Investigating Patient and Family Satisfaction with the Respiratory Status in Patients with Chronic Obstructive Pulmonary Disease

Autor:	Hatsuko Mikuni, Haruhisa Saito, Yoshito Miyata, Akihiko Tanaka, Tomoko Kawahara, Tsukasa Ohnishi, Shin Ohta, Hironori Sagara, Keisuke Kaneko, Akiko Fujiwara, Yuiko Goto, Fumihiro Yamaguchi, Yoshitaka Uchida, Tomoki Uno, Tetsuya Homma, Kuniaki Hirai, Naruhito Oda, Shintaro Suzuki
Rok vydání:	2021
Předmět:	Pulmonary and Respiratory Medicine medicine.medical_specialty Pulmonary disease Family satisfaction Personal Satisfaction 03 medical and health sciences Pulmonary Disease Chronic Obstructive 0302 clinical medicine Quality of life (healthcare) Surveys and Questionnaires medicine Humans In patient 030212 general & internal medicine Intensive care medicine COPD business.industry Healthy life expectancy medicine.disease Respiratory status Cross-Sectional Studies Dyspnea 030228 respiratory system Copd assessment test Quality of Life business
Zdroj:	COPD. 18(1)
ISSN:	1541-2563
Popis:	The current chronic obstructive pulmonary disease (COPD) management aims to improve the patients' quality of life and healthy life expectancy; however, few studies have evaluated the level of satisfaction with the patients' current respiratory status in COPD patients and their families. This study aimed to examine the level of patient and family satisfaction with the patients' current respiratory status and to identify the clinical factors closely linked to dissatisfaction.This multicenter, cross-sectional study included 454 outpatients with COPD and 296 family members. Patients and families were allocated to the satisfied and dissatisfied groups based on their satisfaction with the patients' current respiratory status. Patients' health status, dyspnoea, appetite, respiratory function, and mood disorders were assessed.Among the participants of this study, 67% of patients and 60% of their families were dissatisfied with the patients' current respiratory status. The COPD assessment test (CAT) was the most sensitive marker of dissatisfaction compared to other clinical factors (p 0.01). The statistical cut-off value of CAT for predicting patient dissatisfaction was 11. CAT reflected patient dissatisfaction independent of age, sex, dyspnoea, appetite, mood disorders, body mass index, and respiratory function (odds ratio: CAT; 1.12 (1.07-1.19): p 0.01).Many patients and families are dissatisfied with the patients' respiratory status, and the patients' CAT score is useful to predict dissatisfaction. Our findings are consistent with the Global Initiative for Chronic Obstructive Lung Disease indicating that treatment should be enhanced in patients with a CAT score ≥10. Furthermore, treatment strategies targeting CAT may contribute to an improved patient satisfaction.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::7e08913aefc1dbecf072dfd7c3cc7b5f https://pubmed.ncbi.nlm.nih.gov/33504227 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
Nepřihlášeným uživatelům se plný text nezobrazuje	K zobrazení výsledku je třeba se přihlásit.