp, Anyang, South Korea; [Lee, Sang Haak] Catholic Univ Korea, Coll Med, Dept Internal Med, Div Pulm Allergy & Crit Care Med,St Pauls Hosp, Seoul, South Korea; [Park, Yong Bum] Hallym Univ, Dept Internal Med, Div Pulm Allergy & Crit Care Med, Kangdong Sacred Heart Hosp, 150 Seongan Ro, Seoul 05355, South Korea
- 등재 SCIE, SCOPUS, KCI등재
- OA유형 gold, Green Published
- 발행기관 KOREAN ASSOC INTERNAL MEDICINE
- 발행년도 2020
- 총서유형 Journal
- URI http://www.dcollection.net/handler/ewha/000000174541
- 본문언어 영어
- Published As http://dx.doi.org/10.3904/kjim.2018.398
- PubMed https://pubmed.ncbi.nlm.nih.gov/32066224
초록/요약
Background/Aims: Many chronic obstructive pulmonary disease (COPD) patients have physical limitations. We investigated EuroQol five-dimensions five-level (EQ-5D-5L) of COPD patients to assess quality of life, and assessed indirect bur-den including time expenditure to visit doctor, home care rate, and caregiver related burden. Methods: We recruited 355 COPD patients according to severity of airflow limitation that severity was set at 10% mild, 40% moderate, 30% severe, and 20% very severe in two primary and 11 secondary/tertiary hospitals. Eligible patients were aged >= 40 years, who have been diagnosed with COPD for more than i year. Patients were recruited between June 2015 and October 2016. Results: The quality of life tended to decline with age, from mild to very severe impairment, as revealed by the EQ-5D-5L scores and the EQ visual analog scale. Family caregivers accompanied 22.6% of patients who visited outpatient clinics, and 25% of stage IV COPD patients. During emergency visits and hospitalization, this figure increased to > 60%. The home care rates were 28.5% for stage I patients, and 34.4, 31.8, and 52% for stage II to IV patients, respectively. The percent-age of caregivers who stopped working was 13.6%. The EQ-5D index was strongly associated with the dyspnea scale (r = -0.64, p < 0.001). The average required time to see a doctor and visit the pharmacy was 154 minutes. Conclusions: In patients with COPD, the EQ-5D index decreased and disease-related home caregiving increased with airflow limitation. We considered the care-giver-related burden when making a strategy for COPD management.
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