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Media type:
E-Article
Title:
Care dependency in patients with chronic obstructive pulmonary disease and heart failure – a secondary data analysis of German prevalence studies
Contributor:
Köberich, Stefan;
Lohrmann, Christa;
Dassen, Theo
Published:
Wiley, 2014
Published in:
Scandinavian Journal of Caring Sciences, 28 (2014) 4, Seite 665-674
Description:
<jats:sec><jats:title>Aim</jats:title><jats:p>The aim of this study was to compare the degree of care dependency between hospitalised patients with chronic heart failure (<jats:styled-content style="fixed-case">CHF</jats:styled-content>) and patients with chronic obstructive pulmonary disease (<jats:styled-content style="fixed-case">COPD</jats:styled-content>).</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>Secondary data analysis of five German prevalence studies from 2007 to 2011. Care dependency was measured using the Care Dependency Scale.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>Hospitalised patients with <jats:styled-content style="fixed-case">CHF</jats:styled-content> or <jats:styled-content style="fixed-case">COPD</jats:styled-content> are to a limited extent care dependent, and their overall care dependency does not differ (p = 0.56). Care dependency items with the lowest mean were mobility, hygiene, getting (un)dressed, continence, avoidance of danger and daily activities. Patients with <jats:styled-content style="fixed-case">CHF</jats:styled-content> or <jats:styled-content style="fixed-case">COPD</jats:styled-content> did not differ statistically significantly in those items. Only the items ‘eating and drinking’ almost achieved statistical significance (p<jats:italic> </jats:italic>=<jats:italic> </jats:italic>0.06).</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>Patients with <jats:styled-content style="fixed-case">CHF</jats:styled-content> or <jats:styled-content style="fixed-case">COPD</jats:styled-content> did not differ in levels of care dependency. Both patient populations are restricted in engaging in activities potentially associated with physical condition and possibly influenced by perceived dyspnoea. Furthermore, comorbidities like incontinence and cognitive impairment seem to play an important role regarding the degree of care dependency.</jats:p></jats:sec>