Disability in Valued Life Activities Among Individuals With COPD and Other Respiratory Conditions

• Autores: Patricia P. Katz, Steven Gregorich, Mark Eisner, Laura Julian, Hubert Chen, Edward Yelin, Paul D. Blanc
• Localización: Journal of Cardiopulmonary Rehabilitation and Prevention: JCRP, ISSN-e 1932-7501, Vol. 30, Nº. 2, 2010, págs. 126-136
• Idioma: inglés
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• Resumen

  • PURPOSE: The purpose of this study was to delineate the effect of chronic obstructive pulmonary disease (COPD) on a broad range of valued life activities (VLAs) and make comparisons to effects of other airways conditions. METHODS: We used cross-sectional data from a population-based, longitudinal study of US adults with airways disease. Data were collected by telephone interview. VLA disability was compared among 3 groups defined by reported physician diagnoses: COPD/emphysema, chronic bronchitis, and asthma. Multiple regression analyses were conducted to identify independent predictors of VLA disability. RESULTS: About half of individuals with COPD were unable to perform at least 1 VLA; almost all reported at least 1 VLA affected. The impact among individuals with chronic bronchitis and asthma was less but still notable: 74%–84% reported at least 1 activity affected, and about 15% were unable to perform at least 1 activity. In general, obligatory activities were the least affected. Symptom measures and functional limitations were the strongest predictors of disability, independent of respiratory condition. CONCLUSION: VLA disability is common among individuals with COPD. Obligatory activities are less affected than committed and discretionary activities. A focus on obligatory activities, as is common in disability studies, would miss a great deal of the impact of these conditions. Because individuals are often referred to pulmonary rehabilitation as a result of dissatisfaction with ability to perform daily activities, VLA disability may be an especially relevant outcome for rehabilitation.