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2000
Volume 21, Issue 4
  • ISSN: 1573-398X
  • E-ISSN: 1875-6387

Abstract

Introduction

The descriptive study was conducted to determine the relationship between health literacy levels related to smoking, the frequency of exacerbations, and sleep quality in individuals with Chronic Obstructive Pulmonary Disease.

Methods

The study data were collected from 217 patients who were hospitalized in the pulmonology service of a university hospital between October 1, 2022, and January 31, 2023, who applied to the outpatient clinic between October 1, 2022, and January 31, 2023, by face-to-face interview method and by obtaining verbal and written informed consent. The data collection tools used in the study were the patient information form, chronic obstructive pulmonary disease assessment test, pittsburgh sleep quality scale, and smoking literacy scale.

Results

It was determined that 24% of the individuals were 60 years old or younger, 42.9% were 61-70, and 33.2% were over 70. It was determined that 25.8% of the individuals were still smoking, 49.3% of the individuals had never been hospitalized due to an exacerbation in the last year, 32.3% had been hospitalized once, and 18.4% had been hospitalized twice or more. General views about smoking increased the level of sleep quality (β = -0.152). The total change in sleep quality level was explained by smoking literacy at a rate of 7.2% (R2 = 0.072). Smoking literacy increases the improvement of sleep quality levels (β = -0.275). Smoking literacy increases the improvement in COPD assessment level (β = -0.238). It was determined that the smoking literacy levels of the individuals were high, the severity of Chronic Obstructive Pulmonary Disease was at a poor level, and sleep quality was at a moderate level.

Conclusion

In the study, it was determined that the severity of chronic obstructive pulmonary disease decreased as the smoking literacy level of individuals increased, sleep quality level increased as the smoking literacy level increased, and chronic obstructive pulmonary disease staging worsened as smoking literacy total scores decreased.

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References

  1. BingölZ. ÇağatayT. Exacerbation causes in patients with chronic obstructive pulmonary disease (COPD) diagnosis, treatment and awareness of risk group patients.J. Clin. Family Phys.2016852123
     [Google Scholar]
  2. KongC.W. WilkinsonT.M.A. Predicting and preventing hospital readmission for exacerbations of COPD.ERJ Open Res.20206200325-201910.1183/23120541.00325‑201932420313
     [Google Scholar]
  3. MacLeodM. PapiA. ContoliM. BeghéB. CelliB.R. WedzichaJ.A. FabbriL.M. Chronic obstructive pulmonary disease exacerbation fundamentals: Diagnosis, treatment, prevention and disease impact.Respirology202126653255110.1111/resp.1404133893708
     [Google Scholar]
  4. LiX. WuZ. XueM. DuW. Smoking status affects clinical characteristics and disease course of acute exacerbation of chronic obstructive pulmonary disease: A prospectively observational study.Chron. Respir. Dis.202017147997312091618410.1177/147997312091618432216568
     [Google Scholar]
  5. LiX. WuZ. XueM. DuW. An observational study of the effects of smoking cessation earlier on the clinical characteristics and course of acute exacerbations of chronic obstructive pulmonary disease.BMC Pulm. Med.202222139010.1186/s12890‑022‑02187‑536303160
     [Google Scholar]
  6. ÖzayhanE.Ö. Chronic obstructive pulmonary disease and asthma patients as regard to drug use by nebulizer and inhaler and health literacy state (The case of gülhane training and research hospital).Master's thesis, Ankara Universitesi (Turkey)2019Available from: file:///Users/hilaluysal/Downloads/598898.pdf
     [Google Scholar]
  7. NgohA.S.H. ChenZ.J. TaiB.C. TeoS.S.H. TanN.C. Smoking literacy amongst adult Asian asthma patients in primary care.Proc. Sing. Healthc.201726423524010.1177/2010105817704672
     [Google Scholar]
  8. BorgeaC.R. LarsenaM.H. OsbornedR.H. AaseE. KollebT.I. ReinertsenbR. LeinbP.M. Impacts of a health literacy-informed intervention in people with chronic obstructive pulmonary disease (COPD) on hospitalization, health literacy, self-management, quality of life, and health costs – A randomized controlled trial.Patient Educ. Couns.2024123108220
     [Google Scholar]
  9. Puente-MaestuL. CalleM. Rodríguez-HermosaJ.L. CampuzanoA. de Miguel DíezJ. Álvarez-SalaJ.L. Puente-AnduesL. Pérez-GutiérrezM.J. LeeS.Y.D. Health literacy and health outcomes in chronic obstructive pulmonary disease.Respir. Med.2016115788210.1016/j.rmed.2016.04.01627215508
     [Google Scholar]
  10. FriisK. AabyA. LasgaardM. PedersenM.H. OsborneR.H. MaindalH.T. Low health literacy and mortality in individuals with cardiovascular disease, chronic obstructive pulmonary disease, diabetes, and mental illness: A 6-year population-based follow-up study.Int. J. Environ. Res. Public Health20201724939910.3390/ijerph1724939933333909
     [Google Scholar]
  11. VicdanA. Assessment of sleep quality in patients with chronic obstructive pulmonary disease.J. Dokuz Eylul Univer. Nur. Fac.20181111418
     [Google Scholar]
  12. LiuJ.T. LeeI.H. WangC.H. ChenK.C. LeeC.I. YangY.K. Cigarette smoking might impair memory and sleep quality.J. Formos. Med. Assoc.2013112528729010.1016/j.jfma.2011.12.00623660225
     [Google Scholar]
  13. BaşpınarM.M. A meta-analysis of turkish research about the effect of cigarette smoking on sleep quality.J. Turk. Sleep Med.20218171410.4274/jtsm.galenos.2021.98698
     [Google Scholar]
  14. SalantP. DillmanD.A. How to Conduct Your Own SurveyHoboken, New JerseyJohn Wiley & Sons1994
     [Google Scholar]
  15. AgustA CelliBR CrinerG HalpinD VarelaL.M.V. OcaM.d.M OzohO SalviS VogelmeierC ZhengJ Global strategy for the diagnosis, management and prevention of chronic obstructive pulmonary disease (2024 report) global initiative for chronic obstructive lung disease (GOLD).J. Pan Afric. Thor. Soc.20245392
     [Google Scholar]
  16. YorgancioğluA. PolatliM. Aydemi̇rÖ. Demi̇rci̇Y.N. KirkilG. NayciatişS. KöktürkN. UysalA. Akdemi̇rS.E. ÖzgürE.S. GünakanG. Reliability and validity of Turkish version of COPD assessment test.Tuberk. Toraks201260431432010.5578/tt.432123289460
     [Google Scholar]
  17. AğargünM.Y. KaraH. AnlarO. Validity and reliability of the Pittsburgh sleep quality index.Turkish J. Psychiatry.199672107115
     [Google Scholar]
  18. YalçınS.S. UysalH. Determination of the effect on disease management of smoking literacy levels in individuals with asthma diagnosis in addition to cardiovascular disease.2022https://tez.yok.gov.tr/UlusalTezMerkezi/tezSorguSonucYeni.jsp
     [Google Scholar]
  19. SaraçS. AfşarC.G. Comorbidity of obstructive sleep apnea syndrome, cronic obstructive lung disease and asthma chronic airway diseases and sleep apnea.J. Turk. Sleep Med.201742434710.4274/jtsm.18209
     [Google Scholar]
  20. Perez-PadillaR. MenezesA.M.B. Chronic obstructive pulmonary disease in Latin America.Ann. Glob. Health2019851710.5334/aogh.241830741508
     [Google Scholar]
  21. KırhanI. ÜzerF. Examination of the general characteristics of patients hospitalized with acute COPD exacerbation in a university hospital.J. Harran Univer. Med. Fac.2018153230235
     [Google Scholar]
  22. BozkurtC. YıldırımY. AykarF.Ş. FadıloğluZ.Ç. Evaluation of an individual with chronic obstructive lung disease according to the henderson nursing model.J. Cumhur. Univer. Health Sci. Inst.2021615968
     [Google Scholar]
  23. RaherisonC. GirodetP-O. Epidemiology of COPD.Eur. Respir. Rev.20091811421322110.1183/09059180.0000360920956146
     [Google Scholar]
  24. YılmazC.K. AşiretG.D. ÇetinkayaF. KapucuS. The use of complementary and alternative medicine of chronic obstructive pulmonary disease patients.J. Dokuz Eylul Univer. Nurs. Fac.2017104216221
     [Google Scholar]
  25. CaoZ. OngK.C. EngP. TanW.C. NgT.P. Frequent hospital readmissions for acute exacerbation of COPD and their associated factors.Respirology200611218819510.1111/j.1440‑1843.2006.00819.x16548905
     [Google Scholar]
  26. TureA.D. BhattacharyaS. DemirciH. YildizT. Health literacy and health outcomes in chronic obstructive pulmonary disease patients: An explorative study.Front. Public Health20221084676810.3389/fpubh.2022.84676835372209
     [Google Scholar]
  27. ÖzdemirN. EnçN. The effect of fear of COVID-19 on activities of daily living, symptom control and death anxiety level in chronic obstructive pulmonary patients: A cross-sectional study, Turkiye Clinical.J. Nurs. Sci.202214411551165
     [Google Scholar]
  28. LiuY. PleasantsR. CroftJ. WheatonA. HeidariK. MalarcherA. OharJ. KraftM. ManninoD. StrangeC. Smoking duration, respiratory symptoms, and COPD in adults aged ≥45 years with a smoking history.Int. J. Chron. Obstruct. Pulmon. Dis.2015101409141610.2147/COPD.S8225926229460
     [Google Scholar]
  29. TønnesenP. Smoking cessation and COPD.Eur. Respir. Rev.201322127374310.1183/09059180.0000721223457163
     [Google Scholar]
  30. CaiL. WangX.M. FanL.M. ShenJ.R. LiuY.N. GoldenA.R. Socioeconomic variations in chronic obstructive pulmonary disease prevalence, diagnosis, and treatment in rural Southwest China.BMC Public Health202020153610.1186/s12889‑020‑08687‑532306944
     [Google Scholar]
  31. HelvacıA IzguN ÖzdemirL. Dyspnea severity and influencing factors in patients with chronic obstructive pulmonary disease.Celal Bayar Uni. Health Sci. Inst. J.202073318324
     [Google Scholar]
  32. YılmazC.K. Determination of correlation between the severity of dyspnea and general comfort level in hospitalized COPD patients.J. Dokuz Eylul Univer. Nurs. Fac.2020134222230
     [Google Scholar]
  33. PoureslamiI. FitzGeraldJ.M. TregobovN. GoldsteinR.S. LougheedM.D. GuptaS. Health literacy in asthma and chronic obstructive pulmonary disease (COPD) care: A narrative review and future directions.Respir. Res.202223136110.1186/s12931‑022‑02290‑536529734
     [Google Scholar]
  34. FanV.S. GazianoJ.M. LewR. BourbeauJ. AdamsS.G. LeathermanS. ThwinS.S. HuangG.D. RobbinsR. SriramP.S. SharafkhanehA. MadorM.J. SarosiG. PanosR.J. RastogiP. WagnerT.H. MazzucaS.A. ShannonC. CollingC. LiangM.H. StollerJ.K. FioreL. NiewoehnerD.E. A comprehensive care management program to prevent chronic obstructive pulmonary disease hospitalizations: A randomized, controlled trial.Ann. Intern. Med.20121561067368310.7326/0003‑4819‑156‑10‑201205150‑0000322586006
     [Google Scholar]
  35. SpeceL.J. EplerE.M. DuanK. DonovanL.M. GriffithM.F. LaBedzS. ThakurN. WienerR.S. KrishnanJ.A. AuD.H. FeemsterL.C. Reassessment of home oxygen prescription after hospitalization for chronic obstructive pulmonary disease. A potential target for deimplementation.Ann. Am. Thorac. Soc.202118342643210.1513/AnnalsATS.202004‑364OC33075243
     [Google Scholar]
  36. EstebanC. QuintanaJ.M. MorazaJ. AburtoM. EgurrolaM. EspañaP.P. Pérez-IzquierdoJ. AguirreU. AizpiriS. CapelasteguiA. Impact of hospitalisations for exacerbations of COPD on health-related quality of life.Respir. Med.200910381201120810.1016/j.rmed.2009.02.00219272762
     [Google Scholar]
  37. Rivera-FernándezR. Navarrete-NavarroP. Fernández-MondejarE. Rodriguez-ElviraM. Guerrero-LópezF. Vázquez-MataG. Six-year mortality and quality of life in critically ill patients with chronic obstructive pulmonary disease.Crit. Care Med.20063492317232410.1097/01.CCM.0000233859.01815.3816849998
     [Google Scholar]
  38. OmachiT.A. SarkarU. YelinE.H. BlancP.D. KatzP.P. Lower health literacy is associated with poorer health status and outcomes in chronic obstructive pulmonary disease.J. Gen. Intern. Med.2013281748110.1007/s11606‑012‑2177‑322890622
     [Google Scholar]
  39. HaoX. LiM. LiJ. LvM. QinY. LiK. Sleep quality in relation to social support and resilience among rural empty-nest older adults in China.Sleep Med.20218219319910.1016/j.sleep.2021.03.02633957415
     [Google Scholar]
  40. UlfathinahA. RachmiS.F. IndracahyaniA. Characteristics affecting sleep quality of COPD patients.Enferm. Clin.201929S2303510.1016/j.enfcli.2019.04.005
     [Google Scholar]
  41. TürkG. ÜstünR. Determination of the care dependency of individuals with chronic obstructive pulmonary disease (COPD).J. Dokuz Eylul Univer. Nur. Fac.20181111925
     [Google Scholar]
  42. KoulourisN. DimakouK. GourgoulianisK. TzanakisN. RaptiA. GagaM. GeorgatouN. SteiropoulosP. KarachristosC. GogaliA. KalafatakisK. KostikasK. Self-perceived quality of sleep among COPD patients in Greece: The SLEPICO study.Sci. Rep.202212154010.1038/s41598‑021‑04610‑z34992227
     [Google Scholar]
  43. ClímacoD.C.S. LustosaT.C. SilvaM.V.F.P. Lins-FilhoO.L. RodriguesV.K. Oliveira-NetoL.A.P. FeitosaA.D.M. QueirogaF.J.P.Jr CabralM.M. PedrosaR.P. Sleep quality in COPD patients: Correlation with disease severity and health status.J. Bras. Pneumol.2022483e2021034035508063
     [Google Scholar]
  44. DignaniL. ToccaceliA. LucertiniC. PetrucciC. LanciaL. Sleep and quality of life in people with COPD: A descriptive-correlational study.Clin. Nurs. Res.201625443244710.1177/105477381558851526045572
     [Google Scholar]
  45. KayaI. PekcanS. DursunoğluN. ŞenolH. Determination and comparison of sleep quality and sleep disorders in patients with COPD according to GOLD groups.J. Turk. Sleep Med.2023101424710.4274/jtsm.galenos.2022.28190
     [Google Scholar]
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The Relationship of Health Literacy Levels Related to Smoking with Exacerbation Frequency and Sleep Quality in Individuals with Chronic Obstructive Pulmonary Disease
Curr. Respir. Med. Rev. 21, 406 (2025); https://doi.org/10.2174/011573398X352929250324055635
/content/journals/crmr/10.2174/011573398X352929250324055635
/content/journals/crmr/10.2174/011573398X352929250324055635
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  • Article Type:     Research Article
Keyword(s): chronic obstructive pulmonary disease; Exacerbation; health literacy; sleep quality; smoking; smoking literacy scale

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