UZUN SÜRELİ OKSİJEN TEDAVİSİ UYGULANAN KOAH'LI OLGULARDA ANKSİYETE DEPRESYON SIKLIĞI
-
FREQUENCY OF ANXIETY-DEPRESSION AMONG CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) PATIENTS WHO USE HOME OXYGEN THERAPY
To assess the frequency of anxiety-depression among COPD patients with frequent emergency room admission who has home oxygen therapy. COPD patients with frequent admissions to emergency room in the 01 January- 31 March period and had oxygen therapy at home were assessed. A questionnaire examining their sociodemographic characteristics and psychological state was given to the patients in addition to their routine therapy. Also their admissions and hospitalizations were noted in January-March period. Anxiety-depression levels were assessed in accordance with hospital anxiety-depression scale. How psychological state is affected by the disease and sociodemographic data were investigated. Seven (17.5%) of total 40 COPD patients were female and 33 (82.5%) were male. Their mean age were 61.73±9.13 (40-77). Mean anxiety value was 14.27±4.16 (3-21) and mean depression value was 13.67±4.28 (4-20). There was no correlation between anxiety-depression level and age, sex, education, marital status, location and income level (p>0.05). The patients who were looked after by their mate or children had lower depression levels (p<0.001).Frequent emergency room admission and long hospitalization durations were two factors affecting psychological status in a negative manner. (p<0.05) Frequent hospital admission, long hospitalization durations and parental neglect affected psychological status of COPD patients who had oxygen therapy at home.
___
- 1. Gagnon LM, Patten SB. Major depression
and its association with long-term medical
conditions. Can J Psychiatry 2002;47: 149-
52.
- 2. Hall RCW, Rundel JR, Popkin MK. Costeffectiveness
of the Consultation-Liasion
Service. Wise MG, Rundell RJ, editors.
Textbook of Consultation-Liasion Psychiatry.
Washington, DC: American Psychiatric
Publishing, 2002; 25-32.
- 3. Özcan S. Psikiatrik t›p: Konsültasyon-Liyezon
1993; 83-117.
- 4. ATS. Definitions, epidemiology, pathophysiology,
diagnosis and staging COPD. Am J Respir
Crit Care Med 1995; 152: 78-83.
- 5. Ede LV, Yzermans CJ, Brouwer HJ. Prevalence
of depression in patients with chronic
obstructive pulmonary disease: a systematic
review. Thorax 1999; 54: 688-92.
- 6. Zigmond AS, Snaith PR. The Hospital Anxiety
and Depression Scale. Acta Psychiatr Scand,
1983; 67: 361-70.
- 7. Aydemir Ö, Güvenir T, Küey L, Kültür S.
Hastane Anksiyete ve Depresyon Ölçe¤i
Türkçe formunun geçerlilik ve Güvenilirli¤i.
Türk Psikiyatri Dergisi, 1997; 8: 280-7.
- 8. Öner N, LeCompte A. Durumluk-Sürekli
Kayg› Envanteri El Kitab›. 2. bask›, Bo¤aziçi
Üniversitesi Yay›nlar›, ‹stanbul, 1998.
- 9. Hisli N. Beck depresyon envanterinin
geçerli¤i üzerine bir çal›flma. Türk Psikoloji
Dergisi 1989; 22: 118-26.
- 10. Saryal B, Ac›can T .Güncel Bilgiler Ifl›¤›nda
Kronik Obstrüktif Akci¤er Hastal›¤›. Bilimsel
T›p Yay›nevi, (2003). Ankara.
- 11. Tel H, Akdemir N. KOAH’ l› hastalara
uygulanan planl› hasta ö¤retiminin ve hasta
izleminin hastalar›n hastal›kla bafl etme
durumlar›na etkisi. Cumhuriyet Üniversitesi
Hemflirelik Yüksekokulu Dergisi 1998; 2(2 ):
44-52.
- 12. Kömürcüo¤lu B, Balio¤lu M, Öztuna I.
Büyükflirin M, Ifl›k E, Perim K. KOAH’ l› erkek
olgularda depresyon. Toraks Dergisi 2000;
1(3): 31-4.
- 13. Çelik P, Esen A, Ak›n M ve ark. Kronik
obstrüktif akci¤er olgular›nda depresyon.
Solunum Hastal›klar› 1998; 9 (1): 25-32.
- 14. Dahlen I, Jansob C .Anxiety and depression
are related to the outcome of emergency
treatment in patients with chronic
obstructive pulmonary disease. Chest 2000;
122 (5): 1633-7.
- 15. Dawson CA, Town GI, Frampton C, Mulder
RT. Psychopsthology and illness beliefs
influence COPD self-management. Journal of
Psychosomatic Research 2004; 56(3): 333-
40.
- 16. Korkmaz T, Tel H. KOAH’l› hastalarda anksiyete,
depresyon ve sosyal destek durumunun
belirlenmesi.Anadolu Hemflirelik ve
Sa¤l›k Bilimleri Dergisi, 2010; 13: 2: 79-86
- 17. Engstrem CP, Persson LO, Larsson S, Rydén A,
Sullivan M. Functional status and wellbeing
in COPD with regard to clinical parameters
and smoking: a descriptive and clinical
study. Thorax 1996; 51: 825-30.
- 18. Sözer K, Öngen G, Sungar A, Oktay M,
fienocak M, Yaman M. Diffüz obstrüktif
akci¤er hastal›klar›nda depresyon ve anksiyete
görülme s›kl›¤›. Solunum 1990; 18: 1-7.
- 19. Üskül B, Selvi A, Meliko¤lu A, Varol N,
Türker H. Gö¤üs hastal›klar› klini¤inde yatan
hastalarda anksiyete ve depresyon düzeyinin
sosyo-demografik faktörlerin ve hastal›k
tan›lar›n›n iliflkisi. Akci¤er Arflivi 2006; 7(1):
11-5.
- 20. Sorias O. Sosyal destek kavram›. Ege
Üniversitesi T›p Fakültesi Dergisi 1988; 27
(1): 353-7.
- 21. Kara M, Mirici A. Loneliness, depression, and
social support of Turkish patients with
chronic obstructive pulmonary disease and
their spouses. Journal of Nursing Scholarship
2004; 36(4): 331-6.