ASSESSMENT OF QUALITY OF LIFE AND RELATED FACTORS IN ELDERLY PEOPLE WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE AT THE RESPIRATORY CLINIC, THONG NHAT HOSPITAL

Lê Thị Điệp 1 , , Hoàng Văn Quang 1 , Ngô Thế Hoàng 1 , Nguyễn Duy Cường 1 , Huỳnh Thị Thanh Ngân 1
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DOI
10.63947/bvtn.v1i4.17
Published
2025-10-10
Issue Vol. 1 No. 4 (2025): Healthcare in the Digital Age
Section
Original Research
Categories
Research

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1.
Thị Điệp L, Văn Quang H, Thế Hoàng N, Duy Cường N, Thị Thanh Ngân H. ASSESSMENT OF QUALITY OF LIFE AND RELATED FACTORS IN ELDERLY PEOPLE WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE AT THE RESPIRATORY CLINIC, THONG NHAT HOSPITAL. JHA [Internet]. Vietnam; 2025 Oct. 10 [cited 2025 Dec. 8];1(4):101–106. https://tcsuckhoelaohoa.vn/bvtn/article/view/120 doi: 10.63947/bvtn.v1i4.17
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Abstract

To evaluate the quality of life and associated factors among elderly patients with COPD attending the Respiratory Outpatient Clinic, Thong Nhat Hospital. A cross-sectional study was conducted on 240 patients aged ≥60 years with confirmed COPD according to GOLD 2025 criteria. Clinical data were collected, and QoL was assessed using the validated Vietnamese version of the St. George’s Respiratory Questionnaire for COPD patients (SGRQ-C). Statistical analysis included descriptive statistics, bivariate tests, and multivariate logistic regression to identify independent factors associated with poor QoL. The mean age was 72 ± 8 years; 41.3% were 60–69 years, 41.3% were 70–79 years, and 40.8% were ≥80 years. Males accounted for 86.2%; 75.4% had a history of smoking, and 71.7% had at least one comorbidity. The mean total SGRQ-C score was 50.2 ± 19.6, with the symptoms domain being the most impaired (58.5 ± 19.5). Overall, 47.9% of patients had low or very low QoL. Multivariate analysis showed that age ≥70 (OR=1.7), female gender (OR=3.1), history of hospitalization, need for caregiver support (OR=1.2), GOLD group E (OR=1.2), and acute exacerbations requiring hospitalization (OR=1.3) were independently associated with poor QoL (p<0.05). Elderly patients with COPD at Thong Nhat Hospital had significantly impaired QoL, particularly in physical activity. Advanced age, female gender, severe airflow limitation, frequent exacerbations, comorbidities, and smoking were key determinants of poor QoL. Routine QoL assessment and comprehensive interventions—including smoking cessation, pulmonary rehabilitation, comorbidity management, and psychosocial support—are essential to improve outcomes in this vulnerable population.

Keywords

COPD elderly quality of life SGRQ-C Thong Nhat Hospital

References

  1. World Health Organization. Global Health Estimates 2023. WHO; 2023.
  2. Global Initiative for Chronic Obstructive Lung Disease (GOLD). Global strategy for the diagnosis, management, and prevention of COPD. 2025 Report.
  3. Cheng SL, et al. COPD prevalence in Asia-Pacific. Respirology. 2021;26(5):457-465.
  4. Hoàng Thị Lâm. Nghiên cứu dịch tễ BPTNMT tại miền Bắc Việt Nam. Tạp chí Y học VN. 2019;489(2):25-31.
  5. Karlsen J, Jørgensen R, Weinreich UM. Depression and anxiety in COPD: a systematic review. Respir Med. 2024;210:107–120.
  6. Nguyễn Thanh Hà. Chất lượng cuộc sống bệnh nhân BPTNMT ngoại trú. Tạp chí Y học VN. 2019;474(3):66-72.
  7. Saja A, et al. Health-related quality of life in COPD patients in Saudi Arabia. Int J Chron Obstruct Pulmon Dis. 2025;20:337–345.
  8. Zhang P, et al. Quality of life in Chinese COPD patients: a cross-sectional study. Int J Chron Obstruct Pulmon Dis. 2023;18:1121–1130.
  9. Merino M, et al. Health status in elderly COPD patients in Spain. Eur Respir J. 2019;53(4):180-190.
  10. Lê Thị Vân. Đánh giá CLCS bệnh nhân BPTNMT theo SGRQ-C. Tạp chí Y học VN. 2020;480(6):51-59.
  11. Snell N, et al. Prevalence and impact of COPD in the UK. Thorax. 2016;71(6):535–542.
  12. Kharbanda, S., & Anand, R. (2021). “Health-related quality of life in patients with chronic obstructive pulmonary disease: A hospital-based study”. The Indian journal of medical research, 153(4), 459–464. DOI: https://doi.org/10.4103/ijmr.IJMR_1812_18
  13. Bouloukaki, I., Christodoulakis, et al.(2024). “Exploring the Link between Social Support and Patient-Reported Outcomes in Chronic Obstructive Pulmonary Disease Patients: A Cross-Sectional Study in Primary Care”. Healthcare (Basel, Switzerland), 12(5), 544. https://doi.org/10.3390/healthcare12050544. DOI: https://doi.org/10.3390/healthcare12050544
  14. Arabyat R.M, Raisch D.W. (2019). “Relationships Between Social/Emotional Support and Quality of Life, Depression and Disability in Patients With Chronic Obstructive Pulmonary Disease: An Analysis Based on Propensity Score Matching”. Annals of behavioral medicine : a publication of the Society of Behavioral Medicine, 53(10), 918–927. https://doi.org/10.1093/abm/kaz002. DOI: https://doi.org/10.1093/abm/kaz002
  15. Tassawan Kantatong, Deesomchok A, et al.(2020). Predicting quality of life in chronic obstructive pulmonary disease patients living in the rural area of Chiang Mai Province, Thailand. The Open Public Health Journal, 13(1). DOI: https://doi.org/10.2174/1874944502013010357

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