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Changes in Health Status, Psychological Distress, and Quality of Life in COPD Patients after Hospitalization

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Abstract

The purpose of this paper was to describe quality of life (QoL) following an acute exacerbation of chronic obstructive pulmonary disease (COPD), and to examine possible relationships between QoL, health status, psychological distress and QoL. This prospective longitudinal study examined data from hospitalization and two subsequent phases, collected over a 9-month period. The sample consisted of 51 COPD patients aged 48–87 years. Health status was assessed with the St George’s Respiratory Questionnaire (SGRQ); psychological distress with the Hopkins Symptom Checklist (HSCL); and quality of life using the World Health Organization Quality of Life – Bref (WHOQOL – Bref). Health status improved significantly over the 9 months; from 65.95 to 59.40 (p = 0.001) in the SGRQ total score. Psychological distress improved significantly from hospitalization to the 1-month assessment (T2) (p = 0.001). QoL remained stable except for a significant increase in the physical domain from hospitalization to T2, and in the environmental domain from hospitalization to T2 and T3. Test–retest correlations of the WHOQOL – Bref were high. The results suggest an improvement in the health status over a 9-month period from being discharged after an exacerbation of COPD in spite of high levels of psychological distress and reduced QoL.

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Abbreviations

COPD:

Chronic obstructive pulmonary disease

HSCL:

The Hopkins Symptom Checklist

Predicted FEV1%:

Forced expiratory volume produced in first second, compared with the predicted normal value based on age, height and gender

QoL:

Quality of life

SGRQ:

St George’s Respiratory Questionnaire

WHOQOL – Bref::

The World Health Organization Quality of Life – Bref Version

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Authors and Affiliations

  1. Faculty of Nursing Education, Oslo University College, P.O. Box 4, St. Olavs plass, Oslo, N-0310, Norway

    Randi Andenæs

  2. Department of Behavioural Sciences in Medicine, Medical Faculty, University of Oslo, P.O. Box 1111, Blindern, Oslo, Norway

    Torbjørn Moum

  3. Faculty of Nursing Research, Diakonova University College, Linstows gt. 5, Oslo, Norway

    Mary H. Kalfoss

  4. Faculty of Nursing Education, Oslo University College, P.O. Box 4, St Olavs plass, Oslo, Norway

    Astrid K. Wahl

Authors
  1. Randi Andenæs
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  2. Torbjørn Moum
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  3. Mary H. Kalfoss
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  4. Astrid K. Wahl
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Correspondence to Randi Andenæs.

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Andenæs, R., Moum, T., Kalfoss, M.H. et al. Changes in Health Status, Psychological Distress, and Quality of Life in COPD Patients after Hospitalization. Qual Life Res 15, 249–257 (2006). https://doi.org/10.1007/s11136-005-0890-7

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  • DOI: https://doi.org/10.1007/s11136-005-0890-7

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