Limitation of life activities in disabled asthma patients

Abstract

Aim: To assess limitation of vital activities in disabled asthma patients.

Methods: A retrospective analysis of 64 disabled patients' with asthma III and IV st. was performed (age 46,1±1,1 yrs, 23 male). 81% patients had uncontrolled asthma, ACT 21,4±0,7 pts, 89.4% received ICS. Were assessed abilities of movement, self-service, behavior control, communication, education and work capacity.

Results: Among life activities mostly were limited movement (80%), ability to work (100%), education (66,7%), communication (44%), and self-service (44%). Movement ability was correlated with comorbidity index (CI) (R=0,41), forced vital lung capacity (R=-0,36), FEV1 (R=-0,39), size of left atrium of heart (R=0,36), ejection fraction of left ventricle (R=-0,40), end-diastolic dimension of right ventricle (R=0,33). Education ability was connected to FVC (R=-0,41) cognitive impairment (R=0,31) and attention level (R=-0,69). Communication ability correlated with CI (R=0,42), FEV1 (R=-0,35), size of left atrium of heart (R=0,38), end-diastolic dimension of left ventricle (R=0,45), end-diastolic dimension of right ventricle (R=0,54). Self-service limitation correlated with CI (R=0,42), FVC (R=-0,41), FEV1 (R=-0,42), size of left atrium of heart (R=0,37), ejection fraction of left ventricle (R=-0,31), end-diastolic dimension of right ventricle (R=0,51) and attention level (R=0,76). All the correlations were significant with p<0,01. So, disabled patients with asthma demonstrated limited abilities of clue life activities, such as movement ability, communication, education, self-service and ability to work. It indicates the necessity of including to rehabilitation programs of these patients both medical and social approaches.