Assessing COPD patients’ health status for daily clinical practice using HADS and CAT instruments: A Cross-sectional study

Background: Chronic obstructive pulmonary disease (COPD) is a common chronic disease that affects around 400 million individuals worldwide. Individuals with COPD can suffer from multiple comorbidities that affect their general health status as the disease progresses. Among the significant extrapulmo...

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Bibliographic Details
Main Author: Stella Stefánsdóttir 1999-
Other Authors: Háskóli Íslands
Format: Thesis
Language:English
Published: 2022
Subjects:
Online Access:http://hdl.handle.net/1946/41309
Description
Summary:Background: Chronic obstructive pulmonary disease (COPD) is a common chronic disease that affects around 400 million individuals worldwide. Individuals with COPD can suffer from multiple comorbidities that affect their general health status as the disease progresses. Among the significant extrapulmonary comorbidities commonly neglected are anxiety and depression. Both have shown to be very detrimental to an individual's health. Anxiety and depression must be equally assessed, just like other comorbidities,as part of the foundation for optimal care. Purpose and objective This study sought to increase understanding of the general health status of patients with COPD by exploring the relationship between the COPD Assessment Test (CAT) and patients' well-being using the Hospital Anxiety and Depression Scale (HADS) as a measure. This study is part of a bigger research project. Method: This is a cross-sectional study performed in 2020. The participants were 85 individuals with COPD in stable condition who had received six months of nursing treatment from the outpatient pulmonary clinic at the National University Hospital of Iceland prior to data collection. The participants were 59 (69.4%) females and 26 (30.6%) males, all diagnosed with GOLD stage II or higher. The interviews were conducted through telephone communication. In this study, demographical data, comorbidities, CAT, and HADS scores were reported. Descriptive statistics were used to describe the analysis of participants, and Spearman's correlation was used to assess the correlation between the CAT score and HADS score. Results: There was non-significant relationship between CAT score and HADS-anxiety (Spearman's ρ=0.18), and CAT score and HADS-depression (Spearman's ρ=0.21). Conclusion: This study revealed the importance of further research and analysis with a larger sample to shed more light on the relationship between these measuring instruments. Keywords: Chronic obstructive pulmonary disease, COPD, well-being, anxiety, depression, CAT, HADS, ...