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- Title
Îngrijirile paliative la pacienții cu bronhopneumopatie cronică obstructivă - studiu clinic.
- Authors
Vinca, Andreea
- Abstract
Patients suffering from chronic obstructive pulmonary disease (COPD) need palliative care when they have severe dyspnoea that cannot be treated and need oxygen therapy. This study is carried out in the Clinical Section of Medical-Respiratory Recovery of the Clinical Hospital for Recovery Iaşi. Objective: assessment of the need for palliative care in patients with COPD (severe and very severe stage) included in the lung rehabilitation program. Material and methods: The study was conducted between December 2018-March 2019, included a number of 50 selected patients (37 men and 13 women) based on inclusion criteria: age under 75 years COPD (very) severe stage, general condition relatively good, able to communicate, and without severe associated diseases. Data were collected directly from patients and from medical records and patients were asked to complete LINQ, IADL, HOW, BORG questionnaires and mMRC dyspnoea scales. Results and discussions: Of the included patients 39 patients did smoke and 11 patients never smoked. Most patients with COPD know the pathology, they suffer from, and the consequences of smoking and possible complications. The medical staff has trained them to use inhalers; 98% have (very) severe dyspnoea being; 60% of patients had a score of 4 and 5 on IADL, being dependent from help for daily activities. About 10% of them need permanent assistance. Conclusion: the need for palliative care is evident among patients with (very) severe COPD. Patients who score high on the questionnaires used in the study have an increased need for palliative care and lung rehabilitation.
- Subjects
OBSTRUCTIVE lung diseases; MEDICAL personnel; PALLIATIVE treatment; OXYGEN therapy; DISEASE complications
- Publication
Paliatia: Journal of Palliative Care, 2021, Vol 14, Issue 3, p19
- ISSN
1844-7058
- Publication type
Article