Nienke Nakken1, Martijn A Spruit2, Esther H A van den Bogaart2, Monique van Vliet3, Geeuwke J de Vries4, Frank L Custers3, Jan H Vercoulen5, Guus M Asijee6, Jean W Muris7, Lowie E G W Vanfleteren2, Frits M E Franssen2, Emiel F M Wouters8, Daisy J A Janssen9. 1. Department of Research and Education, CIRO, Horn, The Netherlands. Electronic address: nienkenakken@ciro-horn.nl. 2. Department of Research and Education, CIRO, Horn, The Netherlands. 3. Department of Respiratory Medicine, Zuyderland, Heerlen, The Netherlands. 4. Department of Respiratory Medicine, Zuyderland, Sittard-Geleen, The Netherlands. 5. Department of Medical Psychology and Department of Pulmonary Diseases, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands. 6. Boehringer Ingelheim, Alkmaar, The Netherlands. 7. Department of Family Medicine, CAPHRI School of Public Health and Primary Care, Maastricht University, Maastricht, The Netherlands. 8. Department of Research and Education, CIRO, Horn, The Netherlands; Department of Respiratory Medicine, Maastricht University Medical Centre+ (MUMC+), Maastricht, The Netherlands. 9. Department of Research and Education, CIRO, Horn, The Netherlands; Centre of Expertise for Palliative Care, Maastricht University Medical Centre+ (MUMC+), Maastricht, The Netherlands.
Abstract
OBJECTIVES: Resident relatives of patients with chronic obstructive pulmonary disease (COPD) may play a major role in obtaining a healthy lifestyle for patients. Little is known about resident relatives. This study aimed to compare health status, morbidities, care dependency, and mobility between patients with COPD and their resident relatives. DESIGN: Cross-sectional study. PARTICIPANTS: Stable patients with moderate to very severe COPD (n = 194) and their resident relatives (n = 194) were visited in their home environment. MEASUREMENTS: Post-bronchodilator spirometry was assessed and generic health status was measured using the EuroQol-5 Dimensions and the Assessment of Quality of Life with 8 dimensions. Care dependency was measured using the Care Dependency Scale. Mobility was measured using the Timed "Up and Go" test (TUG). Morbidities (COPD, hypertension, anxiety and depression, obesity, and muscle wasting) were determined using accepted disease cutoff points and/or receiving specific treatment. RESULTS: Age (patients: 66.0 [8.7], resident relatives: 64.8 [9.7]) and gender (male patients: 53%, male resident relatives: 45%) were comparable. Patients had worse generic health status, higher level of care dependency, and worse mobility. 29% of the resident relatives had airflow limitation based on the Tiffeneau index and 19% based on the lower limit of normal, 33% were current smokers, and 92% had at least one chronic condition. Resident relatives more frequently had hypertension (46% versus 69%). CONCLUSION: Resident relatives of patients with COPD are often current smokers and often have undiagnosed morbidities. Although their health status is better compared with patients, their disease management and health behavior should also be considered when advising patients in obtaining a healthier lifestyle and also when involving them as informal caregivers.
OBJECTIVES: Resident relatives of patients with chronic obstructive pulmonary disease (COPD) may play a major role in obtaining a healthy lifestyle for patients. Little is known about resident relatives. This study aimed to compare health status, morbidities, care dependency, and mobility between patients with COPD and their resident relatives. DESIGN: Cross-sectional study. PARTICIPANTS: Stable patients with moderate to very severe COPD (n = 194) and their resident relatives (n = 194) were visited in their home environment. MEASUREMENTS: Post-bronchodilator spirometry was assessed and generic health status was measured using the EuroQol-5 Dimensions and the Assessment of Quality of Life with 8 dimensions. Care dependency was measured using the Care Dependency Scale. Mobility was measured using the Timed "Up and Go" test (TUG). Morbidities (COPD, hypertension, anxiety and depression, obesity, and muscle wasting) were determined using accepted disease cutoff points and/or receiving specific treatment. RESULTS: Age (patients: 66.0 [8.7], resident relatives: 64.8 [9.7]) and gender (male patients: 53%, male resident relatives: 45%) were comparable. Patients had worse generic health status, higher level of care dependency, and worse mobility. 29% of the resident relatives had airflow limitation based on the Tiffeneau index and 19% based on the lower limit of normal, 33% were current smokers, and 92% had at least one chronic condition. Resident relatives more frequently had hypertension (46% versus 69%). CONCLUSION: Resident relatives of patients with COPD are often current smokers and often have undiagnosed morbidities. Although their health status is better compared with patients, their disease management and health behavior should also be considered when advising patients in obtaining a healthier lifestyle and also when involving them as informal caregivers.
Authors: Nienke Nakken; Daisy Ja Janssen; Monique van Vliet; Geeuwke J de Vries; Giny Al Clappers-Gielen; Arent Jan Michels; Jean Wm Muris; Jan H Vercoulen; Emiel Fm Wouters; Martijn A Spruit Journal: Int J Chron Obstruct Pulmon Dis Date: 2016-12-23
Authors: Nienke Nakken; Daisy J A Janssen; Esther H A van den Bogaart; Jean W M Muris; Jan H Vercoulen; Frank L Custers; Gerben P Bootsma; Michiel H M Gronenschild; Emiel F M Wouters; Martijn A Spruit Journal: BMC Pulm Med Date: 2017-10-30 Impact factor: 3.317
Authors: Frits M E Franssen; Dionne E Smid; Dorly J H Deeg; Martijn Huisman; Jan Poppelaars; Emiel F M Wouters; Martijn A Spruit Journal: NPJ Prim Care Respir Med Date: 2018-08-10 Impact factor: 2.871
Authors: Anouk W Vaes; Felipe V C Machado; Roy Meys; Jeannet M Delbressine; Yvonne M J Goertz; Maarten Van Herck; Sarah Houben-Wilke; Frits M E Franssen; Herman Vijlbrief; Yvonne Spies; Alex J Van 't Hul; Chris Burtin; Daisy J A Janssen; Martijn A Spruit Journal: J Clin Med Date: 2020-09-12 Impact factor: 4.241