Health-related quality of life and emerging interventions in COPD: literature review
Abstract
Chronic obstructive pulmonary disease (COPD) is a disease with broad social and economic implications in the countries, it is expected that its worldwide incidence will continue to increase, being for the next decade the fourth cause of death. The physical deterioration subsequent to pulmonary dysfunction brings with it a series of multisystemic changes that trigger the reduction of the functional capacity of the individual, these phenomena are related to the severity of the symptoms and also the detriment of the cardiovascular and musculoskeletal system. Therefore, patients with COPD tend to reduce their health-related quality of life (HRQoL) and with it, a reduction in life expectancy. Treatment of patients with this disease is not limited to pharmacotherapy and secondary palliative treatments, but also transcends the identification of the magnitude of factors that affect HRQOL and an intervention on these. The present review aimed to explore, analyze, and present the most recent scientific evidence associated with functionality and HRQoL with COPD. The main findings show the importance of evaluating and intervening the factors that reduce HRQoL. Alternatives such as health education and coaching seem to be strategies that, to a certain extent, manage to reduce the impact of the disease in various spheres of the individual.
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