The Predictive Role of Psychological Status and Disease Severity Indexes on Quality of Life Among Patients with Non-CF Bronchiectasis.

IF 0.8 Q4 RESPIRATORY SYSTEM

Turkish Thoracic Journal Pub Date : 2022-01-01 DOI:10.5152/TurkThoracJ.2021.21142

Berrin Ceyhan, Melahat Bekir, Derya Kocakaya, Sehnaz Olgun Yildizeli, Semiha Emel Eryuksel

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引用次数: 0

Abstract

Objective: Bronchiectasis is a chronic suppurative lung disease that significantly impacts the patients' quality of life. Aim of this study is to evaluate the relationship between life of quality and patient's psychological status and bronchiectasis disease severity indexes in patients with non-Cystic Fibrosis (CF) bronchiectasis. We also aimed to investigate the validity and reliability of Turkish version of Quality-of-Life Questionnaire-Bronchiectasis (QoL-B V3.1) in Turkish adult bronchiectatic patients.

Material and methods: 90 stable non-CF bronchiectatic adult patients were enrolled into this study. At baseline, dyspnea score, BMI, lung function tests, sputum cultures, number of exacerbations and hospital admissions, disease severity indexes were recorded. All of the participants underwent quality of life assessment using both QoL-B V3.1 and of Short-Form (SF)-36 questionnaires, psychological status was evaluated by using HADS (Hospital Anxiety and Depression Scale).

Results: In all study participants, anxiety was diagnosed in 27/90 (30%) of patients and depression was diagnosed in 37/90 (41%) of patients. Patients with anxiety and depression had lower quality of life scores in various domains (p:0.026-p:0.001) and HADS scores negatively correlated with several quality-of-life domains (r=-0.216 - r=- 0.343). Female patients had higher risk for depression (55% vs 22%, p:0.002) and worse quality of life than males (p:0.016-p:0.038). Several life quality scores of both instruments were worse in patients with moderate-severe disease severity indexes when compared with those of mild groups. Moreover, Turkish version of newly described QoL-B V3.1 questionnaire was found to be reliable and valid instrument to evaluate the quality of life.

Conclusion: These results emphasize the importance of mental health and disease severity as significant determinants of the life quality in patients particularly female patients with non-CF bronchiectasis.

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心理状态及疾病严重程度指标对非cf支气管扩张患者生活质量的预测作用。

目的:支气管扩张是一种严重影响患者生活质量的慢性化脓性肺部疾病。本研究旨在探讨非囊性纤维化(CF)型支气管扩张患者生活质量与患者心理状态及支气管扩张疾病严重程度指标的关系。我们还旨在调查土耳其版生活质量问卷-支气管扩张(QoL-B V3.1)在土耳其成人支气管扩张患者中的效度和可靠性。材料和方法:90例稳定的非cf性支气管扩张成人患者纳入本研究。在基线时，记录呼吸困难评分、BMI、肺功能检查、痰培养、加重次数和住院次数、疾病严重程度指数。采用生活质量量表(QoL-B V3.1)和SF -36问卷进行生活质量评估，采用医院焦虑抑郁量表(HADS)进行心理状态评估。结果:在所有研究参与者中，27/90(30%)的患者被诊断为焦虑，37/90(41%)的患者被诊断为抑郁。焦虑和抑郁患者在各领域的生活质量得分较低(p:0.026-p:0.001)， HADS得分与多个生活质量领域呈负相关(r=-0.216 - r=- 0.343)。女性患者患抑郁症的风险较高(55% vs 22%， p:0.002)，生活质量较男性患者差(p:0.016- 0.038)。与轻度组相比，中重度疾病严重程度指数患者的两种仪器的几个生活质量评分更差。此外，新描述的土耳其语版QoL-B V3.1问卷被发现是评估生活质量的可靠和有效的工具。结论:这些结果强调了精神健康和疾病严重程度作为非cf性支气管扩张患者尤其是女性患者生活质量的重要决定因素的重要性。

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来源期刊

Turkish Thoracic Journal Medicine-Pulmonary and Respiratory Medicine

CiteScore

1.40

自引率

11.10%

发文量

期刊介绍： Turkish Thoracic Journal (Turk Thorac J) is the double-blind, peer-reviewed, open access, international publication organ of Turkish Thoracic Society. The journal is a quarterly publication, published on January, April, July, and October and its publication language is English. Turkish Thoracic Journal started its publication life following the merger of two journals which were published under the titles “Turkish Respiratory Journal” and “Toraks Journal” until 2007. Archives of both journals were passed on to the Turkish Thoracic Journal. The aim of the journal is to convey scientific developments and to create a dynamic discussion platform about pulmonary diseases. With this intent, the journal accepts articles from all related scientific areas that address adult and pediatric pulmonary diseases, as well as thoracic imaging, environmental and occupational disorders, intensive care, sleep disorders and thoracic surgery. Clinical and research articles, reviews, statements of agreement or disagreement on controversial issues, national and international consensus reports, abstracts and comments of important international articles, interesting case reports, writings related to clinical and practical applications, letters to the editor, and editorials are accepted.