Knowledge about asthma and COPD: associations with sick leave, health complaints, functional limitations, adaptation, and perceived control

Boot, Cécile R. L.; Gulden, J.W.J. van der; Vercoulen, J.H.M.M.; Borne, Bart H. W. van den; Orbon, K.H.; Rooijackers, Jos; Weel, Chris van; Folgering, H.T.M.

doi:10.1016/j.pec.2004.10.007

Cited by 25 publications

(13 citation statements)

References 24 publications

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“…This is because professional team members, especially physicians, used common words to enable better understanding by the elderly patient, leading to many elderly people thinking that they have asthma, instead of COPD. This result is harmonious with the results of Boots’ study, which showed that patients did not know their correct diagnosis [17]. …”

Section: Discussionsupporting

confidence: 79%

The empowerment of elderly patients with chronic obstructive pulmonary disease: Managing life with the disease

et al. 2017

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Chronic obstructive pulmonary disease (COPD) is a serious health problem that has significant effects on the life status of elderly persons. Use of the empowerment approach is necessary for health promotion in older people with COPD, but little attention has so far been paid to all the dimensions of empowerment in the management of COPD, which would provide useful knowledge regarding elders with COPD. This article reports on a study exploring people’s experiences of the empowerment of older people with COPD. This study adopted an exploratory qualitative design and was carried out using grounded theory methodology. Grounded theory was considered appropriate for this study because of its focus on how people respond to and act on the problems that they encounter. We collected data by conducting in-depth semi-structured interviews and taking field notes. Twenty-four participants were selected through purposive sampling.The results showed that in encountering the complexity of disease and in response to difficulties induced by COPD, three strategies were applied. Elderly persons with COPD, their family caregivers, and professional team members engaged in “managing life with COPD,” “striving to keep abreast of life,” “preparing for battle with disease,” and “helping to stabilize the elder’s life.” The outcome of these strategies was “co-existence with disease.” The potential of “managing life with COPD” was influenced by the following factors: “co-existence with ageing,” “personal potential,” “a challenged health system,” and “weak social support.” “Managing life with COPD” enables the elder to feel in control and live optimally. This is a fragile balance, however, and the unpredictability of COPD can tip the elder into “self-efficacy.” Understanding the experiences of the empowerment process of older people with COPD can help health professionals provide more focused elderly care.

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Section: Discussionsupporting

confidence: 79%

The empowerment of elderly patients with chronic obstructive pulmonary disease: Managing life with the disease

et al. 2017

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“…expected the Family-based pulmonary rehabilitation programme 18 PR programme to help their care receiver to accept the disease and be more aware of its impact on all family. Difficulties of patients to adjust to lifestyle change and to the disease have been previously reported in the literature [39][40][41].…”

Section: Discussionmentioning

confidence: 92%

Development of a family-based pulmonary rehabilitation programme: an exploratory study

Marques

Gabriel

Jácome

et al. 2014

Disability and Rehabilitation

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PR programmes, if inclusive of family members, may enhance the skills of the whole family to manage COPD. Implications for Rehabilitation Patients with chronic obstructive pulmonary disease (COPD) and their family members have similar expectations and needs about a family-based pulmonary rehabilitation (PR) programme. A family-based PR programme is feasible to implement within primary care. PR programmes, if inclusive of family members, may enhance the skills of the whole family to manage COPD.

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“…A study of asthma and COPD patients in the Netherlands showed that knowledge about both asthma and COPD was related to better adaptation to these diseases [33]. Knowledge of disease is likely to vary in the group of asthma and/or COPD in our study, since asthma was self-reported and COPD was based on spirometric measurements of airflow limitation.…”

Section: Discussionmentioning

confidence: 99%

Respiratory symptoms in adults are related to impaired quality of life, regardless of asthma and COPD: results from the European community respiratory health survey

Voll-Aanerud

Eagan

Plana

et al. 2010

Health Qual Life Outcomes

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BackgroundRespiratory symptoms are common in the general population, and their presence is related to Health-related quality of life (HRQoL). The objective was to describe the association of respiratory symptoms with HRQoL in subjects with and without asthma or COPD and to investigate the role of atopy, bronchial hyperresponsiveness (BHR), and lung function in HRQoL.MethodsThe European Community Respiratory Health Survey (ECRHS) I and II provided data on HRQoL, lung function, respiratory symptoms, asthma, atopy, and BHR from 6009 subjects. Generic HRQoL was assessed through the physical component summary (PCS) score and the mental component summary (MCS) score of the SF-36.Factor analyses and linear regressions adjusted for age, gender, smoking, occupation, BMI, comorbidity, and study centre were conducted.ResultsHaving breathlessness at rest in ECRHS II was associated with mean score (95% CI) impairment in PCS of -8.05 (-11.18, -4.93). Impairment in MCS score in subjects waking up with chest tightness was -4.02 (-5.51, -2.52). The magnitude of HRQoL impairment associated with respiratory symptoms was similar for subjects with and without asthma/COPD. Adjustments for atopy, BHR, and lung function did not explain the association of respiratory symptoms and HRQoL in subjects without asthma and/or COPD.ConclusionSubjects with respiratory symptoms had poorer HRQoL; including subjects without a diagnosis of asthma or COPD. These findings suggest that respiratory symptoms in the absence of a medical diagnosis of asthma or COPD are by no means trivial, and that clarifying the nature and natural history of respiratory symptoms is a relevant challenge.Several community studies have estimated the prevalence of common respiratory symptoms like cough, dyspnoea, and wheeze in adults [1-3]. Although the prevalence varies to a large degree between studies and geographical areas, respiratory symptoms are quite common. The prevalences of respiratory symptoms in the European Community Respiratory Health Study (ECRHS) varied from one percent to 35% [1]. In fact, two studies have reported that more than half of the adult population suffers from one or more respiratory symptoms [4,5].Respiratory symptoms are important markers of the risk of having or developing disease. Respiratory symptoms have been shown to be predictors for lung function decline [6-8], asthma [9,10], and even all-cause mortality in a general population study [11]. In patients with a known diagnosis of asthma or chronic obstructive pulmonary disease (COPD), respiratory symptoms are important determinants of reduced health related quality of life (HRQoL) [12-15]. The prevalence of respiratory symptoms exceeds the combined prevalences of asthma and COPD, and both asthma and COPD are frequently undiagnosed diseases [16-18]. Thus, the high prevalence of respipratory symptoms may mirror undiagnosed and untreated disease.The common occurrence of respiratory symptoms calls for attention to how these symptoms affect health also in subjects with no diagnosis of obstructive ...

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Knowledge about asthma and COPD: associations with sick leave, health complaints, functional limitations, adaptation, and perceived control

Cited by 25 publications

References 24 publications

The empowerment of elderly patients with chronic obstructive pulmonary disease: Managing life with the disease

The empowerment of elderly patients with chronic obstructive pulmonary disease: Managing life with the disease

Development of a family-based pulmonary rehabilitation programme: an exploratory study

Respiratory symptoms in adults are related to impaired quality of life, regardless of asthma and COPD: results from the European community respiratory health survey

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