Evaluación de la disnea y condición clínica en pacientes síntomáticos con enfermedad pulmonar obstructiva crónica en un programa de rehabilitacion pulmonar

Abstract

Introduction: patients with chronic obstructive pulmonary disease (COPD) are characterized by dyspnea at rest and in activities of daily living. Objective: to describe the activities that cause greater dyspnea and clinical condition of patients with COPD in a pulmonary rehabilitation program at a clinic in Cali, Colombia. Material and Methods: descriptive cross-sectional study carried out using non-probabilistic sampling. It was approved by the institutional ethics committee. The variables included in the study were: age, sex, marital status, socioeconomic status, place of residence, health insurance, home oxygen use, emergency room visits and hospitalizations in the last year, GOLD classification, post-bronchodilator spirometry (FEV1, FVC, FEV1 / FVC in percentage of predicted), dyspnea mMRC, weight, height and body mass index (BMI), exposure to wood smoke, tobacco habit, situation or activity in which the greatest perception of dyspnea is triggered, functional capacity, anxiety / depression and health-related quality of life. Results: 59 participants were enrolled, 36 men (61%), with low socioeconomic status 2 (49.2%). 34 participants (57.6%) used home oxygen, emergency room visits (55.9%). Patients presented greater dyspnea in activities such as climbing stairs (20.3%) and when bathing (16.9%). Conclusions: patients with COPD had an advanced age with a predominance of males; activities involving the lower extremities and postural muscles such as stair climbing and bathing caused the greatest increase in perceived dyspnea in patients.