Self-perception of the patient with chronic obstructive pulmonary disease on their occupational performance during the COVID-19 pandemic

Vasconcelos, Roberta Fontenele de; Frota, Marília Ximenes Freitas; Albuquerque, Valéria Barroso de; Munguba, Marilene Calderaro da Silva

Acessibilidade / Reportar erro

Brasil

Cadernos Brasileiros de Terapia Ocupacional

Español English

Brasil

Español English

sumário « anterior atual seguinte »

Sumário

Original Article • Cad. Bras. Ter. Ocup. 30 • 2022 • https://doi.org/10.1590/2526-8910.ctoAO22612983 copy

Self-perception of the patient with chronic obstructive pulmonary disease on their occupational performance during the COVID-19 pandemic¹ 1 Research that is part of the work of completion of the Integrated Residency in Health at the School of Public Health of Ceará (ESP-CE) of the hospital component and emphasis on Cardiopneumology. This study was approved by the Research Ethics Committee of the Hospital Dr. Carlos Alberto Studart Gomes under opinion number 3.927.816 and Certificate of Presentation for Ethical Consideration number 29585520.6.0000.5039. All patients expressed their consent to participate in the research.

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Introduction

Chronic Obstructive Pulmonary Disease (COPD) is characterized by progressive airflow limitation. Patients also develop systemic manifestations that determine the progressive decline in functional capacity.

Objective

To understand the self-perception of patients with COPD about their occupational performance, highlighting the influence of the COVID-19 pandemic in their daily lives.

Method

Descriptive research with a qualitative approach, with the technique of content analysis in the thematic modality. The sample consisted of nine patients with COPD treated in the post-rehabilitation pulmonary maintenance program at a healthcare referral hospital in cardiopneumology. Data collection took place from June to August 2020, through a semi-structured interview script on telephone calls. The recorded interviews were transcribed and subjected to content analysis through thematic analysis.

Results

The daily occupations perceived as being difficult to perform as a result of COPD were sleep, work, social participation, leisure, in addition to Activities of Daily Living (ADL) - functional mobility, bathing, personal hygiene, getting dressed and sexual activity - and Activities Instrumentals of Daily Living (IADL) – home establishment and management and shopping. Occupations limited by COPD were even more impacted by the restrictive measures due to COVID-19.

Conclusion

Based on the understanding of the difficulties of patients with COPD in carrying out their occupations, it was possible to know how much COPD affects occupational performance and interferes in the most diverse occupations that bring meaning and purpose to life. The COVID-19 pandemic further limited COPD patient involvement in their significant occupations.

Keywords:
Pulmonary Disease; Chronic Obstructive; Activities of Daily Living; COVID-19; Occupational Therapy

Activities of daily living (ADL)	Context of Units of Meaning
Functional mobility	“When I walk, I get tired” (P1)
	“I have difficulty climbing stairs” (P4)
	“Walking up and down stairs is a problem!” (P6)
	“Climbing the stairs is suffocating” (P7)
	“I cannot walk while carrying a bag” (P9)
Bathing	“I have difficulty raising my arms to wash my hair and to lower them to brush my feet” (P1)
	“I take a shower and get tired” (P2)
	“The water from the shower falls on my head and I get short of breath; I get tired when I take a longer bath” (P5)
	“In the bath, I get tired” (P6)
	“I finish bathing already tired” (P7)
	“I can only take baths with the nasal catheter on” (P8)
	“I finish bathing tired” (P9)
Personal hygiene	“I really liked taking care of my nails, using pliers; I cannot bend down anymore to be able to do it; I used to do it myself” (P1)
	“I cannot comb my hair, but with the device (nasal catheter), I am able to do it” (P8)
	“Washing my hair is tiring” (P10)
Getting dressed	“Getting down to wear shoes tires me” (P2)
	“I have difficulty buttoning my bra” (P3)
	“I feel tired when I put on clothes, short of breath” (P5)
	“Wearing tight clothes and buttoning a bra gets me tired” (P9)
	“Putting on shoes is tiring” (P10)
Sexual activity	“My married life dramatically changed; the sexual intercourse part is very difficult for me” (P3)
	“Dating is slow; it has to be calm” (P7)
	“The husband also has his limitations, so it works.” (P9)

Instrumental Activities of Daily Living (IADL)	Context of Units of Meaning
Home establishment and management	“I do not sweep the house anymore” (P1)
	“Difficulty in hanging clothes” (P3)
	“Difficulty sweeping the house” (P6)
	“I hand wash small pieces” (P7)
	“I do not do laundry or sweep the house, because I would have to take everything out of the way” (P8)
	“I have difficulty sweeping, wiping” (P9)
Shopping	“I do not shop alone anymore” (P5)
Shopping	“I never go shopping alone; I cannot push the cart” (P7)

Other occupations	Context of Units of Meaning
Sleep	“The cough wakes me up and I take a long time to fall asleep” (P5)
Sleep	“I do not sleep well, I feel suffocated” (P7)
Social participation	“I don’t go to my church group anymore; I cannot help with the functions” (P6)
Social participation	“After I started using oxygen, I do not go out on the bus anymore, I almost do not go to my family’s house” (P8)
Work	“I used to sell products to help with household bills; I cannot even do that now” (P1)
	“I got sick and retired” (P2)
	“Retired due to COPD, I worked in a garment factory; there was no way to continue” (P5)
Leisure	“I do not go to the beach, I do not go anywhere” (P1)
	“I have difficulty walking, I get tired, gasping for air, out of breath” (P2)
	“I do not have a social life” (P3)
	“I stopped having fun, I do not dance anymore” (P5)

Universidade Federal de São Carlos, Departamento de Terapia Ocupacional Rodovia Washington Luis, Km 235, Caixa Postal 676, CEP: , 13565-905, São Carlos, SP - Brasil, Tel.: 55-16-3361-8749 - São Carlos - SP - Brazil
E-mail: cadto@ufscar.br

Acompanhe os números deste periódico no seu leitor de RSS

[1] Author’s Contributions

Roberta Fontenele de Vasconcelos: Collection, organization, transcription and analysis of interviews. Marília Ximenes Freitas Frota: Orientation and textual revision. Valéria Barroso de Albuquerque: Final critical review. Marilene Calderaro da Silva Munguba: Final critical review. All authors approved the final version of the text.