Source: Annual Congress 2009 - Pulmonary rehabilitation: extending the scope and benefit of rehabilitation for patients with chronic respiratory disease
Disease area: Airway diseases

Abstract

Introduction: COPD patients experience dyspnoea as the most exhausting symptom and develop coping strategies that may reduce important daily activities such as personal body care (PBC). We know that strategies are multidimensional but a more systematic characterization is needed.
Aims: To identify typical strategies for coping with dyspnoea during PBC and to develop an instrument for identifying individual strategies, for intervention and advice.
Methods: The study has two phases:1) A Grounded Theory Design is used. 12-15 patients with severe to very severe COPD are recruited during
hospitalization for an acute exacerbation of COPD. Data are collected through Video Based Narratives (VN) and combined with recordings of heart rate, oxygen saturation (OS) and energy expenditure (EE) both during hospital stay and at home. VN contains videotaping patients 6 times during PBC and interviewed twice on the basis of video sequences. 2) Subsequently an instrument will be developed for identifying individual strategies and tested on COPD patients and health care professionals.
Results: The study is in the 1.phase. Preliminary results based on 4 patients show, that patients on average during PBC desaturated respectively below 90% and 85% SaO2 in 54% and 37 % of the time. The strategies of coping with dyspnoea seem to result in a certain level of activity during PBC. EE during PBC compared to EE during the day seem to support that the response to PBC is a reflection of the individuals general coping strategy.
Conclusion: Coping strategies, OS and EE are interrelated. Yet further characterization of the strategies is necessary to describe possible correlation between the behavioral and physiological dimension of the strategies.

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Citations should be made in the following way:
L. B. Joergensen, K. E. Lomborg, R. Dahl, P. U. Pedersen (Aarhus, Denmark). Identification of COPD patients‘ strategies for coping with dyspnoea. Eur Respir J 2009; 34: Suppl. 53, 538

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