Social Determinants of Health in Predicting Quality of Life in Patients with Chronic Obstructive Pulmonary Disease
Article Sidebar
Main Article Content
Abstract
Purpose: This study aimed to study the predictive power of Social Determinants of Health (SDH) in predicting quality of life in patients with chronic obstructive pulmonary disease (COPD).
Design: A cross-sectional research design.
Methods: The sample included 126 patients with COPD who had follow-up visits at the outpatient department of a tertiary hospital in Saraburi province. Data were collected using a Demographic Data Questionnaire, the Short Version of the European Health Literacy Survey, the Risky Environment Induces Acute Exacerbations in COPD Questionnaire, the Global Physical Activity Questionnaire, the COPD Anxiety Questionnaire, the Barriers to Receiving Care Questionnaire, and the COPD Assessment Test. Descriptive statistics and stepwise multiple regression were used for the data analysis.
Main findings: Good overall quality of life was found 69.8% in patients with COPD. Significant predictors of quality of life in COPD patients included anxiety regarding COPD (β = .43, p < .001), health literacy (β = - .21, p < .01), and physical activity (β = .19, p = .013) respectively. All three variables could account for 36.3% of the variance explained in quality of life among COPD patients (adjusted R2 = .36).
Conclusion and recommendations: Anxiety regarding COPD, health literacy, and physical activity can predict quality of life in patients with COPD. The findings recommend that nurses encourage patients to obtain health information from reliable sources specific to their conditions, engage in regular exercise, and reduce anxiety by providing information on exacerbation prevention and management in cases of exacerbation to improve the quality of life in patients with COPD.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Copyright Notice: Nursing Science Journal of Thailand has exclusive rights to publish and distribute the manuscript and all contents therein. Without the journal’s permission, the dissemination of the manuscript in another journal or online, and the reproduction of the manuscript for non-educational purpose are prohibited.
Disclaimer: The opinion expressed and figures provided in this journal, NSJT, are the sole responsibility of the authors. The editorial board bears no responsibility in this regard.
References
Global Initiative for Chronic Obstructive Lung Disease (GOLD). Global strategy for prevention, diagnosis and management of COPD: 2024 report [Internet]. Fontana, WI; Global Initiative for Chronic Obstructive Lung Disease; 2024 [cited 2024 Jul 25]. Available from: https://goldcopd.org/2024-gold-report/.
Health Information System Development Office (HISO). The situation regarding deaths from non-communicable diseases (NCDs) in Thailand 2020 [Internet]. Nonthaburi: Strategy and Panning Dvision of Office of the Permanent Secretary Ministry of Public Health; 2020 [cited 2024 Jul 25]. Available from: https://www.hiso.or.th/thaihealthstat/analysis/10health/53_62/53_62_5.pdf.
Jones PW, Harding G, Berry P, Wiklund I, Chen W-H, Kline Leidy N. Development and first validation of the COPD Assessment Test. Eur Respir J. 2009;34(3):648-54. doi: 10.1183/09031936.00102509.
Aldhahi MI, Baattaiah BA, Nazer RI, Albarrati A. Impact of psychological factors on functional performance among patients with chronic obstructive pulmonary disease. Int J Environ Res Public Health. 2023;20(2)1285. doi: 10.3390/ijerph20021285.
Fazekas-Pongor V, Fekete M, Balazs P, Árva D, Pénzes M, Tarantini S, et al. Health-related quality of life of COPD patients aged over 40 years. Physiol Int. 2021;108(2):261-73. doi: 10.1556/2060.2021.00017.
Raddadi Y, Adib-Hajbaghery M. Health literacy and quality of life in Iranian persons with COPD. Heart Lung. 2022;54:61-7. doi: 10.1016/j.hrtlng.2022.02.009.
Ying Y, Khunthason S, Apidechkul T, Nilvarangkul K. Influencing factors of good quality of life among chronic obstructive pulmonary disease patients living in Zhejiang province, China. Sci Rep. 2024;14(1):8687. doi: 10.1038/s41598-024-59289-9.
World Health Organization. A conceptual framework for action on the social determinants of health [Internet]. Geneva: World Health Organization; 2010 [cited 2024 Jul 25]. Available from: https://www.afro.who.int/sites/default/files/2017-06/SDH_conceptual_framework_for_action.pdf.
Poureslami I, FitzGerald JM, Tregobov N, Goldstein RS, Lougheed MD, Gupta S. Health literacy in asthma and chronic obstructive pulmonary disease (COPD) care: a narrative review and future directions. Respir Res. 2022;23(1):361. doi: 10.1186/s12931-022-02290-5.
Azkan Ture D, Bhattacharya S, Demirci H, Yildiz T. Health literacy and health outcomes in chronic obstructive pulmonary disease patients: an explorative study. Front Public Health. 2022;10:846768. doi: 10.3389/fpubh.2022.846768.
Assaf EA, Badarneh A, Saifan A, Al-Yateem N. Chronic obstructive pulmonary disease patients' quality of life and its related factors: a cross-sectional study of the Jordanian population. F1000Res. 2022;11:581. doi: 10.12688/f1000research.121783.1.
Bălă G-P, Timar B, Gorun F, Motisan R, Pescaru C, Tudorache E, et al. The impact of air pollution on frequent exacerbations among COPD patients: an observational study on the population of western Romania. J Clin Med. 2022;11(15):4352. doi: 10.3390/jcm11154352.
Pothirat C, Kiatboonsri S, Chuchottaworn C. Validation of the new COPD assessment test translated into Thai in patients with chronic obstructive pulmonary disease. BMC Pulm Med. 2014;14:193. doi: 10.1186/1471-2466-14-193.
Anusak K, Matanasarawoot R, Sakarinkhul P, Jiraporncharoen W. Factors affecting an acute exacerbation among COPD patients in the emergency room, Lamphun hospital. Journal of The Department of Medical Services. 2021;46(4):67-73. (in Thai).
Kobayashi S, Chiba F, Ishida M, Satoh H, Ono M, Hanagama M, et al. Physical activity and outcomes in Japanese patients with chronic obstructive pulmonary disease: from the Ishinomaki COPD network registry. Respir Investig. 2024;62(1):107-12. doi: 10.1016/j.resinv.2023.10.007.
Keil DC, Stenzel NM, Kühl K, Vaske I, Mewes R, Rief W, et al. The impact of chronic obstructive pulmonary disease-related fears on disease-specific disability. Chron Respir Dis. 2014;11(1):31-40. doi: 10.1177/1479972313516881.
Mou Y, Shan L, Liu Y, Wang Y, He Z, Li X, et al. Risk factors for anxiety and its impacts on acute exacerbation in older patients with chronic obstructive pulmonary disease. Front Med (Lausanne). 2024;11:1340182. doi: 10.3389/fmed.2024.1340182.
Wattanakitkrileart D, Khongton W, Sumonviwat T, Dejsomritrutai W. The influence of inhaler technique, exacerbation, age, and barrier to receiving care on adherence to inhaled medications in patients with COPD. Nursing Science Journal of Thailand. 2020;38(2):74-87. (in Thai).
Adeyemi OJ, Paul R, Akinsola OO, Bouillon-Minois J-B, Arinxe GR, Arif AA. Poverty, health care access barriers, and functional limitations among individuals with chronic obstructive pulmonary disease: an 11-year cross-sectional analysis, 2008-2018. J Health Care Poor Underserved. 2023;34(2):652-72. doi: 10.1353/hpu.2023.0056.
Trongsakul S, Lambert R, Clark A, Wongpakaran N, Cross J. Development of the Thai version of Mini-Cog, a brief cognitive screening test. Geriatr Gerontol Int. 2015;15(5):594-600. doi: 10.1111/ggi.12318.
Sørensen K, Van den Broucke S, Fullam J, Doyle G, Pelikan J, Slonska Z, et al. Health literacy and public health: a systematic review and integration of definitions and models. BMC Public Health. 2012;12:80. doi: 10.1186/1471-2458-12-80.
Tanukaew D, Watanakijkrilert D, Sriyuktasuth A, Chattranukulchai P. Factors predicting medication adherence in patients with essential hypertension. Thai Red Cross Nursing Journal. 2022;15(1):127-43. (in Thai).
World Health Organization. Global recommendations on physical activity for health. Geneva: World Health Organization; 2010 [cited 2024 Jul 25]. Available from: https://iris.who.int/bitstream/handle/10665/44399/9789241599979_eng.pdf?sequence=1.
Zafar M. Health-related quality of life in patients with chronic obstructive pulmonary disease in Karachi Pakistan – a cross sectional study. MAMC Journal of Medical Sciences. 2020;6(1):17-22. doi: 10.4103/mamcjms.mamcjms_92_19.
Pothirat C, Chaiwong W, Liwsrisakun C, Bumroongkit C, Deesomchok A, Theerakittikul T, et al. Influence of particulate matter during seasonal smog on quality of life and lung function in patients with chronic obstructive pulmonary disease. Int J Environ Res Public Health. 2019;16(1):106. doi: 10.3390/ijerph16010106.