KRONİK OBSTRÜKTİF AKCİĞER HASTALARINDA DİSPNE ALGISI VE YAŞAM KALİTESİNİN DEĞERLENDİRİLMESİ

Amaç: Bu araştırma, Kronik Obstrüktif Akciğer Hastaları (KOAH)’nda dispne algısı ve yaşam kalitesi arasındaki ilişkiyi ve etkileyen faktörleri belirlemek amacı ile planlandı. Yöntem: Tanımlayıcı kesitsel tipte yapılan araştırma bir üniversite hastanesinde 75 KOAH tanısı olan birey ile yürütülmüştür. Çalışmanın verileri Hasta Bilgi Formu, dispne algısını belirlemek için Modified Medical Research Council Skalası ve yaşam kalitesi düzeyini ölçmek için Saint George Solunum Anketi ile toplanmıştır.Bulgular: Hastaların yaş ortalaması 60.86 ± 9.4’ yıldır, %73.30’u erkektir. Dispne algısının hastaların yarısında (%53) şiddetli olduğu, yaşam kalitesi düzeyinin ise iyi olduğu görülmüştür. Bu araştırmada yaş, sigara kullanımı, pasif sigara dumanına maruz kalma gibi faktörlerin dispne algısı ve yaşam kalitesi üzerinde etkili olduğu bulunmuştur (p<0,05). Çalışmamızda dispne ile yaşam kalitesi arasında negatif yönde anlamlı bir ilişki bulunmuştur (p<0,05). Hastaların dispne şiddeti arttıkça yaşam kalitesinin kötüleştiği belirlenmiştir. Sonuç: KOAH’lı bireylerin kişisel (yaş, sigara kullanımı vb) ve hastalığa ilişkin özelliklerinin (tanı süresi, dispne şiddeti vb) dispne algısı ve yaşam kalitesini etkilediği saptanmıştır. Bu özellikler dikkate alınarak verilecek eğitim ve bakımın dispne algısı ve yaşam kalitesini iyileştireceği düşünülmektedir.

EVALUATION OF DYSPNEA AND QUALITY OF LIFE IN PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE

Aim: The study was conducted to determine the relationship between the perception of dyspnea and quality of life in patients with Chronic Obstructive Pulmonary Disease (COPD) and affecting factors.Methods: Seventy-five COPD patients treated in a University Hospital in Edirne province were included in this descriptive cross-sectional study in order to evaluate the dyspnea and quality of life in patients with chronic obstructive pulmonary disease. The data of the study were collected by The Modified Medical Research Council scale to determine the dyspnea of the patients and the Saint George Respiratory Questionnaire to measure the quality of life and Patient information form. Results: The average age of the patients was 60.86 ± 9.4 years, 73.30% of them were male. It was observed that the perception of dyspnea was severe in half of the patients (53%) and the quality of life was well. In this study, factors such as age, smoking, exposure to passive tobacco smoke were found to be effective on perception of dyspnea and quality of life (p <0.05). In our study, a negative relationship was found between dyspnea and quality of life (p <0.05). It was determined that the quality of life deteriorated as the severity of dyspnea increased.Conclusions: It was found out that personal characteristics of patients with COPD (age, smoking, etc.) and the characteristics related to the disease (duration of diagnosis, severity of dyspnea, etc.), affects dyspnea and quality of life. By taking these characteristics into account, education and nursing care practices are thought to have a positive effect on improving dyspnea and quality of life.

Keywords:

Dyspnea Chronic Obstructive Pulmonary Disease, quality of life,

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