TY - JOUR
T1 - Resilience factors important in health-related quality of life of subjects with COPD
AU - Cannon, Danielle L.
AU - Sriram, Krishna Bajee
AU - Liew, Alan Wee Chung
AU - Sun, Jing
N1 - Publisher Copyright:
© 2018 Daeda-lus Enterprises.
PY - 2018/10/1
Y1 - 2018/10/1
N2 - BACKGROUND: Common among patients with COPD is declining health-related quality of life (HRQOL). Although results of research identified some factors associated with HRQOL, resilience factors are yet to be fully investigated. METHODS: This study examined resilience and demographic factors associated with HRQOL. Participants >40 y old were recruited from community health programs and hospitals in South East Queensland. Self-administered questionnaires were used to query subjects’ HRQOL and levels of resilience. A decision tree examined the factors important to HRQOL in 159 subjects with COPD. RESULTS: Factors of importance in the HRQOL of subjects with COPD were found in 3 domains of the St George Respiratory Questionnaire. Of importance on the breathlessness domain was marital status, defensive coping, coping, number of comorbidities, relationships, decision-making, self-esteem, self-efficacy, and professional support of health and well-being. Of the symptoms domain, self-efficacy, recruitment location, anxiety/depression, decision-making, self-esteem, coping, relationships, professional support of health and well-being, and risks were important. The cough domain found recruitment location, anxiety/depression, professional support of health and well-being, coping, and defensive coping to be important for subjects’ HRQOL. CONCLUSIONS: Resilience and confounding factors were of importance in the HRQOL of subjects with COPD. Thus, consultation with a medical professional, especially at discharge, who identifies, encourages, and approves of the patient’s disease management abilities will enhance both resilience and HRQOL.
AB - BACKGROUND: Common among patients with COPD is declining health-related quality of life (HRQOL). Although results of research identified some factors associated with HRQOL, resilience factors are yet to be fully investigated. METHODS: This study examined resilience and demographic factors associated with HRQOL. Participants >40 y old were recruited from community health programs and hospitals in South East Queensland. Self-administered questionnaires were used to query subjects’ HRQOL and levels of resilience. A decision tree examined the factors important to HRQOL in 159 subjects with COPD. RESULTS: Factors of importance in the HRQOL of subjects with COPD were found in 3 domains of the St George Respiratory Questionnaire. Of importance on the breathlessness domain was marital status, defensive coping, coping, number of comorbidities, relationships, decision-making, self-esteem, self-efficacy, and professional support of health and well-being. Of the symptoms domain, self-efficacy, recruitment location, anxiety/depression, decision-making, self-esteem, coping, relationships, professional support of health and well-being, and risks were important. The cough domain found recruitment location, anxiety/depression, professional support of health and well-being, coping, and defensive coping to be important for subjects’ HRQOL. CONCLUSIONS: Resilience and confounding factors were of importance in the HRQOL of subjects with COPD. Thus, consultation with a medical professional, especially at discharge, who identifies, encourages, and approves of the patient’s disease management abilities will enhance both resilience and HRQOL.
KW - COPD
KW - Defensive cop-ing
KW - Hospitalization
KW - HRQOL
KW - Professional support
KW - Resilience
KW - Self-esteem
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U2 - 10.4187/respcare.05935
DO - 10.4187/respcare.05935
M3 - Article
C2 - 30065078
AN - SCOPUS:85054822559
SN - 0020-1324
VL - 63
SP - 1281
EP - 1292
JO - Respiratory Care
JF - Respiratory Care
IS - 10
ER -