The degree of difficulties during performance of activities of daily living in patients with chronic obstructive pulmonary disease

Jana Maňhalová, David Kimmer, Andrea Schönbauerová, Valérie Tóthová
University of South Bohemia, Faculty of Health and Social Studies, Department of Nursing and Midwifery, České Budějovice, Czech Republic

Korespondenční autor: Jana Maňhalová (Jana_Manhalova@seznam.cz)

ISSN 1804-7181 (On-line)

Full verze:

Submitted:24. 9. 2014
Accepted: 13. 3. 2015
Published online: 26. 6. 2015

Summary

Introduction: The presenting paper deals with the degree of difficulties during the performance of activities of daily living (ADLs) in patients with chronic obstructive pulmonary disease (CHOPN). This serious disease is characterized by the obstruction of airways which is caused by chronic bronchitis or pulmonary emphysema. Aim: The aim of this paper is to present subjectively felt quality of life in the ill with CHOPN in the area of independence where we have focused on problems of ADLs performance. Methodology: The paper relates to the research grant project No. 120/2012/S, which is implemented under the financial support of the Grant Agency of the University of South Bohemia in České Budějovice and its title is “Reflection of Quality of Life in Nursing”. The research file was formed by 503 respondents with CHOPN from all over the Czech Republic from that 296 men (58.8%) and 207 women (41.2%). The standardized questionnaires WHOQOL-100 and SGRQ were used for data collection. The submitted paper presents only the results acquired through the questionnaire WHOQOL-100 in the Czech version which investigates subjectively the emotional quality of life, health and other life areas. The presented results go from the domain “independence”, where we have focused on the facet “ADLs”. The acquired data were analysed in the SASD programme which helped define the absolute and relative frequency of the gained responds and measure of variability. In second step the data were processed in the SPSS programme in version 15.0 which helped to perform several statistical tests. Results: Pursuant to the acquired data, it was ascertained that almost 50% of the respondents perceive their ability to perform ADLs neutrally. Further it was ascertained that during performance of these activities approximately three quarters of respondents do not feel marked restrictions. Only less than 13% of the respondents are dissatisfied with their ability to perform ADLs. Pursuant to comparison of the central facet “ADLs” with four other selected facets an existence of interesting relations which are worthy of attention has been established. Discussion: According to our opinion the chronic ill patients are often even not aware of degree of symptoms which affect them because they have adapted to their disease to a certain degree. Conclusion: Although CHOPN is a treatable disease which can be preceded to the considerable degree, prognosis of this disease is not quite favourable because the disease is in progress all the time.

Keywords: CHOPN; ADLs; difficulties; patient; WHOQOL-100; quality of life; nursing

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