Palabras clave
Disnea
Calidad de vida
Prueba de esfuerzo
Prueba de paso
Fatiga
Cómo citar
Resumen
La enfermedad pulmonar obstructiva crónica (EPOC) se caracteriza por diversos signos y síntomas que limitan la realización de actividades de la vida diaria y repercuten sobre la capacidad aeróbica, además de su posible influencia en la calidad de vida relacionada con la salud (CVRS). El objetivo de la presente investigación fue determinar la relación entre la capacidad aeróbica, la disnea y la calidad de vida en pacientes con EPOC que acuden a un programa de rehabilitación pulmonar (RP). Se llevó a cabo un estudio descriptivo, con diseño correlacional de corte transversal en pacientes con EPOC y con capacidad para realizar el test de caminata de los seis minutos (TC6M) y responder los cuestionarios de calidad de vida SGRQ y CRQ-SAS. Participaron 36 pacientes, de edad media 71,9±7,1, en su mayoría hombres (83,3%). Al correlacionar el TC6M y la disnea con la escala mMRC, se reportaron valores p=0,00 y r=–0,586. A su vez, se obtuvo un valor p<0,05 en el cuestionario CRQ, en los dominios emocional, fatiga y total. La distancia recorrida en el TC6M y la disnea presentan correlación con la CVRS en los dominios fatiga, ahogo y emocional del cuestionario CRQ, mientras que el cuestionario SGRQ no refleja correlaciones.Citas
World Health Organization. Chronic obstructive pulmonary disease (COPD): Facts 2015 [Internet; citado 2019 Nov 19]. Disponible en: http://www.who.int/respiratory/copd/en/index.html.
Park SK, Meldrum CA, Larson JL. Subgroup analysis of symptoms and their effect on functioning, exercise capacity, and physical activity in patients with severe chronic obstructive pulmonary disease. Heart Lung. 2013; 42(6): 465-72. Doi: https://doi.org/10.1016/j.hrtlng.2013.08.008.
Casanova C, Marin JM, Martínez-González C, Lucas-Ramos P, Mir-Viladrich I, Cosio B. Differential Effect of Modified Medical Research Council Dyspnea, COPD Assessment Test, and Clinical COPD Questionnaire for Symptoms Evaluation Within the New GOLD
Staging and Mortality in COPD. Chest. 2015; 148(1): 159-68. Doi: https://doi.org/10.1378/chest.14-2449.
Ratneswaran C, Weinman J, Hart N. Effect of psychological factors on exercise capacity (EC) and health-related quality of life (HRQL) in COPD undergoing pulmonary rehabilitation (PR). Eur Respir J. 2015; 46: PA550. Doi: http://dx.doi.org/10.1183/13993003.congress-2015.PA550.
Thakur ER, Sansgiry S, Petersen NJ, Stanley M, Kunik ME, Naik AD, et al. Cognitive and Perceptual Factors, Not Disease Severity, Are Linked with Anxiety in COPD: Results from a Cross-Sectional Study. Behav Med. 2018; 25(1): 74-84. Doi: https://doi.org/10.1007/s12529-017-9663-2.
Grygus I, Nesterchuk N, Zukow W, Nikolenko O, Prymachok L. The quality of life in COPD patients in the process of physical rehabilitation. Journal of Phys Educ and Sport. 2019; 19(2): 1126-32. Doi: https://doi.org/10.7752/jpes.2019.02163.
Mcvay G, Meharry R, Young D, Sinton L, Hannah D, MacKay E, Anderson D. Does pulmonary rehabilitation improve mortality in patients with chronic obstructive pulmonary disease (COPD)? Eur Respir J. 2017; 50: PA3714. Doi: https://doi.org/10.1183/1393003.congress-2017.PA3714.
Yohannes A, Dryden S, Hanania N. Effects of pulmonary rehabilitation in COPD patients and perceived health status. Chest. 2018; 154(4): 982A-983A. Doi: https://doi.org/10.1016/j.chest.2018.08.895.
Lee J, Nguyen H, Jarrett ME, Mitchell P, Pike KC, Fan VS. Effect of Symptoms on Physical Performance in COPD. Heart Lung. 2018; 47(2): 149-56. Doi: https://doi.org/10.1016/j.hrtlng.2017.12.007.
Global Initiative for Chronic Obstructive Lung Disease - GOLD. Pocket Guide To COPD Diagnosis, Management, and Prevention. GOLD; 2017. [Internet; citado 2019 Nov 19]. Disponible en: https://goldcopd.org/wp-content/uploads/2016/12/wms-GOLD-2017-Pocket-Guide.pdf.
Graham BL, Steenbruggen I, Miller MR, Barjaktarevic IZ, Cooper BG, Hall GL, et al. Standardization of Spirometry 2019 Update. An Official American Thoracic Society and European Respiratory Society Technical Statement. Am J Respir Crit Care Med. 2019; 200(8): e70-e88. Doi: https://doi.org/10.1164/rccm.201908-1590ST.
Polkey MI, Spruit MA, Edwards LD, Watkins ML, Pinto-Plata V, Vestbo J, et al. Six-Minute-Walk Test in Chronic Obstructive Pulmonary Disease: Minimal Clinically Important Difference for Death or Hospitalization. Am J Respir Crit Care Med. 2013; 187(4): 382-6. Doi: https://doi.org/10.1164/rccm.201209-1596OC.
Paap MC, Brouwer D, Glas CA, Monninkhof EM, Forstreuter B, Pieterse ME, et al. The St George’s Respiratory Questionnaire revisited: a psychometric evaluation. Qual Life Res. 2015; 24(1): 67-79. Doi: https://doi.org/10.1007/s11136-013-0570-y.
Chauvin A, Rupley L, Meyers K, Johnson K, Eason J. Outcomes in Cardiopulmonary Physical Therapy: Chronic Respiratory Disease Questionnaire (CRQ). Cardiopulm Phys Ther J. 2008; 19(2): 61-7. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/20467499.
Chapeton OC, Fernández L, Martínez W, Sanabria F, Lenis J, Castro N, et al. Validación en español del cuestionario específico para enfermedad respiratoria crónica autodiligenciado (CRQ-AUTOSELF). Rev Col Neumología. 2016; 28(1): 17-23. Doi: http://dx.doi.org/10.30789/rcneumologia.v28.n1.2016.160.
Ávila-Valencia JC, Sarria V, Benavides-Cordoba V, Betancourt-Peña J. Cambios en el Bode-Bodex de pacientes con EPOC al culminar un programa de rehabilitación pulmonar. Rev Colomb Rehab. 2017; 15(1): 40-7. Doi: https://doi.org/10.30788/RevColReh.v15.n1.2016.7
American College of Sports Medicine. ACSM’s Guidelines for Exercise Testing and Prescription. Décima edición. Lippincott, Williams & Wilkins; 2017.
Maddocks M, Kon SS, Canavan JL, Jones SE, Nolan CM, Labey A, et al. Physical frailty and pulmonary rehabilitation in COPD: a prospective cohort study. Thorax. 2016; 71(11): 988-95. Doi: https://doi.org/10.1136/thoraxjnl-2016-208460.
Munro E, Mustfa N, Stone H, Cliff I. A comparison of the correlation of health status of the one minute sit-to-stand test (STST) and the six minute walk test (6MWT) in stable COPD. ERJ Open Res. 2016; 48: PA1337. Doi: https://doi.org/10.1183/13993003.congress-2016.PA1337.
García-Talavera I, Figueira-Gonҫalves JM, Gurbani N, Pérez-Méndez L, Pedrero García A. Clinical characteristics of COPD patients with early-onset desaturation in the 6-minute walk test. Pulmonol. 2018; 24(5): 275-9. https://doi.org/10.1016/j.pulmoe.2018.04.007.
Maestri R, Bruschi C, Fracchia C, Pinna GD, Fanfulla F, Ambrosino N. Physiological and clinical characteristics of patients with COPD admitted to an inpatient pulmonary rehabilitation program: A real-life study. Pulmonol. 2019; 25(2): 71-8. Doi: https://doi.org/10.1016/j.pulmoe.2018.07.001.
Lee J, Fan VS, Borson S, Pike k, Jarrett ME, Nguyen H. A Structural Equation Modeling Analysis of the Relationships Between Symptoms and Physical Performance in Patients with COPD. J Respir Crit Care Med. 2016; 193: A2899. Disponible en: https://www.atsjournals.org/doi/pdf/10.1164/ajrccmconference.2016.193.1_MeetingAbstracts.A2899
Betancourt-Peña J, Benavides-Córdoba V, Avila-Valencia JC, Rosero-Carvajal HE. Differences between COPD Patients of a Pulmonary Rehabilitation Program According to the mMRC Dyspnea Scale. Curr Respir Med Rev. 2019; 15(1): 32-8. Doi: https://doi.org/10.2174/1573398X15666190404150703.
Wong CJ, Goodridge D, Marciniuk DD, Rennie D. Fatigue in patients with COPD participating in a pulmonary rehabilitation program. Int J Chron Obstruct Pulmon Dis. 2010; 5: 319-26. Doi: https://doi.org/10.2147/COPD.S12321.
Chen YW, Camp PG, Coxson HO, Road JD, Guenette JA, Hunt MA, et al. A Comparison of Pain, Fatigue, Dyspnea and their Impact on Quality of Life in Pulmonary Rehabilitation Participants with Chronic Obstructive Pulmonary Disease. COPD. 2018; 15(1): 65-72. Doi: https://doi.org/10.1080/15412555.2017.1401990.
Betancourt-Peña J, Tonguino-Rosero S. Impacto de la oxigenoterapia domiciliaria en la capacidad funcional de pacientes con enfermedad pulmonar obstructiva crónica. Rehabilitación. 2016; 50(1): 13-8. Doi: https://doi.org/10.1016/j.rh.2015.10.001.
Kentson M, Tödt K, Skargren E, Jakobsson P, Ernerudh J, Unosson M, et al. Factors associated with experience of fatigue, and functional limitations due to fatigue in patients with stable COPD. Ther Adv Respir Dis. 2016; 10(5): 410-24. Doi: https://doi.org/10.1177/1753465816661930.
Lung-Chuang M, Feng LI, Lee C. Clinical assessment tests in evaluating patients with chronic obstructive pulmonary disease. A cross-sectional study. Medicine (Baltimore). 2016; 95(47): e5471. Doi: https://doi.org/10.1097/MD.0000000000005471.
Guerrero-Serrano PA, Bolívar-Grimaldos F, Cano-Rosales DJ, Rodríguez-Corredor LC. Efectos de la rehabilitación pulmonar en la tolerancia al ejercicio y la calidad de vida de pacientes con enfermedad pulmonar del nororiente colombiano en el año 2017. Med UIS. 2018; 31(3): 27-36. Doi: http://dx.doi.org/10.18273/revmed.v31n3-2018003
Van Mölken MR, Roos B, Van Noord JA. An empirical comparison of the St George's Respiratory Questionnaire (SGRQ) and the Chronic Respiratory Disease Questionnaire (CRQ) in a clinical trial setting. Thorax. 1999; 54(11): 995-1003. Doi: https://doi.org/10.1136/thx.54.11.995.
Benavides-Córdoba V, Wilches-Luna EC. Cambios en la puntuación del Índice BODE en pacientes con enfermedad pulmonar obstructiva crónica antes y después de rehabilitación pulmonar. Rev Cien Salud. 2018; 16(1): 101-13. Doi: http://dx.doi.org/10.12804/revistas.urosario.edu.co/revsalud/a.6493.
Ringbaek T, Martinez G, Lange P. A Comparison of the Assessment of Quality of Life with CAT, CCQ, and SGRQ in COPD Patients Participating in Pulmonary Rehabilitation. COPD. 2012; 9(1): 12-5. Doi: https://doi.org/10.3109/15412555.2011.630248
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