Factors associated with participation in life situations in people with COPD

Abstract

Objective To examine potential determinants of participation frequency and limitations in people with Chronic Obstructive Pulmonary Disease (COPD). Methods For this secondary analysis, we grouped the following factors using the International Classification of Functioning, Disability and Health (ICF) components: age, psychological distress (Hospital Anxiety and Depression Scale (HADS)), gait aid use, supplemental oxygen use, grip strength, modified Medical Research Council Dyspnea scale, Short Physical Performance Battery, and Six-Minute Walk Test (6MWT). Participation was measured using the frequency and limitation domains of the Late Life Disability Instrument (LLDI). Relationships between factors and participation were examined using linear regression. Results Ninety-six participants (age 68.7 ± 8.1 yrs; FEV1 %pred 34 IQR 25–54) were included in the analysis. Factors were linked to four ICF components: activity, body functions, personal, and environmental factors. The final model for LLDI-frequency contained HADS, use of gait aid, and 6MWT (F (3, 81) = 27.69 ( p < .001), R2 = 0.51), and for LLDI-limitations, the final model included age, HADS, and 6MWT (F (3, 82) = 19.74 ( p < .001), R2 = 0.42). Discussion Participation in life situations in people with COPD is associated with multiple ICF components. Psychological distress (i.e., anxiety and depression symptoms) and mobility were important determinants of participation frequency and limitations. Prospective studies are needed to confirm these relationships.

Performance-based outcome measures to assess functionality in hospitalised patients with COPD exacerbations: a systematic review of the measurement properties

“…Body functions are the physiological functions of body systems and activities are the execution of a task or action by an individual [6]. Based on these classifications, each performance-based outcome measure was classified into functionality categories by consensus of the review team, considering analysed variables in the included studies and previous literature [22][23][24].…”

ICU nurses´ lived experience of caring for adult patients with a tracheostomy in ICU: a phenomenological-hermeneutic study

“…Failed weaning is a physical and psychological strain on patients as well as ICU nurses, which complicates the collaboration between nurses and patient. Previous research has demonstrated that psychological distress is significantly higher and common among patients with COPD [38]. Therefore, ICU nurses need to create encounters which promote positive experiences of care for patients with COPD.…”

CRD editor’s corner archive: January-March

“…Patients with COPD often tell us how difficult it is to do the things they want to do because of their breathing problems but measuring “participation” objectively is often not undertaken. In the journal this month, D’Amore et al 2 report the factors determining participation based on the elements set out in the WHO’s definition of the construct. They found that reduced walking performance and psychological distress were the primary determinants of impaired participation.…”