1
|
The role of personality traits in inpatient pulmonary rehabilitation response in patients with chronic obstructive pulmonary disease. Respir Med 2021; 190:106680. [PMID: 34768075 DOI: 10.1016/j.rmed.2021.106680] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/08/2021] [Revised: 10/04/2021] [Accepted: 10/30/2021] [Indexed: 10/19/2022]
Abstract
BACKGROUND The effectiveness of pulmonary rehabilitation (PR) is a critical issue for chronic obstructive pulmonary disease (COPD) patients. However, PR response is marked by a strong heterogeneity, partially unexplained to date. We hypothesized that personality traits defined by the Five-Factor Model could modulate the effect of inpatient-PR. OBJECTIVE The aim was to assess the associations between these five personality traits and PR outcomes. METHODS 74 persons with COPD admitted for a 5-week inpatient PR program had a personality assessment at the start of the program (T1). Exercise capacity, quality of life, sensory and affective dyspnea dimensions were assessed at T1 and at the end of the program (T2). Their evolution was evaluated using the delta score between T2 and T1. PR response was defined using the minimal clinically important change score for each of them. A composite response was established distinguishing the poor responders' group, made of patients who responded to 0, 1 or 2 parameters and the good responders' group, with patients who responded on 3 or 4 indicators. RESULTS Logistic regressions analyses highlighted that those with a high level of openness [OR = 0.36, 95% CI = 0.15-0.74, p < 0.01] were less likely to respond on quality of life, controlling for socio-demographic factors and the severity of the disease. CONCLUSION This study shows that the investigation of the personality constitutes an interesting perspective for better understanding the interindividual differences observed between patients in the PR response. Tailoring clinical intervention to the patient's personality could be a promising prospect for optimizing PR effectiveness.
Collapse
|
2
|
Respiratory rehabilitation for Covid-19 related persistent dyspnoea: A one-year experience. Respir Med 2021; 189:106648. [PMID: 34689061 PMCID: PMC8511554 DOI: 10.1016/j.rmed.2021.106648] [Citation(s) in RCA: 40] [Impact Index Per Article: 13.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/28/2021] [Revised: 09/06/2021] [Accepted: 10/08/2021] [Indexed: 12/15/2022]
Abstract
Background Growing consideration is emerging regarding the burden of persisting sequelae after SARS-CoV-2 infection. Out-patients exhibiting long Covid may benefit from ambulatory rehabilitation which is, to date, poorly documented. Methods A longitudinal follow-up over a one-year period was conducted in two ambulatory rehabilitation structures in order to describe the characteristics of real-life patients referred with Covid-19 sequelae and their evolution over the course of rehabilitation. Results 39 consecutive patients were included from April 1st, 2020 to April 1st, 2021. Patients were middle-aged (48 ± 15yr), without comorbidities, and mostly mild to moderate SARS-CoV-2 infection (25(64%) not requiring hospitalisation). Rehabilitation referral was considered with a median delay of 73[34–178] days after disease onset. Most prevalent symptoms were dyspnoea (n = 35(90%)) and fatigue (n = 30(77%)). Hyperventilation syndrome was highly frequent (n = 12(34%)). 29(74%) patients presented with prolonged functional sequelae, which was associated with younger age (43 ± 14 vs. 50 ± 10yr; p = 0.002), greater prevalence of hyperventilation syndrome (n = 12(41%) vs. 0(0%); p = 0.255) and poorer quality of life (VQ-11; 31 ± 10 vs. 23 ± 9; p = 0.030). Over the course of rehabilitation, exertional dyspnoea, 6-min walking distance, 3-min sit-to-stand test, hyperventilation syndrome prevalence and quality of life significantly improved. Conclusion Hyperventilation is frequent in long Covid and may explain persistent dyspnoea as well as altered quality of life. Our data support screening of hyperventilation syndrome and functional impairment in mild Covid-19 out-patients as both of these components may improve with ambulatory rehabilitation.
Collapse
|
3
|
Wang L, Sun B, Cui H, Wang W, Ren Q, Sun Y, Zhang M. Long-term effects of home-based pulmonary rehabilitation on idiopathic interstitial pneumonia patients. ALL LIFE 2021. [DOI: 10.1080/26895293.2021.1898051] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
Affiliation(s)
- Lingling Wang
- Department of Respiratory, Heilongjiang Provincial Hospital, Harbin Institute of Technology, Harbin, People’s Republic of China
| | - Bowen Sun
- Department of Respiratory, Heilongjiang Provincial Hospital, Harbin Institute of Technology, Harbin, People’s Republic of China
| | - Hanwen Cui
- Department of Respiratory, Heilongjiang Provincial Hospital, Harbin Institute of Technology, Harbin, People’s Republic of China
| | - Wenxiu Wang
- Department of Respiratory, Heilongjiang Provincial Hospital, Harbin Institute of Technology, Harbin, People’s Republic of China
| | - Qiu Ren
- Department of Respiratory, Heilongjiang Provincial Hospital, Harbin Institute of Technology, Harbin, People’s Republic of China
| | - Yong Sun
- Department of Respiratory, Heilongjiang Provincial Hospital, Harbin Institute of Technology, Harbin, People’s Republic of China
| | - Min Zhang
- Department of Respiratory, Heilongjiang Provincial Hospital, Harbin Institute of Technology, Harbin, People’s Republic of China
| |
Collapse
|
4
|
Zysman M, Rubenstein J, Le Guillou F, Colson RMH, Pochulu C, Grassion L, Escamilla R, Piperno D, Pon J, Khan S, Raherison-Semjen C. COPD burden on sexual well-being. Respir Res 2020; 21:311. [PMID: 33238993 PMCID: PMC7687801 DOI: 10.1186/s12931-020-01572-0] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2020] [Accepted: 11/12/2020] [Indexed: 12/28/2022] Open
Abstract
Background Sexual function is often affected in patients suffering from chronic diseases especially chronic obstructive pulmonary disease (COPD). However, the effect of COPD on sexual satisfaction is underappreciated in clinical practice. The aim of this study is to evaluate the impact of COPD on patient’s sexuality and the explanatory variables of sexual dissatisfaction. Methods Questionnaires were emailed to participants and they submitted their responses on the Santé Respiratoire France website. Data about sexual well-being (Arizona Sexual Experience Scale, ASEX), Quality of life (VQ11), anxiety, depression (Hospitalized anxiety and depression, HAD) and self-declared COPD grade were collected. Results Seven hundred and fifty one subjects were included and were characterized as follows: women—51%, mean age—61 years, in a couple—62% and 70%—retired. Every grade of COPD was represented. Out of 751 participants, 301 participants (40%) had no sexual activity and 450 (60%) had sexual activity. From the 450 participants, 60% needed to change their sexual life because of their disease (rhythm, frequency and position). Subjects often used medications to improve sexual performance (43% used short-acting bronchodilator and 13% -specific erectile dysfunction drugs). ASEX questionnaire confirmed patients’ dissatisfaction (diminution of sexual appetite for 68% and sexual desire for 60%) because of breathlessness and fatigue. Eighty one percent of the responders had an altered quality of life (VQ11 mean score 35) and frequent suspected anxiety or depression (HAD mean score 10.8). Ninety percent declared that sexual dysfunction had never been discussed by their doctors, while 36% of patients would have preferred to undergo a specialized consultation. Conclusion Sexual dysfunction is frequent among COPD patients and leads to an altered well-being, however being a cultural taboo, it remains frequently neglected. Sexual guidance should be a part of patient’s consultations improve quality of sexual life.
Collapse
Affiliation(s)
- M Zysman
- Univ-Bordeaux, Centre de Recherche Cardio-Thoracique de Bordeaux, U1045, CIC 1401, 33604, Pessac, France. .,Service Des Maladies Respiratoires, Hôpital Haut-Lévèque CHU Bordeaux, 33604, Pessac, France.
| | - J Rubenstein
- Service Des Maladies Respiratoires, Hôpital Haut-Lévèque CHU Bordeaux, 33604, Pessac, France
| | - F Le Guillou
- Santé Respiratoire France, 115 rue Saint Dominique, 75007, Paris, France
| | - R M H Colson
- L'Association Interdisciplinaire Post Universitaire de Sexologie, Toulouse, France
| | - C Pochulu
- Santé Respiratoire France, 115 rue Saint Dominique, 75007, Paris, France
| | - L Grassion
- Service Des Maladies Respiratoires, Hôpital Haut-Lévèque CHU Bordeaux, 33604, Pessac, France
| | - R Escamilla
- Service de Pneumologie CHU Toulouse, Toulouse, France
| | - D Piperno
- Santé Respiratoire France, 115 rue Saint Dominique, 75007, Paris, France
| | - J Pon
- Service de Psychiatrie CHU Toulouse, Toulouse, France
| | - S Khan
- U1219 Inserm, ISPED, University of Bordeaux, Bordeaux, France
| | - C Raherison-Semjen
- Service Des Maladies Respiratoires, CHU Bordeaux, Université de Bordeaux, U1219, EpiceneBordeaux, France
| |
Collapse
|