The relationship between sleep quality and dyspnoea severity in patients with COPD

Serin, Emine Kaplan; İster, Emine Derya; Özdemir, Ahmet

doi:10.4314/ahs.v20i4.32

Cited by 10 publications

(13 citation statements)

References 16 publications

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“…Consistent with previous studies in oncology patients, 4,19,97 as well as in patients with asthma, 98 COPD, 98,99 COVID-19, 100 and heart failure, 101 patients with the three worse profiles reported higher levels of sleep disturbance. Across the three LPAs, regardless of class membership, 75.5%-89.8% of the patients reported GSDS scores above the clinically meaningful cutpoint.…”

Section: Distinct Risk Factorssupporting

confidence: 88%

Common and distinct risk factors that influence more severe and distressing shortness of breath profiles in oncology outpatients

Shin,

Hammer,

Cooley

et al. 2024

Cancer Medicine

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BackgroundShortness of breath occurs in 10%–70% of oncology patients. Very little is known about interindividual variability in its severity and distress and associated risk factors. Using latent profile analyses (LPAs), purpose was to identify subgroups of patients with distinct severity and distress profiles for shortness of breath as single symptom dimensions. In addition, a joint LPA was done using patients' severity AND distress ratings. For each of the three LPAs, differences among the shortness of breath classes in demographic, clinical, symptom, stress, and resilience characteristics were evaluated.MethodsPatients completed ratings of severity and distress from shortness of breath a total of six times over two cycles of chemotherapy. All of the other measures were completed at enrollment (i.e., prior to the second or third cycle of chemotherapy). Separate LPAs were done using ratings of severity and distress, as well as a joint analysis using severity AND distress ratings. Differences among the latent classes were evaluated using parametric and nonparametric tests.ResultsFor severity, two classes were identified (Slight to Moderate [91.6%] and Moderate to Severe [8.4%]). For distress, two classes were identified (A Little Bit to Somewhat [83.9%] and Somewhat to Quite a Bit [16.1%]). For the joint LPA, two classes were identified (Lower Severity and Distress [79.9%] and Higher Severity and Distress [20.1%]). While distinct risk factors were associated with each of the LPAs, across the three LPAs, the common risk factors associated with membership in the worse class included: a past or current history of smoking, poorer functional status, and higher comorbidity burden. In addition, these patients had a higher symptom burden and higher levels of cancer‐specific stress.ConclusionsClinicians can use the information provided in this study to identify high‐risk patients and develop individualized interventions.

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Section: Distinct Risk Factorssupporting

confidence: 88%

Common and distinct risk factors that influence more severe and distressing shortness of breath profiles in oncology outpatients

Shin,

Hammer,

Cooley

et al. 2024

Cancer Medicine

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“…Por essas razões, a maior parte das evidências disponíveis na literatura e apresentadas nos nossos resultados baseia-se em estudos epidemiológicos. [25][26][27][28][29][30][31][32][33][34][35][36]41,44,45,48,52,54,[56][57][58][59][60][61][65][66][67][68][69][73][74][75] Uma comparação direta entre as diretrizes clínicas e as recomendações de estilo de vida só foi realizada anteriormente por Lewthwaite et al 62 (2017) em um estudo de revisão sistemática associando atividade física e comportamentos de sono nas diretrizes para DPOC. Assim, isso aumenta a importância do nosso estudo ao incluir todos os pilares do estilo de vida, ao mesmo tempo em que aborda mais de uma DCNT.…”

Section: Discussionunclassified

“…71,72 Vukoja et al 73 (2018) em estudo transversal com 100 pacientes com DPOC e 104 indivíduos saudáveis demonstraram que aqueles com a doença apresentavam qualidade de sono ruim, sendo significativamente superior em comparação ao grupo de controle. Serin et al 74 (2020) em estudo com 110 pacientes com DPOC concluíram que esses indivíduos apresentavam qualidade de sono moderada ou ruim e dispneia.…”

Section: Quais São As Lacunas?unclassified

Os Seis Pilares da Medicina do Estilo de Vida no Manejo de Doenças Não Transmissíveis – As Lacunas nas Diretrizes Atuais

de Faria,

de Siqueira,

Haddad

et al. 2023

Arquivos Brasileiros De Cardiologia

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Fundamento: As doenças crônicas não transmissíveis (DCNT), também conhecidas como doenças crônicas de longa duração, são consideradas a principal causa de morte e incapacidade em todo o mundo, e os seis pilares da medicina do estilo de vida (nutrição, exercício, controle de tóxicos, manejo do estresse, saúde do sono e conexão social) desempenham um papel importante na gestão holística da sua prevenção e tratamento. Além disso, as diretrizes médicas são os documentos mais aceitos com recomendações para o manejo das DCNT. Objetivo: O presente estudo tem como objetivo analisar a ausência de pilares de estilo de vida nas principais diretrizes médicas brasileiras sobre as DCNT e identificar evidências na literatura que possam justificar sua inclusão nos documentos. Método: As diretrizes brasileiras foram selecionadas de acordo com as causas de morte mais relevantes no Brasil, informadas pelo Sistema de Informações sobre Mortalidade publicado pelo Ministério da Saúde em 2019. Os periódicos foram selecionados na biblioteca PUBMED de acordo com a doença e os pilares do estilo de vida não mencionados. Resultados: Causas relevantes de mortes no Brasil são o infarto agudo do miocárdio (IAM), o diabetes mellitus (DM) e as doenças pulmonares obstrutivas crônicas (DPOC). Foram identificadas seis diretrizes relacionadas a essas DCNT e todas abordam aspectos do estilo de vida, mas apenas uma, referente à prevenção cardiovascular, destaca todos os seis pilares. Apesar disso, uma pesquisa bibliográfica envolvendo mais de 50 artigos mostrou que há evidências de que todos os pilares podem ajudar no controle de cada uma dessas DCNT. Conclusão: Raramente os seis pilares do estilo de vida são contemplados nas diretrizes brasileiras para IAM, DM e DPOC. A revisão da literatura identificou evidências de todos os pilares do estilo de vida para oferecer uma abordagem holística para a gestão e prevenção das DCNT. Palavras-chave: Doenças crônicas não transmissíveis; Estilo de vida; Diretrizes Clínicas; Saúde Holística.

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“…Chronic Obstructive Pulmonary Disease (COPD) is a chronic disease with no full recovery and characterized by the obstruction of airflow in the lungs (1) . According to the World Health Organization (WHO) data, COPD affects nearly 300 million individuals worldwide.…”

Section: Introductionmentioning

confidence: 99%

“…Due to these problems brought about by COPD, individuals with COPD are also mentally negatively affected. This situation lays the ground for the development of stress and death anxiety in individuals affected ( 1 , 5 , 6 ) .…”

Section: Introductionmentioning

confidence: 99%

Analysis of the relationship between perceived stress level and death anxiety in individuals with COPD

Genç

2023

Rev. esc. enferm. USP

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Objectives: The study aimed to investigate the relationship between perceived stress level and death anxiety in individuals with COPD. Method: It was planned with a descriptive and relational screening design. It was carried out with the participation of 132 patients diagnosed with COPD. The study data were collected through Patient Information Form, Perceived Stress Scale, and Death Anxiety Scale. Descriptive statistics and multiple regression analysis were used in data analysis. Results: The COPD patients’ total perceived stress scale and perceived insufficient self-efficacy and perceived stress/distress subscale mean scores were found as 32.75 ± 5.32, 15.81 ± 3.60, and 16.93 ± 2.97, respectively. The patients’ Anxiety total scale mean score was determined to be 6.96 ± 3.40. A positive and statistically significant relationship was found between COPD patients’ Perceived Stress total scale mean score and their Death Anxiety Scale mean score (F = 4.332, p < 0.05). Conclusion: Perceived stress level of COPD patients was found to be at a high level, while their death anxiety level was determined as moderate. It was also determined that as perceived stress levels of the patients increased, their death anxiety levels also increased.

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The relationship between sleep quality and dyspnoea severity in patients with COPD

Cited by 10 publications

References 16 publications

Common and distinct risk factors that influence more severe and distressing shortness of breath profiles in oncology outpatients

Common and distinct risk factors that influence more severe and distressing shortness of breath profiles in oncology outpatients

Os Seis Pilares da Medicina do Estilo de Vida no Manejo de Doenças Não Transmissíveis – As Lacunas nas Diretrizes Atuais

Analysis of the relationship between perceived stress level and death anxiety in individuals with COPD

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