The quality of life of patients with respiratory symptoms

Autores/as

DOI:

https://doi.org/10.37135/ee.04.24.02

Palabras clave:

Chronic Obstructive Pulmonary Disease, Quality Of Life, Dyspnea, Rural Population

Resumen

Population aging is associated with physiological changes and chronic diseases, such as COPD, which significantly impact quality of life (QoL). This study examines the relationship between respiratory symptoms and quality of life in rural patients, utilizing the St. George's Respiratory Questionnaire (SGRQ) and the modified British Medical Research Council (mMRC) dyspnoea scale. An observational and prospective study was conducted in 40 patients aged 40 to 90 years who were treated at the Claudio Benati Hospital in Zumbahua, Pujilí Town, Cotopaxi Province. Demographic variables, respiratory symptoms, and quality of life were assessed using SGRQ and mMRC. The sample was obtained by convenience sampling, excluding those who did not meet the established criteria. The sample included 65 % women and 35 % men, with a mean age of 63.6 years. The most prevalent respiratory symptoms were cough (100 %) and dyspnea (100 %). The SGRQ showed an average impairment of 72.5 %, with physical activity being the most compromised dimension (87.3 %). The mMRC indicated moderate to severe dyspnea, with 60 % of participants in grade 3. A significant relationship was found between exacerbations and quality of life (rho = 0.67, p < 0.001), but not between symptom frequency and individual dimensions. The results demonstrate a significant decline in the quality of life of patients with respiratory symptoms, underscoring the utility of tools such as the SGRQ and mMRC in assessing impact and guiding clinical interventions in vulnerable populations.

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Referencias

Vanleerberghe P, De Witte N, Claes C, Schalock RL, Verté D. The quality of life of older people aging in place: a literature review. Qual Life Res [Internet]. 2017; [cited 1 Nov 2024]; 26(11):2899–2907. Available at: https://www.proquest.com/docview/1954949197?pq-origsite=gscholar&fromopenview=true&sourcetype=Scholarly%20Journals DOI: http://dx.doi.org/10.1007/s11136-017-1651-0 .

Briggs R, McDonough A, Ellis G, Bennett K, O'Neill D, Robinson D. Comprehensive Geriatric Assessment for community-dwelling, high-risk, frail, older people. Cochrane Database Syst Rev [Internet]. 2022 [cited 2 Nov 2024]; 5(5):CD012705. Available at: https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD012705.pub2/pdf/full DOI: http://dx.doi.org/10.1002/14651858.CD012705.pub2 .

World Health Organization. Aging and health [Internet]. Who.int. [Internet]. 2024 [cited 26 Nov 2024];. Available at: https://www.who.int/news-room/fact-sheets/detail/ageing-and-health.

Padilla Colón CJ, Molina-Vicenty IL, Frontera-Rodríguez M, García-Ferré A, Rivera BP, Cintrón-Vélez G, et al. Muscle and Bone Mass Loss in the Elderly Population: Advances in diagnosis and treatment. J Biomed (Syd) [Internet]. 2018 [cited 3 Nov 2024] ;3:40–9. Available at: https://pmc.ncbi.nlm.nih.gov/articles/PMC6261527/pdf/nihms947379.pdf DOI: http://dx.doi.org/10.7150/jbm.23390 .

Sieck GC. Physiology in perspective: Understanding the aging process. Physiology (Bethesda) [Internet]. 2018 [cited 4 Nov 2024];33(6):372–3. Available at: https://journals.physiology.org/doi/pdf/10.1152/physiol.00042.2018 DOI: http://dx.doi.org/10.1152/physiol.00042.2018 .

WHO. Chronic obstructive pulmonary disease (COPD) - Facts and Figures. ; 2023.

PAHO. The Burden of Chronic Respiratory Diseases in the Region of the Americas, 2000–2019. Pan American Health Organization. 2021.

De la Torre CY PMFC. Quality of life in patients with chronic respiratory symptoms. Invest Medicoquir. [Internet] 2018 [cited 6 Nov 2024]; 10(1): p. 65-80. Available from: https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=85503.

Altay-Kocak A SSTADMBABG. Retrospective evaluation of viral respiratory tract infections in a university hospital in Ankara, Turkey (2016-2019). J Infect Dev Ctries. [Internet] 2022 [cited 8 Nov 2024]; 16(5). Available at: https://www.proquest.com/docview/2676521217?pq-origsite=gscholar&fromopenview=true&sourcetype=Scholarly%20Journals.

HT Band TRMKBGMGMRFBSS. Community prevalence of chronic respiratory symptoms in rural Malawi: Implications for policy. PLoS One. [Internet] 2017 [cited 10 Nov 2024] ; 7(12). Available at: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0188437&type=printable.

Bacanoiu MV, Danoiu M. New strategies to improve the quality of life for normal aging versus pathological aging. J Clin Med [Internet]. 2022 [cited 11 Nov 2024] ;11(14):4207. Available at: https://www.mdpi.com/2077-0383/11/14/4207 DOI: http://dx.doi.org/10.3390/jcm11144207 .

Noto S. Perspectives on aging and quality of life. Healthcare (Basel) [Internet]. 2023 [cited 12 Nov 2024];11(15). Available at: https://www.mdpi.com/2227-9032/11/15/2131 DOI: http://dx.doi.org/10.3390/healthcare11152131 .

Blane D, Netuveli G, Montgomery SM. Quality of life, health and physiological status and change at older ages. Soc Sci Med [Internet]. 2008 [cited 1 Oct 2024];66(7):1579–87. Available at: https://www.sciencedirect.com/science/article/abs/pii/S027795360700679X DOI: http://dx.doi.org/10.1016/j.socscimed.2007.12.021 .

Boers E, Barrett M, Su JG, Benjafield AV, Sinha S, Kaye L, et al. Global Burden of chronic obstructive pulmonary disease through 2050. JAMA Netw Open [Internet]. 2023 [cited 4 Oct 2024] ;6(12):e2346598. Available in: https://pubmed.ncbi.nlm.nih.gov/38060225/. DOI: http://dx.doi.org/10.1001/jamanetworkopen.2023.46598.

Assaf EA, Badarneh A, Saifan A, Al-Yateem N. Chronic obstructive pulmonary disease patients' quality of life and its related factors: A cross-sectional study of the Jordanian population. F1000Res [Internet]. 2022 [cited 9 Oct 2024];11:581. Available at: https://www.proquest.com/docview/2696827663?pq-origsite=gscholar&fromopenview=true&sourcetype=Scholarly%20Journals DOI: http://dx.doi.org/10.12688/f1000research.121783.1 .

Hurst JR, Skolnik N, Hansen GJ, Anzueto A, Donaldson GC, Dransfield MT, et al. Understanding the impact of chronic obstructive pulmonary disease exacerbations on patient health and quality of life. Eur J Intern Med [Internet]. 2020 [cited 10 Oct 2024] ;73:1–6. Available at: https://www.sciencedirect.com/science/article/pii/S0953620519304431 DOI: http://dx.doi.org/10.1016/j.ejim.2019.12.014 .

Pinzón-Rondón AM, Botero JC, Mosquera-Gómez LE, Botero-Pinzon M, Cavelier JE. Altitude and quality of life of older people in Colombia: A multilevel study. J Appl Gerontol [Internet]. 2022 [cited 12 Oct 2024];41(6):1604–14. Available from: http://dx.doi.org/10.1177/07334648221078577 .

Poot CC, Meijer E, Kruis AL, Smidt N, Chavannes NH, Honkoop PJ. Integrated disease management interventions for patients with chronic obstructive pulmonary disease. Cochrane Database Syst Rev [Internet]. 2021 [cited 13 Oct 2024];9(9):CD009437. Available at: https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD009437.pub2/pdf/full DOI: http://dx.doi.org/10.1002/14651858.CD009437.pub3 .

Welling JBA, Hartman JE, Ten Hacken NHT, Klooster K, Slebos DJ. The minimal important difference for the St George's Respiratory Questionnaire in patients with severe COPD. Eur Respir J [Internet]. 2015 [cited 15 Oct 2024];46(6):1598–604. Available at: https://publications.ersnet.org/content/erj%3A%3A%3A46%3A%3A%3A6%3A%3A%3A1598.full.pdf?implicit-login=true%26717 DOI: http://dx.doi.org/10.1183/13993003.00535-2015 .

Rivadeneira Guerrero MF. Validation of the ST. George Respiratory Questionnaire to assess quality of life in Ecuadorian patients with COPD. Rev Cuid. 2015 [cited 16 Oct 2024]; 6(1): p. 882-891. Available from: http://www.scielo.org.co/scielo.php?pid=S2216-09732015000100002&script=sci_arttext.

Caini S dMDOMPDBMMMPMOJBGLCPJBA. The epidemiology and severity of respiratory viral infections in a tropical country: Ecuador, 2009-2016. J Infect Public Health. 2019 [cited 19 Oct 2024]; 12: p. 357- 363. Available at: https://www.sciencedirect.com/science/article/pii/S1876034118303204.

SEMPLADES. Pujili Canton. , Methods, Analysis, and Research Department; 2014.

INEC. Pujili Canton - Facts and Figures. ; 2001.

McManamny TE DRCKBLSJSKLJ. Emergency ambulance demand by older adults from rural and regional Victoria, Australia. Australas J Ageing. 2022 [cited 20 Oct 2024] ; 41(1). Available in: https://pubmed.ncbi.nlm.nih.gov/33955132/.

Vogelmeier CF, Alter P. Assessing symptom burden. Clin Chest Med [Internet]. 2020 [cited 21 Oct 2024] ;41(3):367–73. Available at: https://www.chestmed.theclinics.com/article/S0272-5231(20)30038-1/abstract DOI: http://dx.doi.org/10.1016/j.ccm.2020.06.005 .

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. Clin Epidemiol Glob Health [Internet]. 2021 [cited 7 Oct 2024];10(100711):100711. Available at: https://www.sciencedirect.com/science/article/pii/S2213398421000154 DOI: http://dx.doi.org/10.1016/j.cegh.2021.100711 .

WHOQOL Group. The World Health Organization Quality of Life assessment (WHOQOL): position paper from the World Health Organization. Soc Sci Med. 1995 [cited 3 Nov 2024]; 41(10): p. 1403- 1409. Available in: https://www.sciencedirect.com/science/article/abs/pii/027795369500112K.

Morgan BW, Grigsby MR, Siddharthan T, Kalyesubula R, Wise RA, Hurst JR, et al. Validation of the Saint George's Respiratory Questionnaire in Uganda. BMJ Open Respir Res [Internet]. 2018 [cited 15 Jan, 2025];5(1):e000276. Available at: https://bmjopenrespres.bmj.com/content/5/1/e000276.

Prior TS, Hoyer N, Shaker SB, Davidsen JR, Yorke J, Hilberg O, et al. Validation of the IPF-specific version of St. George's Respiratory Questionnaire. Breathe Res [Internet]. 2019 [cited 7 Nov 2024] ;20(1):199. Available at: https://www.proquest.com/docview/2292762830?pq-origsite=gscholar&fromopenview=true&sourcetype=Scholarly%20Journals DOI: 10.1186/s12931-019-1169-9.

Munari AB, Gulart AA, Araújo J, Zanotto J, Sagrillo LM, Karloh M, et al. Modified Medical Research Council and COPD Assessment Test cutoff points. Respir Care [Internet]. 2021 [cited 12 Nov 2024] ;66(12):1876–84. Available at: https://www.liebertpub.com/doi/abs/10.4187/respcare.08889?journalCode=rcare DOI: http://dx.doi.org/10.4187/respcare.08889.

Li J, Wang J, Xie Y, Feng Z. Development and validation of the modified patient-reported outcome scale for chronic obstructive pulmonary disease (mCOPD-PRO). Int J Chron Obstruct Pulmon Dis [Internet]. 2020 [cited 5 Nov 2024];15:661–9. Available at: https://www.tandfonline.com/doi/pdf/10.2147/COPD.S240842 DOI: http://dx.doi.org/10.2147/COPD.S240842 .

Moreno-Montoya J BADPLRJGDOIUEPCdLHF. Incidence of acute respiratory symptoms and COVID-19 in children from public schools in Bogotá, Colombia, between July and November 2020. Biomédica. 2021 [cited 17 Nov 2024]; 42(Sp.2): p. 73-77. Available from: http://www.scielo.org.co/scielo.php?pid=S0120-41572022000600073&script=sci_arttext&tlng=en.

Jones PW. Interpreting thresholds for a clinically significant change in health status in asthma and COPD. Eur Respir J [Internet]. 2002 [cited 23 Nov 2024];19(3):398–404. Available at: https://publications.ersnet.org/content/erj/19/3/398.full DOI: http://dx.doi.org/10.1183/09031936.02.00063702 .

Paap MCS, Lange L, van der Palen J, Bode C. Using the Three-Step Test Interview to understand how patients perceive the St. George's Respiratory Questionnaire for COPD patients (SGRQ-C). Qual Life Res [Internet]. 2016 [cited 25 Nov 2024];25(6):1561–70. Available at: https://www.proquest.com/docview/1789385264?pq-origsite=gscholar&fromopenview=true&sourcetype=Scholarly%20Journals DOI: http://dx.doi.org/10.1007/s11136-015-1192-3 .

de la Torre Chávez Y, Morales IP, Caballero PF. Quality of life in patients with chronic respiratory symptoms. Investigaciones Medicoquirúrgicas [Internet]. 2018 [cited 30 Nov 2024];10(1). Available from: https://revcimeq.sld.cu/index.php/imq/article/view/411 .

Cáceres-Rivera DI, Roa-Díaz ZM, Domínguez CL, Carreño-Robayo JH, Orozco-Levi MA. Quality of life in older adults with chronic obstructive pulmonary disease. Medunab [Internet]. 2018 [cited 28 Nov 2024];21(1):46–58. Available from: https://revistas.unab.edu.co/index.php/medunab/article/view/2512 DOI: http://dx.doi.org/10.29375/01237047.2512 .

Karunanayake CP, Hagel L, Rennie DC, Lawson JA, Dosman JA, Pahwa P, et al. Prevalence and risk factors of respiratory symptoms in rural population. J Agromedicine [Internet]. 2015 [cited 29 Nov 2024];20(3):310–7. Available at: https://www.tandfonline.com/doi/abs/10.1080/1059924X.2015.1042613 DOI: http://dx.doi.org/10.1080/1059924X.2015.1042613 .

Wafula ST, Nalugya A, Mendoza H, Kansiime WK, Ssekamatte T, Walekhwa AW, et al. Indoor air pollutants and respiratory symptoms among residents of an informal urban settlement in Uganda: A cross-sectional study. PLoS One [Internet]. 2023 [cited 10 Nov 2024] ;18(8):e0290170. Available at: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0290170 DOI: http://dx.doi.org/10.1371/journal.pone.0290170 .

Morishita-Katsu M, Nishimura K, Taniguchi H, Kimura T, Kondoh Y, Kataoka K, et al. The COPD assessment test and St George's Respiratory Questionnaire: are they equivalent in subjects with COPD? Int J Chron Obstruct Pulmon Dis [Internet]. 2016 [cited 15 Nov 2024];11:1543–51. Available at: https://www.proquest.com/docview/2680094195?pq-origsite=gscholar&fromopenview=true&sourcetype=Scholarly%20Journals DOI: http://dx.doi.org/10.2147/COPD.S104947 .

Puhan MA, Guyatt GH, Goldstein R, Mador J, McKim D, Stahl E, et al. Relative responsiveness of the Chronic Respiratory Questionnaire, St. Georges Respiratory Questionnaire and four other health-related quality of life instruments for patients with chronic lung disease. Respir Med [Internet]. 2007 [cited 17 Nov 2024];101(2):308–16. Available at: https://www.sciencedirect.com/science/article/pii/S0954611106002344 DOI: http://dx.doi.org/10.1016/j.rmed.2006.04.023 .

Loubert A, Regnault A, Meunier J, Gutzwiller FS, Regnier SA. Is the St. George's Respiratory Questionnaire an appropriate measure of symptom severity and activity limitations for clinical trials in COPD? Analysis of pooled data from five randomized clinical trials. Int J Chron Obstruct Pulmon Dis [Internet]. 2020 [cited 10 Nov 2024];15:2103–13. Available at: https://www.proquest.com/docview/2679519808?pq-origsite=gscholar&fromopenview=true&sourcetype=Scholarly%20Journals DOI: http://dx.doi.org/10.2147/COPD.S261919 .

Lee H, Jhun BW, Cho J, Yoo KH, Lee JH, Kim DK, et al. Different impacts of respiratory symptoms and comorbidities on COPD-specific health-related quality of life by COPD severity. Int J Chron Obstruct Pulmon Dis [Internet]. 2017 [cited 8 Nov 2024];12:3301–10. Available at: https://www.proquest.com/docview/2679877063?pq-origsite=gscholar&fromopenview=true&sourcetype=Scholarly%20Journals DOI: http://dx.doi.org/10.2147/COPD.S145910 .

McLeese RH, Spinou A, Alfahl Z, Tsagris M, Elborn JS, Chalmers JD, et al. Psychometrics of health-related quality of life questionnaires in bronchiectasis: a systematic review and meta-analysis. Eur Respir J [Internet]. 2021 [cited 1 Nov 2024];58(5):2100025. Available at: https://publications.ersnet.org/content/erj/58/5/2100025?ctkey=shareline&utm_campaign=shareline&utm_medium=shareline&utm_source=00025-2021 DOI: http://dx.doi.org/10.1183/13993003.00025-2021 .

Daudey L, Peters JB, Molema J, Dekhuijzen PNR, Prins JB, Heijdra YF, et al. Health status in COPD cannot be measured by the St George's Respiratory Questionnaire alone: an evaluation of the underlying concepts of this questionnaire. Breathe Res [Internet]. 2010 [cited 3 Nov 2024];11(1):98. Available at: https://link.springer.com/content/pdf/10.1186/1465-9921-11-98.pdf DOI: http://dx.doi.org/10.1186/1465-9921-11-98.

Bolivar-Grimaldos F, Cano-Rosales DJ, Duran-Sandoval JN, Albarracín-Ruiz MJ, Rincón-Romero K. Quality of life of patients with chronic obstructive pulmonary disease participating in a comprehensive educational program. Salud UIS [Internet]. 26 Sept, 2019 [cited 27 Nov, 2024];51(4):305-11. Available from: https://revistas.uis.edu.co/index.php/revistasaluduis/article/view/9981 .

Rodriguez Torres FP, Giraldo Leiva D, Arias Guzmán J. Quality of life of patients in a comprehensive chronic obstructive pulmonary disease program in Bogotá (Colombia). Univ Médica [Internet]. 2023 [cited 23 Nov 2024];64(3). Available from: https://revistas.javeriana.edu.co/files-articulos/UMED/64- 3(2023)/6572567014/index.html DOI: http://dx.doi.org/10.11144/javeriana.umed64-3.epoc .

Phua G, Tan GP, Phua HP, Lim WY, Neo HY, Chai GT. Health-related quality of life in a multiracial Asian interstitial lung disease cohort. J Thorac Dis [Internet]. 2022 [cited 10 Nov 2024];14(12):4713–24. Available at: https://pmc.ncbi.nlm.nih.gov/articles/PMC9840018/pdf/jtd-14-12-4713.pdf DOI: http://dx.doi.org/10.21037/jtd-22-906 .

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2025-09-22

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Chancusig Palacios JP, García Tapia LA, Caiza Lema J. The quality of life of patients with respiratory symptoms. REE [Internet]. 2025 Sep. 22 [cited 2026 Oct. 17];19(3):17-35. Available from: https://eugenioespejo.unach.edu.ec/index.php/EE/article/view/877

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