Dyspnea in bronchiectasis: a complex symptom of a complex disease

Martínez-Vergara, Adrián; Girón-Moreno, Rosa María; Martínez‐García, Miguel Ángel

doi:10.36416/1806-3756/e20200281

Cited by 5 publications

(5 citation statements)

References 7 publications

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“…The present study showed that some patients with more severe disease had less dyspnea. Other studies revealed that dyspnea is a complex, multifactorial, and subjective concept and has a cognitive and subjective effect on activity (42,43). When patients experience dyspnea, they notice that they are not well, and therefore, they reduce their ADLs; however, this reduction in physical activity further exacerbates their dyspnea and results in subsequent immobility (44).…”

Section: Discussionmentioning

confidence: 99%

Activities of Daily Living in Patients with Chronic Obstructive Pulmonary Disease: A Hybrid Concept Analysis

Monjazebi,

Zamanzadeh,

Najafi

2024

Med Surg Nurs J

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Background: Limitations of activities of daily living (ADLs) are well-known in chronic obstructive pulmonary disease (COPD) patients. However, a lack of consensus regarding the concept of ADL in COPD patients causes problems in their measurement. This study was conducted to clarify and conceptualize the concept of ADLs in COPD. Methods: The hybrid model of concept analysis consisting of a literature review phase, a fieldwork phase, and an analytical phase was applied. In the first phase, an extensive literature review was performed by searching the accredited databases for relevant articles published within 2000-2022. In the second phase, 18 in-depth interviews with COPD patients were carried out in Tehran, Iran. Field observational notes were transcribed verbatim, and qualitative content analysis was performed. In the analytical phase, attributes of ADLs were derived from the previous two phases. Results: Based on the attributes derived from the final analytical phase, ADLs in COPD patients are complex and multifactorial and are affected by dyspnea and factors influencing it. The pattern of daily activities, communication, and self-care in COPD patients changes toward living normally and independently. Conclusions: The concept analysis of ADLs in COPD patients revealed some key attributes. The results might be useful for designing nursing models, developing theories and measurement tools, and increasing the capacity to perform ADLs in COPD patients.

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Section: Discussionmentioning

confidence: 99%

Activities of Daily Living in Patients with Chronic Obstructive Pulmonary Disease: A Hybrid Concept Analysis

Monjazebi,

Zamanzadeh,

Najafi

2024

Med Surg Nurs J

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“…Sociodemographic data (age, gender) and chronic respiratory medication were reported by the participants in the first session. Lung function (forced spirometry) [24], sputum volume collected in the containers (average of 24 h sputum volume obtained in the two previous days) [25], the impact of coughing (Leicester Cough Questionnaire, LCQ) [26], quality of life (quality of life-bronchiectasis, QoL-B) [27] and dyspnea (MRC Breathlessness Score) [28] were also assessed at the beginning of the first session. Disease severity was calculated using the Bronchiectasis Severity Index (BSI) [29].…”

Section: Data Collectionmentioning

confidence: 99%

Reliability and Validity of Computerized Adventitious Respiratory Sounds in People with Bronchiectasis

Herrero-Cortina

Francín-Gallego

Sáez-Pérez

et al. 2022

JCM

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Background: Computerized adventitious respiratory sounds (ARS), such as crackles and wheezes, have been poorly explored in bronchiectasis, especially their measurement properties. This study aimed to test the reliability and validity of ARS in bronchiectasis. Methods: Respiratory sounds were recorded twice at 4 chest locations on 2 assessment sessions (7 days apart) in people with bronchiectasis and daily sputum expectoration. The total number of crackles, number of wheezes and wheeze occupation rate (%) were the parameters extracted. Results: 28 participants (9 men; 62 ± 12 y) were included. Total number of crackles and wheezes showed moderate within-day (ICC 0.87, 95% CI 0.74–0.94; ICC 0.86, 95% CI 0.71–0.93) and between-day reliability (ICC 0.70, 95% CI 0.43–0.86; ICC 0.78, 95% CI 0.56–0.90) considering all chest locations and both respiratory phases; wheeze occupation rate showed moderate within-day reliability (ICC 0.86, 95% CI 0.71–0.93), but poor between-day reliability (ICC 0.71, 95% CI 0.33–0.87). Bland–Altman plots revealed no systematic bias, but wide limits of agreement, particularly in the between-days analysis. All ARS parameters correlated moderately with the amount of daily sputum expectoration (r > 0.4; p < 0.05). No other significant correlations were observed. Conclusion: ARS presented moderate reliability and were correlated with the daily sputum expectoration in bronchiectasis. The use of sequential measurements may be an option to achieve greater accuracy when ARS are used to monitor or assess the effects of physiotherapy interventions in this population.

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“…Uma das peculiaridades mais óbvias da bronquiectasia é que ela é uma doença enormemente heterogênea em sua apresentação e evolução, (1) além de ser de natureza complexa quanto ao fenótipo (2) e endótipo. (3) Isso provavelmente ocorre, pelo menos em parte, em virtude de muitas diferentes etiologias pulmonares e extrapulmonares (4) serem capazes de causar danos irreversíveis à parede brônquica e do variável quadro clínico pulmonar e sistêmico, (5,6) incluindo exacerbações, (7,8) que caracteriza essa doença.…”

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“…One of the most obvious peculiarities of bronchiectasis is that it is an enormously heterogeneous disease in its presentation and evolution, 1 as well as being complex in nature in terms of both phenotype 2 and endotype. 3 This is probably due, at least in part, to the fact that dozens of different pulmonary and extra-pulmonary etiologies 4 are capable of causing irreversible damage to the bronchial wall and the variable pulmonary and systemic clinical picture, 5 , 6 including exacerbations, 7 , 8 that characterizes this disease.…”

mentioning

confidence: 99%