Psychosocial Concomitants to Rehabilitation in Chronic Obstructive Pulmonary Disease

Dudley, Donald L.; Glaser, Edward M.; Jorgenson, Betty N.; Logan, Daniel L.

doi:10.1378/chest.77.3.413

Cited by 154 publications

(42 citation statements)

References 10 publications

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“…This ech oes the find ings of Melillo et al (1996) and Eyler et al (1998). Among the fac tors men tioned above, one of the major sources of COPD patients' fear of hav ing another attack of dyspnea was catch ing the flu when the weather changed.…”

Section: Discussionsupporting

confidence: 62%

“…Hainsworth (1994) pointed out that chronic dis ease patients feel a loss of control due to long-term treat ments, ill ness restric tions, or con di tions alter nat ing between better and worse and feeling that they are close to death; they also feel low self-esteem due to the changes in their func tional roles and social rela tion ships caused by their dete ri o rat ing phys i cal func tions. Find ings of research (DeVito, 1990;Dudley, Glaser, Jorgenson, & Logan, 1980;Rabinowitz & Florian, 1992) sug gest that, apart from mel an choly and anx i ety, COPD patients also suf fer from psy cho log i cal prob lems, such as low self-esteem, fear, help less ness, and lack of secu rity, as their dis ease pro gresses. In addi tion, dyspnea is one of the phys i cal prob lems found in COPD patients and is deemed the most prev a lent and recur rent prob lem.…”

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confidence: 99%

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Experiences of Daily Activities Within Two Weeks After Hospital Discharge Among Taiwanese Elderly Patients With Chronic Obstructive Pulmonary Disease

Jeng

Tsao

et al. 2002

Journal of Nursing Research

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AB STRACT:The pur pose of this study was to explore the expe ri ences of daily activ i ties among elderly patients with chronic obstruc tive pul mo nary dis ease (COPD) within 2 weeks after hos pi tal dis charge. Seven male and two female COPD patients aged 65-80 were inter viewed. Inter views were tape recorded, and then tran scribed ver ba tim within 48 hours. Data were ana lyzed accord ing to the method of qual i ta tive research through con stant com par i son and con tent anal y sis. The data gen er ated seven themes: (1) expec ta tions beyond one's strength;(2) fear of hav ing another attack; (3) slow ing and sim pli fy ing activ i ties; (4) act ing accord ing one's abil i ties; (5) pro tect ing one self; (6) striv ing for an inde pend ent life; and (7) try ing to con tinue liv ing. The find ings of this research can help health pro fes sion als understand expe ri ences of COPD patients, sen si tively and pre cisely rec og nize their daily activ ity needs, and pro vide suit able inter ven tions dur ing the dis charge tran si tion to facil i tate a better qual ity of life for elderly patients.Key Words: chronic ob struc tive pul mo nary dis ease (COPD), daily ac tiv i ties, ex pe ri ence. Intro duc tionAccord ing to sta tis tics reported by the Depart ment of Health, the mor tal ity rate of chronic obstruc tive pul monary dis ease (COPD) patients in Tai wan in 1999 was 7.23 per 100,000. It is the tenth lead ing cause of death, so it is a dis ease that can not be over looked. Accord ing to the current hos pi tal dis charge plans for COPD patients, in addition to symp tom man age ment, main tain ing daily activ ities is one of the main mea sures to keep the con di tion of these patients from dete ri o rat ing. Hainsworth (1994) pointed out that chronic dis ease patients feel a loss of control due to long-term treat ments, ill ness restric tions, or con di tions alter nat ing between better and worse and feeling that they are close to death; they also feel low self-esteem due to the changes in their func tional roles and social rela tion ships caused by their dete ri o rat ing phys i cal func tions. Find ings of research (DeVito, 1990;Dudley, Glaser, Jorgenson, & Logan, 1980;Rabinowitz & Florian, 1992) sug gest that, apart from mel an choly and anx i ety, COPD patients also suf fer from psy cho log i cal prob lems, such as low self-esteem, fear, help less ness, and lack of secu rity, as their dis ease pro gresses. In addi tion, dyspnea is one of the phys i cal prob lems found in COPD patients and is deemed the most prev a lent and recur rent prob lem. Patients may have to endure chest pain, a feel ing of lack of air, suf fo ca tion, etc. They may also expe ri ence cyanosis, cold sweat ing, irri ta bil ity, and heavy breath ing pant ing. More over, phys i cal com plaints such as fatigue, sleep dis tur bance, exces sive spu tum, lack of appe tite,

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Section: Discussionsupporting

confidence: 62%

mentioning

confidence: 99%

Experiences of Daily Activities Within Two Weeks After Hospital Discharge Among Taiwanese Elderly Patients With Chronic Obstructive Pulmonary Disease

Jeng

Tsao

et al. 2002

Journal of Nursing Research

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“…Similarly, Belman, Brooks, Ross, and Mohasifar (1991) found that patients with COPD who exercised for just 10 days reported decreased dyspnea even though minute ventilation and oxygen consumption did not change. Researchers suggest that education and exercise can desensitize patients to the sensation of dyspnea (Agle, Baum, Chester, & Wendt, 1973; Dudley, Glaser, Torgenson, & Logan, 1980; Holden, Stelmack, Curtis, Beck, & Stoller, 1990).…”

Section: Literature Reviewmentioning

confidence: 99%

The Effects of Education Alone and in Combination with Pulmonary Rehabilitation on Self-Efficacy in Patients with COPD

Scherer

Schmieder

Shimmel

1998

Rehabilitation Nursing

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This study compared the effects on self-efficacy of participation by patients with chronic obstructive pulmonary disease (COPD) in a pulmonary rehabilitation program that combined education and supervised exercise training with the results demonstrated by participation in a program that provided education alone. Thirty-seven patients participated in the pulmonary rehabilitation program, and 22 patients participated in the education-only program. Self-efficacy, as it effects managing or avoiding breathing difficulty, was measured before and after the programs. Patients' self-efficacy scores significantly improved after the pulmonary rehabilitation program and remained significantly improved 6 months later. Education alone was also effective in significantly improving self-efficacy scores, but patients' scores 6 months later were not significantly better than preprogram scores. This study indicates that a rehabilitation program that combines education and exercise training is more effective in improving long-term self-efficacy in patients with COPD.

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“…Because the ability of people with COPD to perform daily activities necessary for independent living declines as their COPD progresses, they are more likely to experience disability,9,10 and as a result are at greater risk for social restriction and depression 11–13. Furthermore, those people with exacerbated COPD could be more likely to have comorbidities, and have increased risk for death due to the interrelated effects of disability and mental distress 14–17…”

Section: Introductionmentioning

confidence: 99%

The association of chronic obstructive pulmonary disease, disability, engagement in social activities, and mortality among US adults aged 70 years or older, 1994–2006

Liu¹,

Croft²,

Anderson³

et al. 2014

COPD

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PurposeTo assess associations among chronic obstructive pulmonary disease (COPD), disability as measured by activities of daily living (ADL) and instrumental ADL (IADL), engagement in social activities, and death among elderly noninstitutionalized US residents.Materials and methodsA nationally representative sample of 9,415 adults who were aged ≥70 years and responded to the Second Supplement on Aging survey in 1994–1996 and mortality follow-up study through 2006 were assessed. Multiple logistic regression analyses were performed to assess the risk of all-cause mortality in participants with COPD after accounting for age, sex, race/ethnicity, and smoking status.ResultsAt baseline, approximately 9.6% of study participants reported having COPD. Compared with participants without COPD, those with COPD were significantly more likely (P<0.05) to have difficulty with at least one ADL (44.3% versus [vs] 27.5%) and with at least one IADL (59.9% vs 40.2%), significantly less likely to be engaged in social activities (32.6% vs 26.3%), and significantly more likely to die by 2006 (70.7% vs 60.4%; adjusted risk ratio 1.15, P<0.05). The association between COPD and risk for death was moderately attenuated by disability status.ConclusionCOPD is positively associated with disability and mortality risk among US adults aged ≥70 years. The significant relationship between COPD and mortality risk was moderately attenuated, but was not completely explained by stages of ADL and IADL limitations and social activities.

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Psychosocial Concomitants to Rehabilitation in Chronic Obstructive Pulmonary Disease

Cited by 154 publications

References 10 publications

Experiences of Daily Activities Within Two Weeks After Hospital Discharge Among Taiwanese Elderly Patients With Chronic Obstructive Pulmonary Disease

Experiences of Daily Activities Within Two Weeks After Hospital Discharge Among Taiwanese Elderly Patients With Chronic Obstructive Pulmonary Disease

The Effects of Education Alone and in Combination with Pulmonary Rehabilitation on Self-Efficacy in Patients with COPD

The association of chronic obstructive pulmonary disease, disability, engagement in social activities, and mortality among US adults aged 70 years or older, 1994–2006

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Psychosocial Concomitants to Rehabilitation in Chronic Obstructive Pulmonary Disease

Cited by 154 publications

References 10 publications

Experiences of Daily Activities Within Two Weeks After Hospital Discharge Among Taiwanese Elderly Patients With Chronic Obstructive Pulmonary Disease

Experiences of Daily Activities Within Two Weeks After Hospital Discharge Among Taiwanese Elderly Patients With Chronic Obstructive Pulmonary Disease

The Effects of Education Alone and in Combination with Pulmonary Rehabilitation on Self-Efficacy in Patients with COPD

The association of chronic obstructive pulmonary disease, disability, engagement in social activities, and mortality among US adults aged 70 years or older, 1994&ndash;2006

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The association of chronic obstructive pulmonary disease, disability, engagement in social activities, and mortality among US adults aged 70 years or older, 1994–2006