open access

Vol 82, No 4 (2014)
REVIEWS
Submitted: 2014-06-25
Accepted: 2014-06-25
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Health-related quality of life in patients with bronchial asthma

Bartosz Uchmanowicz, Stanisław Manulik, Izabella Uchmanowicz, Joanna Rosińczuk
DOI: 10.5603/PiAP.2014.0049
·
Pneumonol Alergol Pol 2014;82(4):385-391.

open access

Vol 82, No 4 (2014)
REVIEWS
Submitted: 2014-06-25
Accepted: 2014-06-25

Abstract

A patient is not, or at least should not be, a passive subject, but the active participant of the process of asthma treatment. This naturally imposes covering patients with bronchial asthma with a holistic model of care. Assessment of health-related quality of life (HRQoL) is one component of this model. HRQoL of asthma patients can be determined with an array of generic instruments, e.g. Medical Outcomes Survey Short Form 36 (SF-36), EuroQoL questionnaire (EQ-5D) or World Health Organization Quality of Life Questionnaire (WHOQOL), as well as with the specific tools, among which Saint George’s Respiratory Questionnaire (SGRO) and Asthma Quality of Life Questionnaire (AQLQ) belong to the most widely used. HRQoL is significantly associated with the degree of asthma control. However, literature data suggest that a determination of HRQoL alone, with either specific or generic instrument, can be insufficient, as the level of health-related quality of life turned out to be modulated by three groups of factors: 1) demographic characteristics of patients, 2) clinical parameters, and 3) personality traits of respondents. Due to particularly strong effect of psychological characteristics on the quality of life of patients with bronchial asthma, also the level of depressiveness should be examined along with the HRQoL determination. Furthermore, complex assessment of the quality of life and its determinants should be conducted longitudinally, either in individual patients or in epidemiological studies.

Abstract

A patient is not, or at least should not be, a passive subject, but the active participant of the process of asthma treatment. This naturally imposes covering patients with bronchial asthma with a holistic model of care. Assessment of health-related quality of life (HRQoL) is one component of this model. HRQoL of asthma patients can be determined with an array of generic instruments, e.g. Medical Outcomes Survey Short Form 36 (SF-36), EuroQoL questionnaire (EQ-5D) or World Health Organization Quality of Life Questionnaire (WHOQOL), as well as with the specific tools, among which Saint George’s Respiratory Questionnaire (SGRO) and Asthma Quality of Life Questionnaire (AQLQ) belong to the most widely used. HRQoL is significantly associated with the degree of asthma control. However, literature data suggest that a determination of HRQoL alone, with either specific or generic instrument, can be insufficient, as the level of health-related quality of life turned out to be modulated by three groups of factors: 1) demographic characteristics of patients, 2) clinical parameters, and 3) personality traits of respondents. Due to particularly strong effect of psychological characteristics on the quality of life of patients with bronchial asthma, also the level of depressiveness should be examined along with the HRQoL determination. Furthermore, complex assessment of the quality of life and its determinants should be conducted longitudinally, either in individual patients or in epidemiological studies.

Get Citation

Keywords

asthma, HRQoL, health-related quality of life, asthma control, holistic care, exacerbation

About this article
Title

Health-related quality of life in patients with bronchial asthma

Journal

Advances in Respiratory Medicine

Issue

Vol 82, No 4 (2014)

Pages

385-391

DOI

10.5603/PiAP.2014.0049

Bibliographic record

Pneumonol Alergol Pol 2014;82(4):385-391.

Keywords

asthma
HRQoL
health-related quality of life
asthma control
holistic care
exacerbation

Authors

Bartosz Uchmanowicz
Stanisław Manulik
Izabella Uchmanowicz
Joanna Rosińczuk

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