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Erschienen in:

2022 | OriginalPaper | Buchkapitel

28. Lebensqualität

verfasst von : Jörg Steier, Anne-Kathrin Rausch-Osthoff

Erschienen in: Physiotherapie bei chronisch-obstruktiven Atemwegs- und Lungenerkrankungen

Verlag: Springer Berlin Heidelberg

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Zusammenfassung

Die chronisch-obstruktive Lungenerkrankung (COPD) hat große Auswirkungen auf die Lebensqualität der betroffenen Patienten. Bei der krankheitsbezogenen Lebensqualität ist die Multidimensionalität zu beachten, d. h., die Lebensqualität umfasst mehrere Bereiche. Die emotionalen Folgen sind vielfältig, oft kommt es bei schwerer COPD zu Angststörungen, Depressionen, emotionaler Labilität oder erhöhter Reizbarkeit. Die Krankheit vermindert das Selbstvertrauen, und die Patienten fühlen sich häufig ausgeliefert, hilflos, einsam und mit ihren Beschwerden nicht ernst genommen. Auffallende Krankheitssymptome wie Luftnot, Zyanose, abweichendes Körpergewicht, Uhrglasnägel, Trommelschlegelfinger und chronischer Husten mit Auswurf sind für die Betroffenen stigmatisierend, verunsichern das Selbstwertgefühl und können zusätzlich die soziale Integration erschweren. Untersuchungen bei COPD-Patienten haben gezeigt, dass die Prävalenz von Angst und Depression zwischen 2–50 % variiert.

Vorheriges Kapitel Harninkontinenz bei COPD

Nächstes Kapitel Einführung in die Prinzipien der Atemtherapie

Benzo R, Flume PA, Turner D, Tempest M (2000) Effect of pulmonary rehabilitation on quality of life in patients with COPD: the use of SF-36 summary scores as outcomes measures. J Cardpulm Rehabil 20:231–234CrossRef

Black N (2013) Patient reported outcome measures could help transform healthcare. BMJ 346(7896). f167. ISSN 0959-8138. https://doi.org/10.1136/bmj.f167

Blakemore A, Dickens C, Chew-Graham CA, Afzal et al (2019) Depression predicts emergency care use in people with chronic obstructive pulmonary disease: a large cohort study in primary care. Int J Chron Obstruct Pulmon Dis 14:1343–1353CrossRefPubMedPubMedCentral

Bullinger M (1995) German translation and psychometric testing of the SF-36 health survey: preliminary results from the IQOLA Project. International quality of life assessment. Soc Sci Med 41:1359–1366CrossRefPubMed

Criner G, Cordova FC, Leyenson et al (1999) Randomised controlled trial comparing bilateral lung volume reduction surgery to pulmonary rehabilitation in severe chronic pulmonary disease. Am J Respir Crit Care Med 160:2018–2027CrossRefPubMed

Doll H, Grey-Amante P, Duprat-Lomon I (2002) Quality of life in acute exacerbation of chronic bronchitis: results from a German population study. Respir Med 96:39–51CrossRefPubMed

Dowson C, Laing R, Barraclough R et al (2001) The use of the Hospital Anxiety and Depression Scale (HADS) in patients with chronic obstructive pulmonary disease: a pilot study. NZ Med J 114:447–449

Ede L v, Yzermans CJ, Brouwer HJ (1999) Prevalence of depression in patients with chronic obstructive pulmonary disease: a systematic review. Thorax 54:688–692CrossRefPubMedPubMedCentral

Goërtz YMJ, Spruit MA, Van 't Hul AJ, Peters JB, Van Herck M, Nakken N, Djamin RS, Burtin C, Thong MSY, Coors A, Meertens-Kerris Y, Wouters EFM, Prins JB, Franssen FME, Muris JWM, Vanfleteren LEGW, Sprangers MAG, Janssen DJA, Vercoulen JH (2019) Fatigue is highly prevalent in patients with COPD and correlates poorly with the degree of airflow limitation. Ther Adv Respir Dis 13:1753466619878128CrossRefPubMedPubMedCentral

Gordon CS, Waller JW, Cook RM, Cavalera SL, Lim WT, Osadnik CR (2019) Effect of pulmonary rehabilitation on symptoms of anxiety and depression in COPD: a systematic review and meta-analysis. Chest 156(1):80–91CrossRefPubMed

Guyatt GH, Berman LB, Townsend M, Pugsley SO, Chambers LW (1987) A measure of quality of life for clinical trials in chronic lung disease. Thorax 42:773–778CrossRefPubMedPubMedCentral

Hanania NA, Müllerova H, Locantore NW, Vestbo J, Watkins ML et al (2011) Determinants of depression in the ECLIPSE Chronic Obstructive Pulmonary Disease Cohort. Am J Respir Crit Care Med 183:604–611CrossRefPubMed

Iyer AS, Bhatt SP, Garner JJ, Wells JM, Trevor JL et al (2015) Depression is associated with readmission for acute exacerbation for Chronic Obstructive Pulmonary Disease. Ann Am thorac Soc 13(2):197–203CrossRef

Johansson H, Berterö C, Berg K, Jonasson LL (2019) To live a life with COPD – the consequences of symptom burden. Int J Chron Obstruct Pulmon Dis 14:905–909CrossRefPubMedPubMedCentral

Jones PW, Stahl E (2003) Reducing exacerbations leads to a better health-related quality of life in patients with COPD. Eur Respir J 22(Suppl. 45):238

Kaptein AA, van Klink RC, de Kok F, Scharloo M, Snoei L, Broadbent E, Bel EH, Rabe KF (2008) Sexuality in patients with asthma and COPD. Respir Med 102(2):198–204CrossRefPubMed

Karajgi B, Rifkin A, Doddi S, Kolli R (1990) The prevalence of anxiety disorders in patients with chronic obstructive pulmonary disease. Am J Psychiatry 147:200–201CrossRefPubMed

Lacasse Y, Wong E, Guyatt GH (1996) Meta-analysis of respiratory rehabilitation in chronic obstructive pulmonary disease. Lancet 348:1115–1119CrossRefPubMed

Lacasse Y, Guyatt GH, Goldstein RS (1997) The components of a respiratory rehabilitation program: a systematic overview. Chest 111:1077–1088CrossRefPubMed

Lacasse, Y, Brosseau L, Milne S (2003) Pulmonary rehabilitation for chronic obstructive pulmonary disease. Cochrane Libr Issue 1, Oxford

Levack WMM, Poot B, Weatherall M, Travers J (2015) Interventions for sexual dysfunction in people with chronic obstructive pulmonary disease (COPD). Cochrane Database Syst Rev 9:CD011442PubMed

Light RW, Merrill EJ, Despars JA, Gordon GH, Mutalipassi LR (1985) Prevalence of depression and anxiety in patients with COPD. Relationship to functional capacity. Chest 87:35–38CrossRefPubMed

Long H, Howells K, Peters S, Blakemore A (2019) Does health coaching improve health-related quality of life and reduce hospital admissions in people with chronic obstructive pulmonary disease? A systematic review and meta-analysis. Br J Health Psychol 24(3):515–546PubMedPubMedCentral

Mahler DA, Mackowiak JI (1995) Evaluation of the short-form 36-item questionnaire to measure health-related quality of life in patients with COPD. Chest 107:1585–1589CrossRefPubMed

McCarthy B, Casey D, Devane D, Murphy K, Murphy E, Lacasse Y (2015) Pulmonary rehabilitation for chronic obstructive pulmonary disease. Cochrane Database Syst Rev (2):CD003793

Mikkelsen RL, Middelboe T, Pisinger C, Stage K (2004) Anxiety and depression in patients with chronic obstructive pulmonary disease (COPD). A review. Nord J Psychiatry 58:65–70CrossRefPubMed

Paddison JS, Effing TW, Quinn S, Frith PA (2013) Fatigue in COPD: association with functional status and hospitalization. Eur Respir J 41:565–570CrossRefPubMed

Puhan MA, Behnke M, Laschke M et al (2004) Self-administration and standardisation of the chronic respiratory questionnaire: a randomised trial in three German-speaking countries. Respir Med 98:342–350CrossRefPubMed

Puhan MA, Schunemann HJ, Frey M, Scharplatz M, Bachmann LM (2005) How should COPD patients exercise during respiratory rehabilitation? Comparison of exercise modalities and intensities to treat skeletal muscle dysfunction. Thorax 60:367–375CrossRefPubMedPubMedCentral

Ries AL, Make BJ, Lee SM et al (2005) The effects of pulmonary rehabilitation in the national emphysema treatment trial. Chest 128:3799–3809CrossRefPubMed

Seemungal TA, Donaldson GC, Paul EA et al (1998) Effect of exacerbation on quality of life in patients with chronic obstructive pulmonary disease. Am J Respir Crit Care Med 157:1418–1422CrossRefPubMed

Sewell L, Singh SJ, Williams JE, Collier R, Morgan MD (2006) How long should outpatient pulmonary rehabilitation be? A randomised controlled trial of 4 weeks versus 7 weeks. Thorax 61:767–771CrossRefPubMedPubMedCentral

Spencer S, Calverley PM, Burge PS, Jones PW (2004) Impact of preventing exacerbations on deterioration of health status in COPD. Eur Respir J 23:698–702CrossRefPubMed

Steuer-Stey C, Strassmann A, Dalla Lana K et al (2020) Sexuality in chronic obstructive pulmonary disease (SEXY COPD). Eur Respir J 56:1824

Verrill D, Barton C, Beasley W, Lippard WM (2005) The effects of short-term and long-term pulmonary rehabilitation on functional capacity, perceived dyspnea, and quality of life. Chest 128:673–683CrossRefPubMed

Wijkstra PJ, Vergert EM t, Otten AR v et al (1994) Reliability and validity of the chronic respiratory questionnaire (CRQ). Thorax 49:465–467

Zysman M, Rubenstein J, Le Guillou F et al (2020) COPD burden on sexual well-being. Respir Res 21:311CrossRefPubMedPubMedCentral

Titel: Lebensqualität
verfasst von: Jörg Steier
Anne-Kathrin Rausch-Osthoff
Verlag: Springer Berlin Heidelberg
Buch: Physiotherapie bei chronisch-obstruktiven Atemwegs- und Lungenerkrankungen
Print ISBN: 978-3-662-63612-1

Electronic ISBN: 978-3-662-63613-8

Copyright-Jahr: 2022
DOI: https://doi.org/10.1007/978-3-662-63613-8_28

Springerpflege

Zusammenfassung

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