Loading [MathJax]/jax/output/HTML-CSS/fonts/TeX/fontdata.js

Journal List > J Korean Acad Community Health Nurs > v.26(2) > 1058405

TOOLS
Kang, Na, Yu, and Shin: The Quality of Life in COPD Patients according to Gender: Based on the 4th Korea National Health and Nutrition Examination Survey
Original Article

Journal of Korean Academy of Community Health Nursing 2015; 26(2): 61-68.

Published online: 30 June 2015

DOI: https://doi.org/10.12799/jkachn.2015.26.2.61

The Quality of Life in COPD Patients according to Gender: Based on the 4th Korea National Health and Nutrition Examination Survey

Kyung Sook Kang1, Soon Ok Na2, Young Beob Yu3, Jun Ho Shin4

1Department of Nursing Science, Nambu University, Gwangju, Korea.

2Nursing Service, Chunnam National University Hopsital, Gwangju, Korea.

3Department of Oriental Pharmaceutical Development, Nambu University, Gwangju, Korea.

4Department of Preventive Medicine, Chunnam National University Medical School, Gwangju, Korea.

Corresponding author: Kang, Kyung Sook. Department of Nursing Science, Nambu University, 864-1 Wolgye-dong, Gwangsan-gu, Gwangju 506-824, Korea. Tel: +82-62-970-0151, Fax: +82-62-970-0261, rkdrudtnr2@nate.com

Received 15 October 2014       Revised 20 January 2015       Accepted 10 February 2015

© 2015 Korean Academy of Community Health Nursing

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

In this study, we performed a comparative analysis on the quality of life (QoL) in male and female chronic obstructive pulmonary disease (COPD) patients based on the 4th Korea National Health and Nutrition Examination Survey (KNHANES IV) from 2007 to 2010.

Methods

We extracted the socio-demographic and clinical data of 1,218 COPD patients including 874 men and 344 women from the KNHANES IV database. Descriptive statistics and correlation test were used to analyze the data. In order to find factors associated with QoL of COPD patients, we conducted multivariate linear regression analysis.

Results

Infrequency analysis, the educational level and income were lower in the female COPD patients than in the male ones. The QoL indexes including mobility, self-care, activities of daily living, discomfort, anxiety, and depression were significantly worse in the female of COPD patients than in the male ones (p<.01).

Conclusion

Our study indicates that QoL of female COPD patients should be improved on the educational, economic, and healthcare aspects.

Keywords: Chronic obstructive pulmonary disease, Quality of life, Gender

Figures and Tables

Table 1

Sociodemographic and Clinical Characteristics of Study Population (N=1,218)

jkachn-26-61-i001
Characteristics Categories Men (n=874) Women (n=344) p
n (%) or M±SD n (%) or M±SD
Gender 874 (71.6) 344 (28.4)
Age (year) 64.3±9.52 65.3±10.53 .17
Educational level ≤Middle school 552 (63.2) 294 (85.5) <.01
≥High school 322 (36.8) 50 (14.5)
Spouse With 782 (89.5) 193 (56.1) <.01
Without 92 (10.5) 151 (43.9)
Income status Highest 334 (38.2) 98 (28.5) <.01
Lowest 540 (61.8) 246 (71.5)
Area of residence Urban 550 (62.9) 210 (61.0) .54
Rural 324 (37.1) 134 (39.0)
Height 166.6±6.21 152.4±6.62 <.01
Weight 64.9±9.47 54.8±9.02 <.01
BMI 23.3±2.72 23.6±3.31 .29
Smoking None-smoking (5 pack or less) 102 (11.7) 274 (79.7) <.01
Smoking (5 pack or more) 772 (88.3) 70 (20.3)
FVC (%) 88.9±14.37 90.5±16.01 .09
FEV1P (%) 76.8±16.61 76.7±16.64 .94
EQ-5D index 0.9±0.13 0.8±0.17 <.01

Download Table

Table 2

Correlation of EQ-5D Index and Clinical Characteristics in Men and Women with COPD

jkachn-26-61-i002
Variables Categories EQ-5D index BMI FEV1 P Age Height Weight
Men EQ-5D index 1 .134* .123** -.247** .156** .179*
BMI 1 .088** -.178** .148** .861**
FEV1 P 1 .049 -.026 .054
Age 1 .390** -.340**
Height 1 .627**
Weight 1
Women EQ-5D index 1 -.079 -.076 -.371** .205** .040
BMI 1 .026 .014 .002 .848**
FEV1 P 1 .215** -.087 -.018
Age 1 -.470** -.231**
Height 1 .527**
Weight 1

*p<.05, **p<.01.

Download Table

Table 3

The Differences of EQ-5D Subgroups

jkachn-26-61-i003
EQ-5D Index Men Women t p
Mobility 1.2±0.44 1.5±0.55 -8.67 <.001
Self care 1.1±0.24 1.1±0.33 -4.08 <.001
Usual activities 1.2±0.43 1.4±0.54 -6.01 <.001
Discomfort 1.3±0.56 1.6±0.65 -7.76 <.001
Anxiety/depression 1.1±0.34 1.3±0.56 -8.51 <.001

Download Table

Table 4

Association Factors on Quality of Life in Men with COPD (N=874)

jkachn-26-61-i004
Variables Non standardized regression coefficient Standardized β t p
β SE
(Constant) .83 .15 5.44 <.001
Age -.00 .00 -.16 -4.49 <.001
Educational level .02 .01 .09 2.64 .009
Income status .02 .01 .10 2.93 .003
FEV1 P .00 .00 .12 3.71 <.001
Smoking .01 .01 .02 0.90 .369
Height .00 .00 .00 0.02 .986
Weight .00 .00 .06 1.61 .109
R2=.109

Download Table

Table 5

Association Factors on Quality of Life in Women with COPD (N=344)

jkachn-26-61-i005
Variables Non standardized regression coefficient Standardized β t p
β SE
(Constant) .95 .27 3.51 .001
Age -.00 .00 -.31 -4.90 <.001
Educational level .03 .03 .06 1.11 .269
Income status .00 .02 .01 0.32 .746
FEV1 P -.00 .00 -.00 -0.07 .947
Smoking -.02 .02 -.05 -1.10 .271
Height .00 .00 .07 1.12 .263
Weight -.00 .00 -.09 -1.57 .118
R2=.152

Download Table

References

1. Garcia-Rio F, Soriano JB, Miravitlles M, Munoz L, Duran-Tauleria E, Sanchez G, et al. Impact of obesity on the clinical profile of a population-based sample with chronic obstructive pulmonary disease. Plos One. 2014; 9(8):e105220.
crossref
2. COPD Guideline Revision Committee. 2014 revision COPD guideline [Internet]. Seoul: The Korean Academy of Tuberculosis and Respiratory Disease & Clinical Research Center for Chronic Obstructive Airway Disease Research Center;2014. cited 2014 October 27. Available from: http://www.copd-asthma.co.kr/Kor/Pages/Publication/Publication.aspx?bid=Guide&proc=v&catid=&itemid=553&page=1&schopt=0&schkey=.
3. Agle DP, Baum GL, Chester EH, Wendt M. Multidiscipline treatment of chronic pulmonary insufficiency: 1. Psychologic aspects of rehabilitation. Psychosom Med. 1973; 35(1):41–49.
4. Stavem K, Lossius MI, Kvien TK, Guldvog B. The health-related quality of life of patients with epilepsy compared with angina pectoris, rheumatoid arthritis, asthma and chronic obstructive pulmonary disease. Qual Life Res. 2000; 9(7):865–871.
5. Moy ML, Reilly JJ, Ries AL, Mosenifar Z, Kaplan RM, Lew R, et al. Multivariate models of determinants of health-related quality of life in severe chronic obstructive pulmonary disease. J Rehabil Res Dev. 2009; 46(5):643–654.
crossref
6. de Torres JP, Casanova C, Hernández C, Abreu J, Aguirre-Jaime A, Celli BR. Gender and COPD in patients attending a pulmonary clinic. Chest. 2005; 128(4):2012–2016.
crossref
7. Anzueto A. Clinical course of chronic obstructive pulmonary disease: Review of therapeutic interventions. Am J Med. 2006; 119:10 Suppl 1. 46–53.
crossref
8. Kang GJ, Kim MH, Hwang SK. Self-Care, Symptom Experience, and Health-Related Quality of Life by COPD Severity. J Korean Acad Adult Nurs. 2008; 20(1):163–175.
9. Lee JE, Min BR, Park JS, Park HP, Jun MJ, Won KS, et al. Right ventricle ejection fraction contributes severity of dyspnea in Chronic Obstructive Pulmonary Disease(COPD). Tuberc Respir Dis. 2006; 60(6):631–637.
10. Park SJ. An explanatory model on quality of life for the patients with chronic obstructive pulmonary disease. [Seoul]: Yonsei University;2001. 121.
11. Pauwels RA, Buist AS, Calverley PM, Jenkins CR, Hurd SS. Global strategy for the diagnosis, management and prevention of chronic obstructive pulmonary disease. Am J Respir Crit Care Med. 2001; 163(5):1256–1276. DOI: 10.1164/ajrccm.163.5.2101039.
crossref
12. Pellegrino R, Viegi G, Brusasco V, Crapo RO, Burgos F, Casaburi R, et al. Interpretative strategies for lung function tests. Eur Respir J. 2005; 26(5):948–968.
13. EuroQol Group. EuroQol-a new facility for the measurement of health-related quality of life. Health Policy. 1990; 16(3):199–208.
14. Lee SI. Validity and reliability evaluation for EQ-5D in Korea. Research Report. Osong: Korea Centers for Disease Control and Prevention;2011. 12.
15. Bak-Drabik K, Ziora D. The impact of socioeconomic status on the quality of life in patients with chronic obstructive pulmonary disease. Pneumonol Alergol Pol. 2010; 78(1):3–13.
16. Park SK, Kim H, Cho IS, Ham OK. Gender differences in factors influencing quality of life among patients with coronary artery disease. J Korean Acad Fundam Nurs. 2009; 16(4):497–505.
TOOLS
Similar articles