ORIGINAL PAPER
Factors influencing quality of life in patients with asthma or chronic
obstructive pulmonary disease undergoing physiotherapeutic control
at primary care in Chile
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1
School of Kinesiology, Universidad Bernardo O’Higgins, Santiago de Chile, Chile
2
Servicio de Salud Metropolitano Oriente, Santiago de Chile, Chile
3
School of Kinesiology, Universidad Andrés Bello, Santiago de Chile, Chile
4
Laboratory of Biomechanics, Centre for Health and Sports Sciences, Universidade do Estado de Santa Catarina,
Florianópolis, Brazil
Submission date: 2020-01-14
Acceptance date: 2020-03-18
Publication date: 2020-11-23
Physiother Quart. 2020;28(4):48-54
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ABSTRACT
Introduction:
The study aimed to determine if quality of life was affected by urinary symptoms, respiratory and emotional functions, or socio-demographic variables among people with chronic respiratory diseases who attended a healthcare visit in a primary care program in Santiago de Chile.
Methods:
The observational cross-sectional study included 93 patients (62 with asthma and 31 with chronic obstructive pulmonary disease). Chronic Respiratory Questionnaire was used to assess the quality of life, and a self-report questionnaire reported the comorbidities (arterial hypertension, depression, diabetes mellitus, and lower back pain). The International Consultation on Incontinence Questionnaire-Short Form and the modified Medical Research Council dyspnoea scale served to assess urinary incontinence and respiratory symptoms, respectively. Data were analysed with hierarchical multiple linear regression.
Results:
Urinary incontinence occurred in 31.2% of the participants, mainly while coughing or sneezing (n = 24). Around 66.6% of them self-reported their health status as regular/bad/very bad. The presence of urinary incontinence, depression, and higher dyspnoea (R2 = 0.54) was associated with worse quality of life.
Conclusions:
Urinary incontinence, depressive symptoms, and higher dyspnoea negatively impact on the quality of life of people with chronic respiratory diseases and require more attention in clinical management and research.