Effects of Anxiety, Depression and Health Status on Hospitalized COPD Patients: A Study in DMCH

Mohammad Aminul Islam1, Adnan Yusuf Choudhury2, Biswas Akhtar Hossain3,Md. Mohiuddin Ahmad4, Hena Khatun5, Md. Osman Goni6, Biswas Shaheen Hassan7

Abstract
Anxiety depression and poor health status is common complaints of COPD patients, not least if they have history of repeated hospitalization for exacerbations. The aim of this study was to analyze the interrelationship between health status, anxiety, depression and physical status in discharged COPD patients after
hospitalization. It was a prospective study of 118 patients in the indoor of Dhaka Medical College Hospital. Data included demographic information, lung function and co-morbidity. The hospital anxiety and depression scale and St. George’s Respiratory questionnaire (SGRQ) were applied to all patients. Among the COPD patients health status was poor those with anxiety, depression or both. Higher GOLD stages were significantly associated with increasing impairment in health status. In conclusion, patient with psychological disorders have poor health status. Anxiety and depression screening may help to identify patients with poor quality of life and an urgent need for intervention in order to improve their health status.

 

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