Chest
Clinical InvestigationsCOPDQuality of Life Measured With a Generic Instrument (Short Form-36) Improves Following Pulmonary Rehabilitation in Patients With COPD
Section snippets
Study Design
We prospectively evaluated the effects of a comprehensive 3-weekpulmonary rehabilitation program on quality of life and 6-min walk testin 37 patients with COPD. Patients were referred to the Pulmonary Rehabilitation Program at the National Jewish Medical and Research Center, Denver, CO. Consecutive patients with a primary diagnosis of, COPD referred over a 10-month period and who agreed to participate wereincluded in the study.
Most patients (32 of 37) underwent pulmonary function testing at
SF-36 Before Rehabilitation
Figure 1 illustrates the SF-36subscales as measured before rehabilitation in the COPD patients inthis study, compared to published values for healthyadults.7 Six of the eight subscales (physical function, role physical, general health, vitality, social function, and roleemotion) were significantly lower in COPD patients than in healthyindividuals. The body pain and the mental health scores for the studygroup were similar to values published for healthyadults.8 The mean values for this COPD
Discussion
This study demonstrates an improvement in HQL using a general toolto measure HQL in patients with COPD following a comprehensivepulmonary rehabilitation program, including medical management, education, exercise training, and psychosocial counseling. Althoughthere was an improvement in 6-min walk distance followingrehabilitation, there was not a significant correlation between theimprovement in HQL and improvement in walk distance, indicatingindependence of these measures.
Quality of life can be
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2014, International Journal of Nursing SciencesCitation Excerpt :Divided into two parts, it measures (1) symptoms and (2) activity and impact, resulting in a total score. The SGRQ is accepted in the field as a valid, sensitive and feasible assessment of the quality of life in patients with COPD [8]. The GHQ-12 was scored using a Likert 4 level scoring method with 13 designated as the cut-off point for those with mental disorders, according to previous work [9,10].
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2012, Respiratory MedicineCitation Excerpt :To date, pain does not appear to be strongly associated with the severity of airflow limitation. We did not find a significant relationship between FEV1 and pain severity score of MPQ, similar findings to those of previous studies that examined the severity of pain measures with spirometry.7,45,46 That being said, these results do contrast the moderate correlation that we found between BPI severity and interference scores and FEV1.
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Dr. Boueri is supported by Fundaćão de Amparo áPesquisa do Estado de São Paulo (FAPESP), Brazil.