Relationship between Quality of Sleep and Depression in Patient of Chronic Obstructive Pulmonary Diseases
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2018, Vol 6, Issue 6
Abstract
Abstract: Chronic obstructive pulmonary disease (COPD) is a highly prevalent disease worldwide that has significant extra pulmonary effects that may impact the severity of symptoms in individual patients. Depression & disturbance of sleep are common and important co morbidities in patients of COPD cause impairment in health related status. Which were positively associated with psychological distress, as indicated by symptoms of depression & disturbance of sleep and level of daily functioning3, and overall impairment in quality of life4. Relationship between Quality of Sleep And Depression In Patient Of Chronic Obstructive Pulmonary Diseases. This prospective cross sectional hospital based study was carried on COPD patients of Respiratory medicine & Institute of Respiratory Disease, SMS Medical College, Jaipur, Rajasthan. During the year between 2015 to 2017 after applying specific selection and exclusion criteria. Sample size is calculated at 95% confidence interval, alpha error 0.05 assuming 42% of COPD patients having significance depression as per seed article. Quality of sleep showed significant association with the depression as well as Anxiety. Out of 74% patient with poor quality of sleep 85% patient had depression and out of 26 patients with good quality sleep 53.8 % had depression. Depression and sleep problems may aggravate the symptoms and intensify the effects of COPD on health status in all stages of disease severity, leading to findings of more impairment in health status as well as reduced quality of life. Depression significantly associated with sleep disturbance & depression (p-0.001) and in higher age group. Both psychological distress and sleep problems may aggravate the symptoms and intensify the effects of COPD on health status in all stages of disease severity. Thus, management of COPD should also address the management of these co morbidities.
Authors and Affiliations
Dr. Laxmi Narayan Meena, Dr. Chand Bhandari, Dr. Ram Bharat Meena, Dr. Narendra Khippal, Dr. R K Jenaw, Dr. Vinod Joshi
Keywords
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