An inestigation o the relationship etween multidimensional disease seerity and actiities o daily liing in patients with chronic ostructie pulmonary disease

Yıl 2015, Cilt: 2 Sayı: 2 - Cilt: 2 Sayı: 2, 53 - 60, 23.07.2016

Ebru Çalık Kütükcü Hülya Arıkan Melda Sağlam Naciye Vardar Yağlı Deniz İnal İnce Çiğdem Öksüz Sema Savcı Tülin Düger Lütfi Çöplü

Öz

Purpose: Patients with chronic obstructive pulmonary disease (COPD) frequently experience activity restrictions and discomfort during activities of daily living (ADL). The aim of this study was to investigate the relationship between multidimensional disease severity and ADL in patients with COPD. Methods: Forty-two moderate-severe patients with COPD (27 males, 15 females) were included in the study. Multidimensional disease severity was determined using the ADO index (Age, Dyspnea, airflow Obstruction). Activities of daily living (ADL) was assessed using London Chest ADL Scale (LCADL) and performance-based the Glittre ADL-Test. Results: The ADO index score was significantly correlated with the LCADL-physical activity score (r=0.329, p=0.035), the Glittre ADL-Test time (r=0.523, p<0.001), change in heart rate (r=-0.351, p=0.023), oxygen saturation (r=-0.401, p=0.008), and dyspnea perception (r=0.403, p=0.008) during the Glittre ADL-Test. Conclusions: Increase in multidimensional disease severity is associated with declined in performance of ADL, increase in oxygen desaturation and dyspnea perception during ADL and subjectively dyspnea perception increase during physical activities in patients with COPD. The ADL should be evaluated comprehensively with performance-based ADL tests and questionnaires in patients whose disease severity are higher

Anahtar Kelimeler

COPD, Activities of daily living, Dyspnea

Kronik obstrüktif akciğer hastalarında çok boyutlu hastalık şiddeti ve günlük yaşam aktiviteleri arasındaki ilişkinin incelenmesi

Öz

Amaç: Kronik obstrüktif akciğer hastaları (KOAH) sıklıkla aktivite kısıtlanmaları ve günlük yaşam aktiviteleri (GYA) boyunca rahatsızlık yaşarlar. Çalışmanın amacı; KOAH’lılarda çok boyutlu hastalık şiddeti ile GYA arasındaki ilişkiyi araştırmaktı. Yöntem: Çalışmaya 42 orta şiddetli-şiddetli KOAH’lı hasta (27 erkek, 15 kadın) dahil edildi. Çok boyutlu hastalık şiddeti, ADO (Yaş, dispne, havayolu obstrüksiyonu - Age, Dyspnea, airflow Obstruction) indeksi ile belirlendi. GYA, London Chest GYA Skalası (LCGYA) ve performansa dayalı Glittre GYA testi kullanılarak değerlendirildi. Bulgular: ADO indeks skoru, LCGYA-fiziksel aktivite skoru (r=0.329, p=0.035), Glittre GYA test süresi (r=0.523, p

Anahtar Kelimeler

KOAH, Günlük yaşam aktiviteleri, Dispne

Kaynakça

• 1. Hill K, Goldstein RS. Limited functional performance in chronic obstructive pulmonary disease: nature, causes and measurement. COPD. 2007;4:257-61.
• 2. Reardon JZ, Lareau SC, ZuWallack R. Functional status and quality of life in chronic obstructive pulmonary disease. Am J Med. 2006;119(10 Suppl 1):32-7.
• 3. Velloso M, Jardim JR. Functionality of patients with chronic obstructive pulmonary disease: energy conservation techniques. J Bras Pneumol. 2006;32:580-586.
• 4. Kathiresan G, Jeyaraman SK, Jaganathan J. Effect of upper extremity exercise in people with COPD. J Thorac Dis. 2010;2:223-236.
• 5. Lahaije AJ, van Helvoort HA, Dekhuijzen PN, et al. Physiologic limitations during daily life activities in COPD patients. Respir Med. 2010;104:1152-1159.
• 6. Goldcopd.org. Global Initiative for Chronic Obstructive Lung Disease (GOLD). Global strategy for the diagnosis, management and prevention of chronic obstructive pulmonary disease. Available from: http://www. goldcopd.org. Accessed April 10, 2015.
• 7. Moons KG, Royston P, Vergouwe Y, et al. Prognosis and prognostic research: what, why, and how? BMJ. 2009;338:b375.
• 8. Polatli M, Bilgin C, Saylan B, et al. A cross sectional observational study on the influence of chronic obstructive pulmonary disease on activities of daily living: the COPD-Life study. Tuberk Toraks. 2012;60:1-12.
• 9. Simon KM, Carpes MF, Correa KS, et al. Relationship between daily living activities (ADL) limitation and the BODE index in patients with chronic obstructive pulmonary disease. Rev Bras Fisioter. 2011;15:212-218.
• 10. Jette DU, Manago D, Medved E, et al. The disablement process in patients with pulmonary disease. Phys Ther. 1997;77:385-394.
• 11. Bestall JC, Paul EA, Garrod R, et al. Usefulness of the Medical Research Council (MRC) dyspnoea scale as a measure of disability in patients with chronic obstructive pulmonary disease. Thorax. 1999;54:581-586.
• 12. Puhan MA, Garcia-Aymerich J, Frey M, et al. Expansion of the prognostic assessment of patients with chronic obstructive pulmonary disease: the updated BODE index and the ADO index. Lancet. 2009;374(9691):704-711. 13. Garrod R, Bestall JC, Paul EA, et al.
• Development and validation of a standardized measure of activity of daily living in patients with severe COPD: the London Chest Activity of Daily Living scale (LCADL). Respir Med. 2000;94:589-596.
• 14. Met S. Obstrüktif akciğer hastalarında London Chest Günlük Yaşam Aktiviteleri ölçeğinin geçerlik ve güvenirliğinin ve fiziksel aktivite düzeylerinin belirlenmesi [Bilim Uzmanlığı Tezi]. Sağlık Bilimleri Enstitüsü: Hacettepe Üniversitesi; 2009.
• 15. Skumlien S, Hagelund T, Bjortuft O, et al. A field test of functional status as performance of activities of daily living in COPD patients. Respir Med. 2006;100:316-323.
• 16. Green SB SN. Using SPSS for Windows and Macintosh: Analyzing and Understanding Data. Uppersaddle River: Prentice Hall;2008.
• 17. Domholdt E. Physical Therapy Research Principles and Application. Philadelphia: WB Saunders;1993.
• 18. Hayran M, Hayran M. Sağlık Araştırmaları İçin Temel İstatistik. Ankara: Omega Yayınları;2011.
• 19. Rodriguez Gonzalez-Moro JM, de Lucas Ramos P, Izquierdo Alonso JL, et al. Impact of COPD severity on physical disability and daily living activities: EDIP-EPOC I and EDIP-EPOC II studies. Int J Clin Pract. 2009;63:742-750.
• 20. Castro AA, Porto EF, Iamonti VC, et al. Oxygen and ventilatory output during several activities of daily living performed by COPD patients stratified according to disease severity. PLoS One. 2013;8(11):e79727.
• 21. Silva CS, Nogueira FR, Porto EF, et al. Dynamic hyperinflation during activities of daily living in COPD patients. Chron Respir Dis. 2015;12:189-196.
• 22. Decramer M, Rennard S, Troosters T, et al. COPD as a Lung Disease with Systemic Consequences - Clinical Impact, Mechanisms, and Potential for Early Intervention. COPD. 2008;5:235-256.
• 23. Agusti A, Soriano JB. COPD as a Systemic Disease. COPD. 2008;5:133-138.
• 24. Peruzza S, Sergi G, Vianello A, et al. Chronic obstructive pulmonary disease (COPD) in elderly subjects: impact on functional status and quality of life. Respir Med. 2003;97:612- 617.
• 25. Calik-Kutukcu E, Arikan H, Saglam M, et al. A comparison of activities of daily living in geriatric and non-geriatric patients with chronic obstructive pulmonary disease. Turk J Geriatr. 2015;18:68-74.
• 26. Tufanin A, Souza GF, Tisi GR, et al. Cardiac, ventilatory, and metabolic adjustments in chronic obstructive pulmonary disease patients during the performance of Glittre activities of daily living test. Chron Respir Dis. 2014;11:247- 255.