Quality of Life of Older People Living with COPD in Nepal

QOL of COPD Elderly in Nepal

Authors

  • Ms. Radha 1Kathmandu University School of Medical Sciences, Dhulikhel Hospital, Kathmandu University Hospital, Dhulikhel, Kavre, Nepal
  • Prof. Dr. Hom Nath Geriatric Society of Nepal, Kathmandu.
  • Ms. Anupa Kathmandu University School of Medical Sciences, Dhulikhel Hospital, Kathmandu University Hospital, Dhulikhel, Kavre, Nepal

DOI:

https://doi.org/10.62992/zyngxe19

Keywords:

Chronic obstructive pulmonary disease, COPD, Elderly patients, Nepali elderly, SGRQ-C, St. George's respiratory questionnaire, Quality of life.

Abstract

Background: Chronic Obstructive Pulmonary Disease (COPD) is one of the most common chronic health conditions in older people and is increasingly becoming a major public health concern.

Objectives: The study aims to assess the quality of life among older patients living with COPD.

Methods: A hospital-based cross-sectional study was conducted from February 2017 to July 2018 in a tertiary care hospital in Kavre, Nepal. A total of 220 patients aged 60 years and above were the respondents. Quality of Life (QOL) of participants was assessed through a widely used shorter version of ST George’s Respiratory Questionnaire (SGRQ-C). The mean and Pearson correlation coefficients were used while analysing the data.                         

Results: The mean total score for all domains of QOL was 68.57 (SD=18.66). The mean QOL scores for symptom, activity, and impact domains were 70.51 (SD=±22.37), 68.12 (SD=±23.42), and 68.19 (SD=±20.32) respectively, which suggested marked impairments in QOL in all SGRQ-C domains. The factors significantly related to the overall QOL of COPD patients in this study were: gender, education, type of family, and economic status.

Conclusion: Nepalese older patients with COPD had poor quality of life. Older patients with COPD had an impaired QOL in all three components of symptom, activity, and impact domains. There should be some initiation on how the QOL of older patients with COPD can be improved.   

References

Global initiative for Chronic Obstructive Pulmonary Diseases. Global initiative for Chronic Obstructive Pulmonary Diseases 2018 [Available from: https://goldcopd.org/wp-content/uploads/2017/11/GOLD-2018-v6.0-FINAL-revised-20-Nov_WMS.pdf%20on%201/15/2024.

Institute of Health Metrics and Evaluation (IHME). GBD compare data visualization Seattle: IHME, University of Washington; 2017 [Available from: https://vizhub.healthdata.org/gbd-compare.

WHO. Chronic obstructive pulmonary diseases. WHO; 2013.

Karki KB, Poudyal A, Shrestha N, Mahato NK, Aryal KK, Sijapati MJ, et al. Factors Associated with Chronic Obstructive Pulmonary Diseases in Nepal: Evidence from a Nationally Representative Population-Based Study. International journal of chronic obstructive pulmonary disease. 2021;16:1109-18.

Soriano JB, Abajobir AA, Abate KH ea. Global, regional, and national deaths, prevalence, disability-adjusted life years, and years lived with disability for chronic obstructive pulmonary disease and asthma, 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015. The Lancet Respiratory medicine. 2017;5(9):691-706.

National Institutes of Health. How the Lungs Work The Lungs 2022 [Available from: https://www.nhlbi.nih.gov/health/lungs.

Chalise HN. Aging Trend and Pattern in Nepal. Journal of Tikapur Multiple Campus. 2024;7(1-2):142-56.

Chaliseorcid HN. Aging Trend and Situation in Nepal. Advances in Aging Research. 2023;12:39-48.

Chalise HN, Brightman JD. Aging trends: Population aging in Nepal. 2006;6(3):199-204.

Chalise HN. Health Status of Elderly living in Government and Private Old Age Home in Nepal. Asian Journal of Biological Sciences. 2019;11:173-8.

Chalise HN. health-status-of-elderly-living-in-briddaashram (old-age-home). 2019.

Hom Nath Chalise ER. Social and Health Status of Community-Dwelling Older Adults in Nepal. Advances in Aging Research. 2019;8:63-74.

Khanal B CH. Caregiver Burden among Informal Caregivers of Rural Elderly in Nepal. Health Care and Research. 2020;20(1):149-56.

Joshi MR, Chalise HN. Elderly Abuse and Quality of Life: A Study of Community Living Older People of Nepal. 2021;2(2):113-9.

Joshi M, Chalise HN, Khatiwada P. Quality of Life of Nepalese Elderly Living in Rural Nepal. 2018.

Acharya Pandey R, Chalise HN, Shrestha A, Ranjit A. Quality of Life of Patients with Chronic Obstructive Pulmonary Disease Attending a Tertiary Care Hospital, Kavre, Nepal. Kathmandu University medical journal (KUMJ). 2021;19(74):180-5.

Paul W. Jones YF. ST GEORGE’S RESPIRATORY QUESTIONNAIRE FOR COPDPATIENTS (SGRQ-C). London, UK: St George’s, University of London; 2016.

Acharya Pandey R, Chalise HN. Self-Esteem and Academic Stress among Nursing Students. Kathmandu University medical journal (KUMJ). 2015;13(52):298-302.

Sherpa CT, LeClerq SL, Singh S, Naithani N, Pangeni R, Karki A, et al. Validation of the St. George's Respiratory Questionnaire in Nepal. Chronic obstructive pulmonary diseases (Miami, Fla). 2015;2(4):281-9.

Ahmed MS, Neyaz A, Aslami AN. Health-related quality of life of chronic obstructive pulmonary disease patients: Results from a community based cross-sectional study in Aligarh, Uttar Pradesh, India. Lung India : official organ of Indian Chest Society. 2016;33(2):148-53.

Ibrahim S, Manu MK, James BS, Kamath A, Shetty RS. Health Related Quality of Life among patients with Chronic Obstructive Pulmonary Disease at a tertiary care teaching hospital in southern India. Clinical Epidemiology and Global Health. 2021;10.

Pati S, Swain S, Patel SK, Chauhan AS, Panda N, Mahapatra P, et al. An assessment of health-related quality of life among patients with chronic obstructive pulmonary diseases attending a tertiary care hospital in Bhubaneswar City, India. Journal of family medicine and primary care. 2018;7(5):1047-53.

Malpani AK, Waggi M, Mukunda MS, Jampa K, Sindhuri MJIJoPP. A Study on Assessment of Health Related Quality of Life in Copd and Asthma Patients in a Tertiary care Teaching Hospital. 2015;8:34-41.

Corlateanu A, Botnaru V, Covantev S, Dumitru S, Siafakas N. Predicting Health-Related Quality of Life in Patients with Chronic Obstructive Pulmonary Disease: The Impact of Age. Respiration; international review of thoracic diseases. 2016;92(4):229-34.

Peruzza S, Sergi G, Vianello A, Pisent C, Tiozzo F, Manzan A, et al. Chronic obstructive pulmonary disease (COPD) in elderly subjects: impact on functional status and quality of life. Respiratory medicine. 2003;97(6):612-7.

Zhong N, Wang C, Yao W, Chen P, Kang J, Huang S, et al. Prevalence of chronic obstructive pulmonary disease in China: a large, population-based survey. American journal of respiratory and critical care medicine. 2007;176(8):753-60.

Alam DS, Chowdhury MA, Siddiquee AT, Ahmed S, Clemens JD. Prevalence and Determinants of Chronic Obstructive Pulmonary Disease (COPD) in Bangladesh. Copd. 2015;12(6):658-67.

Kanervisto M, Vasankari T, Laitinen T, Heliövaara M, Jousilahti P, Saarelainen S. Low socioeconomic status is associated with chronic obstructive airway diseases. Respiratory medicine. 2011;105(8):1140-6.

Shavro SA, Ezhilarasu P, Augustine J, Bechtel JJ, Christopher DJ. Correlation of health-related quality of life with other disease severity indices in Indian chronic obstructive pulmonary disease patients. International journal of chronic obstructive pulmonary disease. 2012;7:291-6.

Martín A, Rodríguez-González Moro JM, Izquierdo JL, Gobartt E, de Lucas P. Health-related quality of life in outpatients with COPD in daily practice: the VICE Spanish Study. International journal of chronic obstructive pulmonary disease. 2008;3(4):683-92.

Ferrer M, Alonso J, Morera J, Marrades RM, Khalaf A, Aguar MC, et al. Chronic obstructive pulmonary disease stage and health-related quality of life. The Quality of Life of Chronic Obstructive Pulmonary Disease Study Group. Annals of internal medicine. 1997;127(12):1072-9.

Brown DW, Pleasants R, Ohar JA, Kraft M, Donohue JF, Mannino DM, et al. Health-related quality of life and chronic obstructive pulmonary disease in North Carolina. North American journal of medical sciences. 2010;2(2):60-5.

Negi H, Sarkar M, Raval AD, Pandey K, Das P. Health-related quality of life in patients with chronic obstructive pulmonary disease in North India. Journal of postgraduate medicine. 2014;60(1):7-11.

Gaude N, Desai A. Health related quality of life in COPD patients: a cross-sectional study. International Journal Of Community Medicine And Public Health. 2018;5:2038.

Mohsen S, Hanafy FZ, Fathy AA, El-Gilany AH. Nonadherence to treatment and quality of life among patients with chronic obstructive pulmonary disease. Lung India : official organ of Indian Chest Society. 2019;36(3):193-8.

Jones PW, Brusselle G, Dal Negro RW, Ferrer M, Kardos P, Levy ML, et al. Health-related quality of life in patients by COPD severity within primary care in Europe. Respiratory medicine. 2011;105(1):57-66.

Suwal RP, Upadhyay B, Chalise HN. Factors Associated with Anxiety and Depression among Elderly Living in Old Age Homes. KMC Journal. 2024;6(1):280-99.

Chalise HN, Nath H, Prithvi N, Campus. Healthy Ageing: A Basic Concept. Asian Journal of Population Sciences. 2023;2:124-8.

Chalise HN, Brightman J. Strengthening Active Aging through Older People’s Association and Economic Activity of the Older People in Nepal. Advances in Aging Research. 2024;13:15-24.

Chalise HN. Healthy Aging. Journal of Karnali Academy of Health Sciences. 2023;6.

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Published

17-09-2024

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1.
Quality of Life of Older People Living with COPD in Nepal: QOL of COPD Elderly in Nepal. IJPHAP [Internet]. 2024 Sep. 17 [cited 2025 Feb. 18];3(6):16-25. Available from: https://ijphap.com/index.php/home/article/view/79