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

机译：住院后COPD患者的健康状况，心理困扰和生活质量的变化

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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.
机译：本文的目的是描述慢性阻塞性肺疾病（COPD）急性加重后的生活质量（QoL），并研究QoL，健康状况，心理困扰和QoL之间的可能关系。这项前瞻性纵向研究检查了住院和随后两个阶段（共9个月）的数据。样本包括51位年龄在48-87岁之间的COPD患者。健康状况通过圣乔治呼吸调查问卷（SGRQ）进行评估；霍普金斯症状清单（HSCL）造成的心理困扰；世界卫生组织的生活质量-Bref（WHOQOL-Bref）。在过去的9个月中，健康状况显着改善； SGRQ总分从65.95到59.40（p = 0.001）。从住院到1个月评估（T2），心理困扰显着改善（p = 0.001）。 QoL保持稳定，除了从住院到T2的物理领域以及从住院到T2和T3的环境领域显着增加。 WHOQOL – Bref的重测相关性很高。结果表明，尽管心理困扰程度高和生活质量降低，但COPD病情加重后出院仍可在9个月内改善健康状况。

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