Keywords
Chronic obstructive pulmonary disease
quality of life
education
self-care
rehabilitation
activities of daily living
exercise tolerance
breathing exercises
sickness impact
lung diseases
quality of life
education
self-care
rehabilitation
activities of daily living
exercise tolerance
breathing exercises
sickness impact
lung diseases
How to Cite
Bolivar-Grimaldos, F., Cano-Rosales, D. J., Duran-Sandoval, J. N., Albarracín-Ruiz, M. J., & Rincón-Romero, K. (2019). Quality of life of patients with chronic obstructive pulmonary disease participating in a comprehensive educational program. Salud UIS, 51(4), 305–311. https://doi.org/10.18273/revsal.v51n4-2019003
Abstract
Introduction: The Chronic Obstructive Pulmonary Disease (COPD) is a highly prevalent disease, characterized mainly by dyspnea, which has an impact on the quality of life of the person. The program of comprehensive respiratory care offers an essentially educational, individualized and multidisciplinary intervention focused on the needs of the patient and its family, seeking to improve the quality of life and associated morbidities. Objective: To describe the quality of life in a comprehensive care program for patients with chronic obstructive pulmonary disease. Methods: A cross-sectional retrospective descriptive study was carried out, including patients diagnosed with COPD, in whom the Saint George quality of life questionnaire was applied at admission and six months after being linked to the program. Student’s t test was performed for the analysis by normality tests. Results: A total of 31 patients with an average age of 82.7 years were included, 43.3% had a history of smoking, variations in the Saint George survey showed a significant change in the domain of activity and in the overall score when applied to the six-month follow-up. Conclusions: The implementation of the comprehensive educational program seems to support the improvement in the quality of life of participants diagnosed with COPD. Future prospective studies may validate this hypothesis.
References
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10. Young TA, Rowen D, Norquist J, Brazier JE. Developing preference-based health measures: using Rasch analysis to generate health state values. Qual Life Res. 2010; 19(6): 907-917. doi: 10.1007/ s11136-010-9646-0.
11. Jones PW, Quirk FH, Baveystock CM, Littlejohns P. A Self-complete measure of health status for chronic airflow limitation: The St. George’s Respiratory Questionnaire. Am Rev Respir Dis. 1992; 145(6): 1321-1327. doi: 10.1164/ajrccm/145.6.1321.
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13. Lisboa BC, Villafranca AC, Caiozzi AG, Berrocal CC, Leiva GA, Pinochet UR, et al. Calidad de vida en pacientes con enfermedad pulmonar obstructiva crónica e impacto del entrenamiento físico. Rev Méd Chile. 2001; 129(4): 359-366.
14. Hashem F, Merritt R. Supporting patients self-managing respiratory health : a qualitative study on the impact of the Breathe Easy voluntary group network. ERJ Open Res.2018; 4(1): 00076-2017. doi: 10.1183/23120541.00076-2017.
15. Durán-montes LA, Cisneros-sandoval FJ. Calidad de vida en enfermedad pulmonar obstructiva crónica. Rev Med Inst Mex Seguro Soc. 2015; 53(3): 380-385.
16. Murphy LA, Harrington P, Taylor SJC, Teljeur C, Smith SM, Pinnock H, et al. Clinical-effectiveness of self-management interventions in chronic obstructive pulmonary disease: An overview of reviews. Chron Respir Dis. 2017; 14(3): 276-288. doi: 10.1177/1479972316687208.
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19. Estrada MGA, Malagón M del CS, Rivas AGL, Flores ÁG, Martínez RHS, Venegas AR. Reproducibilidad del cuestionario respiratorio Saint George en la versión al español, en pacientes mexicanos con enfermedad pulmonar obstructiva crónica. Rev del Inst Nac Enf Resp Mex. 2000;13(2): 85-95.
20. Rivadeneira Guerrero MF. Validación del cuestionario respiratorio St. George para evaluar calidad de vida en pacientes ecuatorianos conEPOC. Rev Cuid. 2015; 6(1): 882-891. doi: http:// dx.doi.org/10.15649/cuidarte.v6i1.109.
21. Blackstock FC, Lareau SC, Nici L, Zuwallack R, Bourbeau J, Buckley M, et al. Chronic Obstructive
Pulmonary disease education in pulmonary rehabilitation. an official American thoracic society/thoracic society of Australia and New Zealand/Canadian Thoracic Society/British thoracic society workshop report. Ann Am Thorac Soc. 2018;15(7): 769-784. doi: 10.1513/AnnalsATS.201804-253WS.
22. Spruit MA, Singh SJ, Garvey C, Zuwallack R, Nici L, Rochester C, et al. American Thoracic Society Documents an Official American Thoracic Society/European Respiratory Society Statement: Key Concepts and advances in pulmonary rehabilitation. 2013; 188(8): e13-64. doi: 10.1164/ rccm.201309-1634ST.
23. Pineda-Higuita SE, De V, Ramos-Melchor J, Cadavid-Carmona D. Calidad de vida en pacientes con Enfermedad Pulmonar Obstructiva. Rev Univ Salud. 2014; 18(3): 482-493. doi: http://dx.doi. org/10.22267/rus.161803.53.
24. Incalzi RA, Bellia V, Catalano F, Scichilone N, Imperiale C, Maggi S, et al. Evaluation of health outcomes in elderly patients with Asthma and COPD using disease-specific and generic instruments: The Salute Respiratoria nell´Anziano (Sa.R.A.) Study. Chest. 2001; 120(3): 734-742. doi: 10.1378/ chest.120.3.734.
25. Kruis AL, Smidt N, Assendelft WJJ, Gussekloo J, Boland MRS, Rutten-van Mölken M C, NH. Integrated disease management interventions for patients with chronic obstructive pulmonary disease. Cochrane Database Syst Rev -John Wiley Sons, Ltd. 2013;(10): 130. doi: 10.1002/14651858. CD009437.pub2.
26. Betancourt-Peña J, Muñoz-Erazo BE, Hurtado-Gutiérrez H. Effect of pulmonary rehabilitation in quality of life and functional capacity in patients with tuberculosis sequela. Nova. 2015; 13(24): 47-54.
27. Tsang EW, Kwok H, Chan AKY, Choo KL, Chan KS, Lau KS, et al. Outcomes of community-based and home-based pulmonary rehabilitation for pneumoconiosis patients: a retrospective study. BMC Pulm Med. 2018; 18(1): 133. doi: 10.1186/ s12890-018-0692-7.
28. Puhan MA, Lareau SC. Evidence-based outcomes from pulmonary rehabilitation in the chronic obstructive pulmonary disease patient. Clin Chest Med. 2014; 35(2): 295-301. doi: 10.1016/j. ccm.2014.02.001.
29. Gloeckl R, Schneeberger T, Jarosch I, Kenn K. Pulmonary rehabilitation and exercise train- ing in chronic obstructive pulmonary disease. 2018; 115(8): 117-123. doi: 10.3238/arztebl.2018.0117.
30. Blánquez C, Colungo C, Alvira MC, Kostov B, Paz LG, Sisó-almirall A. atención primaria efectividad de un programa educativo de rehabilitación respiratoria en atención primaria para mejorar la calidad de vida, la sintomatología y el riesgo clínico de los pacientes con enfermedad pulmonar obstructiva crónica. Aten Primaria. 2017; 50(9): 539-546. doi: 10.1016/j.aprim.2017.03.019.
31. Karapolat H, Atasever A, Atamaz F, Kirazli Y, Elmas F, Erdinç E. Do the benefits gained using a shortterm pulmonary rehabilitation program remain in COPD patients after participation? Lung. 2007; 185(4): 221-225. doi: 10.1007/s00408-007-9011-4.
2. Lozano R, Naghavi M, Foreman K, Lim S, Shibuya K, Aboyans V, et al. Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: a systematic analysis for the global burden of disease study 2010. Lancet. 2012; 380(9859): 2095-2128. doi: 10.1016/S0140- 6736(12)61728-0.
3. Hurd SS, Lenfant C, Schouten J, Rijcken B, Weiss S. COPD: good lung health is the key. Lancet. 2005; 366(9500): 1832-1834. doi: 10.1016/S0140- 6736(05)67634-9.
4. Halbert RJ, Natoli JL, Gano A, Badamgarav E, Buist AS, Mannino DM. Global burden of COPD: systematic review and meta-analysis. Eur Respir J. 2006; 28(3): 523-532. doi: 10.1183/09031936.06.00124605.
5. Menezes AMB, Perez-Padilla R, Jardim JRB, Muiño A, Lopez MV, Valdivia G, et al. Chronic obstructive pulmonary disease in five Latin American cities (the PLATINO study): a prevalence study. Lancet. 2005; 366(9500): 1875-1881. doi: 10.1016/S0140- 6736(05)67632-5.
6. Caballero A, Torres-Duque CA, Jaramillo C, Bolívar F, Sanabria F, Osorio P, et al. Prevalence of COPD in five colombian cities situated at low, medium, and high altitude (PREPOCOL Study). Chest. 2008; 133(2): 343-349. doi: 10.1378/chest.07-1361.
7. Bestall JC, Paul EA, Garrod R, Garnham R, Jones PW, Wedzicha JA. Usefulness of the Medical Research Council (MRC) dyspnoea scale as a measure of disability in patients with chronic obstructive pulmonary disease. Thorax. 1999; 54(7): 581-586. doi: 10.1136/thx.54.7.581.
8. Bergner M. Quality of life, health status, and clinical research. Med Care. 1989;27(3 Suppl): S148-S156. doi: 10.1097/00005650-198903001-00012.
9. Jones PW. Health status measurement in chronic obstructive pulmonary disease. Thorax. 2001; 56(11): 880-887. doi: 10.1136/thorax.56.11.880-7.
10. Young TA, Rowen D, Norquist J, Brazier JE. Developing preference-based health measures: using Rasch analysis to generate health state values. Qual Life Res. 2010; 19(6): 907-917. doi: 10.1007/ s11136-010-9646-0.
11. Jones PW, Quirk FH, Baveystock CM, Littlejohns P. A Self-complete measure of health status for chronic airflow limitation: The St. George’s Respiratory Questionnaire. Am Rev Respir Dis. 1992; 145(6): 1321-1327. doi: 10.1164/ajrccm/145.6.1321.
12. Jones PW. St. George’s Respiratory Questionnaire: MCID. COPD J Chronic Obstr Pulm Dis. 2005; 2(1):75-79. doi: https://doi.org/10.1081/COPD- 200050513.
13. Lisboa BC, Villafranca AC, Caiozzi AG, Berrocal CC, Leiva GA, Pinochet UR, et al. Calidad de vida en pacientes con enfermedad pulmonar obstructiva crónica e impacto del entrenamiento físico. Rev Méd Chile. 2001; 129(4): 359-366.
14. Hashem F, Merritt R. Supporting patients self-managing respiratory health : a qualitative study on the impact of the Breathe Easy voluntary group network. ERJ Open Res.2018; 4(1): 00076-2017. doi: 10.1183/23120541.00076-2017.
15. Durán-montes LA, Cisneros-sandoval FJ. Calidad de vida en enfermedad pulmonar obstructiva crónica. Rev Med Inst Mex Seguro Soc. 2015; 53(3): 380-385.
16. Murphy LA, Harrington P, Taylor SJC, Teljeur C, Smith SM, Pinnock H, et al. Clinical-effectiveness of self-management interventions in chronic obstructive pulmonary disease: An overview of reviews. Chron Respir Dis. 2017; 14(3): 276-288. doi: 10.1177/1479972316687208.
17. Rochester CL, Vogiatzis I, Holland AE, Lareau SC, Marciniuk DD, Puhan MA, et al. An official American Thoracic Society/European Respiratory Society policy statement: Enhancing implementation, use, and delivery of pulmonary rehabilitation. Am J Respir Crit Care Med. 2015; 192(11): 1373-1386. doi: 10.1164/rccm.201510-1966ST.
18. Ferrer M, Alonso J, Prieto L, Plaza V, Monsó E, Marrades R, et al. Validity and reliability of the St George’s Respiratory Questionnaire after adaptation to a different language and culture: the Spanish example. Eur Respir J. 1996; 9(9): 1160-1166. doi: 10.1183/09031936.96.09061160.
19. Estrada MGA, Malagón M del CS, Rivas AGL, Flores ÁG, Martínez RHS, Venegas AR. Reproducibilidad del cuestionario respiratorio Saint George en la versión al español, en pacientes mexicanos con enfermedad pulmonar obstructiva crónica. Rev del Inst Nac Enf Resp Mex. 2000;13(2): 85-95.
20. Rivadeneira Guerrero MF. Validación del cuestionario respiratorio St. George para evaluar calidad de vida en pacientes ecuatorianos conEPOC. Rev Cuid. 2015; 6(1): 882-891. doi: http:// dx.doi.org/10.15649/cuidarte.v6i1.109.
21. Blackstock FC, Lareau SC, Nici L, Zuwallack R, Bourbeau J, Buckley M, et al. Chronic Obstructive
Pulmonary disease education in pulmonary rehabilitation. an official American thoracic society/thoracic society of Australia and New Zealand/Canadian Thoracic Society/British thoracic society workshop report. Ann Am Thorac Soc. 2018;15(7): 769-784. doi: 10.1513/AnnalsATS.201804-253WS.
22. Spruit MA, Singh SJ, Garvey C, Zuwallack R, Nici L, Rochester C, et al. American Thoracic Society Documents an Official American Thoracic Society/European Respiratory Society Statement: Key Concepts and advances in pulmonary rehabilitation. 2013; 188(8): e13-64. doi: 10.1164/ rccm.201309-1634ST.
23. Pineda-Higuita SE, De V, Ramos-Melchor J, Cadavid-Carmona D. Calidad de vida en pacientes con Enfermedad Pulmonar Obstructiva. Rev Univ Salud. 2014; 18(3): 482-493. doi: http://dx.doi. org/10.22267/rus.161803.53.
24. Incalzi RA, Bellia V, Catalano F, Scichilone N, Imperiale C, Maggi S, et al. Evaluation of health outcomes in elderly patients with Asthma and COPD using disease-specific and generic instruments: The Salute Respiratoria nell´Anziano (Sa.R.A.) Study. Chest. 2001; 120(3): 734-742. doi: 10.1378/ chest.120.3.734.
25. Kruis AL, Smidt N, Assendelft WJJ, Gussekloo J, Boland MRS, Rutten-van Mölken M C, NH. Integrated disease management interventions for patients with chronic obstructive pulmonary disease. Cochrane Database Syst Rev -John Wiley Sons, Ltd. 2013;(10): 130. doi: 10.1002/14651858. CD009437.pub2.
26. Betancourt-Peña J, Muñoz-Erazo BE, Hurtado-Gutiérrez H. Effect of pulmonary rehabilitation in quality of life and functional capacity in patients with tuberculosis sequela. Nova. 2015; 13(24): 47-54.
27. Tsang EW, Kwok H, Chan AKY, Choo KL, Chan KS, Lau KS, et al. Outcomes of community-based and home-based pulmonary rehabilitation for pneumoconiosis patients: a retrospective study. BMC Pulm Med. 2018; 18(1): 133. doi: 10.1186/ s12890-018-0692-7.
28. Puhan MA, Lareau SC. Evidence-based outcomes from pulmonary rehabilitation in the chronic obstructive pulmonary disease patient. Clin Chest Med. 2014; 35(2): 295-301. doi: 10.1016/j. ccm.2014.02.001.
29. Gloeckl R, Schneeberger T, Jarosch I, Kenn K. Pulmonary rehabilitation and exercise train- ing in chronic obstructive pulmonary disease. 2018; 115(8): 117-123. doi: 10.3238/arztebl.2018.0117.
30. Blánquez C, Colungo C, Alvira MC, Kostov B, Paz LG, Sisó-almirall A. atención primaria efectividad de un programa educativo de rehabilitación respiratoria en atención primaria para mejorar la calidad de vida, la sintomatología y el riesgo clínico de los pacientes con enfermedad pulmonar obstructiva crónica. Aten Primaria. 2017; 50(9): 539-546. doi: 10.1016/j.aprim.2017.03.019.
31. Karapolat H, Atasever A, Atamaz F, Kirazli Y, Elmas F, Erdinç E. Do the benefits gained using a shortterm pulmonary rehabilitation program remain in COPD patients after participation? Lung. 2007; 185(4): 221-225. doi: 10.1007/s00408-007-9011-4.
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