Disability in valued life activities among individuals with COPD and other respiratory conditions.
Disability in valued life activities among individuals with COPD and other respiratory conditions.
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DOI：
10.1097/hcr.0b013e3181be7e59
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发表时间：
2010-03
影响因子：
3.8
通讯作者：
Blanc PD
中科院分区：
文献类型：
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作者：
Katz PP;Gregorich S;Eisner M;Julian L;Chen H;Yelin E;Blanc PD
与其他气道疾病的影响相比，描述COPD对大范围有价值生命活动（VLAs）的影响。我们使用了一项基于人群的美国气道疾病成人纵向研究的横断面数据。数据是通过电话访问收集的。VLA残疾在三组中进行比较，这三组由报告的医生诊断定义：COPD/肺气肿、慢性支气管炎和哮喘。进行多元回归分析以确定VLA残疾的独立预测因素。大约一半的COPD患者无法进行至少一次VLA；几乎所有报告至少有一个VLA受到影响。慢性支气管炎和哮喘患者的影响较小，但仍显着：74-84%的人报告至少有一项活动受到影响，约15%的人无法进行至少一项活动。一般来说，强制性活动受到的影响最小。症状测量和功能限制是残疾的最强预测因子，独立于呼吸条件。VLA残疾在COPD患者中很常见。义务活动受到的影响要小于承诺活动和自由裁量活动。像残疾研究中常见的那样，把重点放在强制性活动上，将会错过这些条件的大量影响。由于患者对日常活动能力不满意，通常需要进行肺部康复治疗，因此肺泡性肺损伤可能是康复治疗的一个特别相关的结果。
To delineate the effect of COPD on a broad range of valued life activities (VLAs), compared to effects of other airways conditions. We used cross-sectional data from a population-based, longitudinal study of U.S. adults with airways disease. Data are collected by telephone interview. VLA disability was compared among 3 groups defined by reported physicians’ diagnoses: COPD/emphysema, chronic bronchitis, and asthma. Multiple regression analyses were conducted to identify independent predictors of VLA disability. About half of individuals with COPD were unable to perform at least one VLA; almost all reported at least one VLA affected. The impact among individuals with chronic bronchitis and asthma was less, but still notable: 74–84% reported at least one activity affected, and about 15% were unable to perform at least one activity. In general, obligatory activities were the least affected. Symptom measures and functional limitations were the strongest predictors of disability, independent of respiratory condition. 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.