DOI: 10.36347/sjams.2023.v11i04.009

Pages: 724-731

Introduction: Chronic obstructive pulmonary disease (COPD) is a major and increasing global health problem with enormous amount of expenditure of direct/indirect health-care costs. The prevalence of chronic obstructive pulmonary disease (COPD) varies from country to country, mainly due to the effects of cumulative exposure to smoking and the increased life span of the population. Quality of life (QOL) is an important domain for measuring the impact of chronic disease. Both general and disease-specific instruments have been used to measure QOL in patients with COPD. Among the disease specific questionnaires frequently used to evaluate the QOL of pulmonary patients is St. George’s Respiratory Questionnaire (SGRQ). Aim of the Study: The aim of this study was to determine the prevalence of chronic obstructive pulmonary disease (COPD) and study the impact of COPD on health-related quality of life (HRQL) and activities of daily living (ADL). Methods: This was a prospective observational study and was conducted in the Department of Medicine, LABAID Specialized Hospital, Dhaka, Bangladesh during the period from March, 2022 to December, 2022. We included 325 patients with chronic obstructive pulmonary disease (COPD) in our study. Result: In our study we found majority (52.61%) of our patients were aged more than 60 years and 58% were male compared to female (42%).We found the mean age was 61.73 ± 4.5 years. Among all patients 58.77% were smoker, 66.46% had previous history of COPD. Majority (38.15%) of our patients were severe, mild case was 18.15%, moderate was 33.54% and very severe case was 10.15% in this study. The mean SGRQ-C score was significantly higher in very severe group. The QoL was found higher in mild group. The four domains of LCADL were significantly higher in very severe group which indicates greatest impairment in this group. The mean vas score was seen higher in mild group. Conclusion: In our study, we found that patients with COPD have a lower ..........