New Insights into Activities of Daily Living Performance in Chronic Obstructive Pulmonary Disease

Kaptain, Rina Juel; Helle, Tina; Patomella, Ann‐Helen; Weinreich, Ulla Møller; Kottorp, Anders

doi:10.2147/copd.s264365

Cited by 13 publications

(8 citation statements)

References 46 publications

(75 reference statements)

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“…The present study also showed greater limitations in showering than dressing, but the other activities were not analyzed in this study. Recently, Kaptain et al analyzed 47 different ADL, both BADL and IADL, among Danish adults with COPD aged 46–87 years [ 42 ]. The main findings reported that the most affected BADL were moving within or outside the home and dressing, bathing, and pedicuring; and the most affected IADL were weekly cleaning, washing by hand, going by train, and weekly shopping.…”

Section: Discussionmentioning

confidence: 99%

Limitations in Activities of Daily Living among Older Adults with COPD, Asthma, or Asthma-COPD Overlap Residing in Spain

Castillo

Smith

Suárez

et al. 2023

IJERPH

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Activities of daily living (ADL) may be limited by the presence of chronic diseases, and limitations in ADL contribute to an increased risk of falling. In people with asthma, chronic obstructive pulmonary disease (COPD), and asthma–COPD overlap (ACO), ADL may be affected owing to poor asthma control and COPD ventilatory limitations. The aim of this study was to establish the differing prevalence of limitations in ADL among older Spanish adults with chronic respiratory diseases (COPD, asthma, and ACO). Data from the Spanish National Health Survey were analyzed. The sample was composed of 944 older adults aged ≥65 years and with a positive diagnosis of COPD (n = 502), asthma (n = 241), or ACO (n = 201). Five basic activities of daily living (BADL) and seven instrumental activities of daily living (IADL) were studied. Frequency and percentages were used to describe sample characteristics and limitations of ADL. Significant differences were analyzed using chi-square tests. Results revealed a significant higher number of older adults with COPD (34.8%) and asthma (32.5%) without limitations in doing hard housework in comparison to ACO (17.8%). Regarding meal preparation, a higher percentage of asthmatics without difficulties (77.7%) and a lower percentage with many difficulties (2.6%) were observed in comparison to ACO (64.8%–10.2%). No differences were found in BADL, with approximately 80–90% without limitations. It seems that limitations in IADL vary according to the type of chronic pulmonary diseases, but further research is needed to clarify why differences were found only for preparing meals and hard housework. These findings should be considered in the design of interventions to promote ADL in older adults with respiratory disease.

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Section: Discussionmentioning

confidence: 99%

Limitations in Activities of Daily Living among Older Adults with COPD, Asthma, or Asthma-COPD Overlap Residing in Spain

Castillo

Smith

Suárez

et al. 2023

IJERPH

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“…Our finding that psychological distress and mobility measured as distance walked in 6-min were important contributors to the adjusted model for both participation domains is consistent with previous literature and the clinical picture of this population. People with COPD have an increased risk for mobility limitations 6 and anxiety and depression. 28 These relationships align with clinical knowledge: increases in distance walked are associated with increased participation frequency and fewer limitations, and, increases in symptoms of psychological distress are associated with decreased participation frequency and increased limitations.…”

Section: Discussionmentioning

confidence: 99%

“…However, limited research remains on the specific factors from different ICF components that influence participation levels, particularly in clinical populations. People diagnosed with Chronic Obstructive Pulmonary Disease (COPD) experience considerable limitations in mobility 6 and distressing disease-specific symptoms such as shortness of breath and exercise intolerance 7 that make them a high-risk group for experiencing participation restrictions. Although pulmonary rehabilitation programs are considered the standard of care for symptom management in patients with COPD, current programs focus primarily on ICF body functions (e.g., muscle strength) and activities (e.g., walking) but do not specifically target participation.…”

Section: Introductionmentioning

confidence: 99%

Factors associated with participation in life situations in people with COPD

et al. 2022

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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.

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“…A review of the literature resulted in the identification of three attributes of ADLs in COPD: The complexity and multifactorial nature of activity, the effects of dyspnea, and changes in daily activity patterns (Table 1). 'The variation in functional performance observed in individuals with COPD is perplexing' (28).…”

Section: Characteristics and Definition Of Conceptmentioning

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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New Insights into Activities of Daily Living Performance in Chronic Obstructive Pulmonary Disease

Cited by 13 publications

References 46 publications

Limitations in Activities of Daily Living among Older Adults with COPD, Asthma, or Asthma-COPD Overlap Residing in Spain

Limitations in Activities of Daily Living among Older Adults with COPD, Asthma, or Asthma-COPD Overlap Residing in Spain

Factors associated with participation in life situations in people with COPD

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

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