Publicado Jul 13, 2022



PLUMX
Almetrics
 
Dimensions
 

Google Scholar
 
Search GoogleScholar
Descargas


Victoria Cabal Escandón

Luz Adriana Montes Monsalve

Nelson Stiven Celis Sarmiento

Astrih Liliana Ortiz Mahecha

##plugins.themes.bootstrap3.article.details##

Resumen

La enfermedad pulmonar obstructiva crónica (EPOC) es una entidad patológica que se caracteriza por una serie de manifestaciones físicas persistentes como tos, fatiga, disnea y producción de esputo; síntomas que generan malestar en el paciente desde el momento del diagnóstico y que, al ser una enfermedad irreversible por el daño tisular que causa, progresivamente va incidiendo de manera negativa en la calidad de vida. De otra parte, se ha reportado presencia de síntomas psicológicos como depresión, inseguridad, ansiedad y alteraciones emocionales en los pacientes diagnosticados con EPOC. Así mismo, los pacientes con este diagnóstico tienden a desarrollar comportamientos que alteran sus relaciones sociales familiares y laborales, por cuanto tienden a aislarse debido a la sintomatología, especialmente física.


La situación planteada genera la necesidad de desarrollar un trabajo de investigación con el objetivo de reconocer el clúster de síntomas físicos, psicológicos y sociales de los pacientes diagnosticados con EPOC, e identificar si se plantea un abordaje desde la atención paliativa. El estudio se desarrolló mediante una revisión sistemática de literatura en la que se identificaron 1776 artículos, de los que se evaluaron 41 para la identificación del clúster de síntomas. Se identificó el binomio disnea y tos, fatiga y expectoración como el clúster de síntomas físicos; la depresión y la ansiedad constituyen el clúster de síntomas psicológicos, y el impacto en la calidad de vida y la percepción de aislamiento o exclusión social.

Keywords

signs and symptoms, chronic obstructive pulmonary disease, palliative careSignos y Sintomas, enfermedad pulmonar crónica obstructiva, cuidados paliativossignos e sintomas, doença pulmonar crônica obstrutiva, cuidados paliativos

References
1. Global Initiative for Chronic Obstructive Lung Disease [Internet]. 2019 [cited 2020 Jun 15]. Available from: www.goldcopd.org
2. Lajas AC, Puente Maestu L, De J, Díez M. Revista de Patología Respiratoria. 22, Revista de Patología ResPiRatoRia.
3. Arancibia H. F. Enfermedad Pulmonar Obstructiva Crónica y Tabaquismo. Rev Chil enfermedades Respir. 2017;33(3):225-9.
4. Maddocks M, Lovell N, Booth S, Man WDC, Higginson IJ. Palliative care and management of troublesome symptoms for people with chronic obstructive pulmonary disease. Lancet [Internet]. 2017;390(10098):988-1002. doi: 10.1016/S0140-6736(17)32127-X
5. Marvel J, Yu T-C, Wood R, Small M, Higgins VS, Make BJ. Health Status of Patients with Chronic Obstructive Pulmonary Disease by Symptom Level. Chronic Obstr Pulm Dis J COPD Found. 2016;3(3):643-52.
6. Deslee G, Burgel PR, Escamilla R, Chanez P, Court-Fortune I, Nesme-Meyer P, et al. Impact of current cough on health-related quality of life in patients with COPD. Int J COPD [Internet]. 2016 Sep 13 [cited 2020 May 31];11(1):2091-7. Disponible en: https://www.dovepress.com/impact-of-current-cough-on-health-related-quality-of-life-in-patients--peer-reviewed-article-COPD
7. García IFF, Tiuganji CT, Simões M do SMP, Santoro IL, Lunardi AC. Systemic effects of chronic obstructive pulmonary disease in young-old adults’ life-space mobility. Int J COPD. 2017;12:2777-85.
8. Mittal R, Chhabra SK. GOLD Classification of COPD: Discordance in Criteria for Symptoms and Exacerbation Risk Assessment. COPD J Chronic Obstr Pulm Dis [Internet]. 2017;14(1):1-6. doi: 10.1080/15412555.2016.1230844
9. Cukier A, De Godoy I, Costa CH da, Rubin AS, Gregorio MG, Neto AA de A, et al. Symptom variability over the course of the day in patients with stable COPD in Brazil: A real-world observational study. J Bras Pneumol. 2020;46(3):1-9.
10. Noell G, Cosío BG, Faner R, Monsó E, Peces-Barba G, de Diego A, et al. Multi-level differential network analysis of COPD exacerbations. Eur Respir J. 2017 Sep 1;50(3).
11. Kim V, Aaron SD. What is a COPD exacerbation? Current definitions, pitfalls, challenges and opportunities for improvement. Eur Respir J. 2018 Nov 1;52(5).
12. Anzueto A, Miravitlles M. Pathophysiology of dyspnea in COPD. Postgrad Med [Internet]. 2017;129(3):366-74. doi: 10.1080/00325481.2017.1301190
13. Crooks MG, den Brinker A, Hayman Y, Williamson JD, Innes A, Wright CE, et al. Continuous Cough Monitoring Using Ambient Sound Recording During Convalescence from a COPD Exacerbation. Lung. 2017;195(3):289-94.
14. Nguyen HQ, Herting JR, Pike KC, Gharib SA, Matute-Bello G, Borson S, et al. Symptom profiles and inflammatory markers in moderate to severe COPD. BMC Pulm Med [Internet]. 2016;16(1):1-9. doi: 10.1186/s12890-016-0330-1
15. Jerpseth H, Dahl V, Nortvedt P, Halvorsen K. Older patients with late-stage COPD: Their illness experiences and involvement in decision-making regarding mechanical ventilation and noninvasive ventilation. J Clin Nurs. 2018 Feb 1;27(3-4):582-92.
16. Harrington SE, Rogers E, Davis M. Palliative care and chronic obstructive pulmonary disease: Where the lines meet. Curr Opin Pulm Med. 2017;23(2):154-60.
17. Ding B, Dibonaventura M, Karlsson N, Bergström G, Holmgren U. A cross-sectional assessment of the burden of COPD symptoms in the us and europe using the national health and wellness survey. Int J COPD. 2017;12:529-39.
18. Nieto Cano S, Golpe Gómez R, Pérez de Llano LA. The Need for Palliative Care in Chronic Respiratory Patients With Non-Malignant Disease. Archivos de Bronconeumologia. 2018;54(1):56-7. doi: 10.1016/j.arbr.2017.11.013
19. Fusi-Schmidhauser T, Riglietti A, Froggatt K, Preston N. Palliative Care Provision for Patients with Advanced Chronic Obstructive Pulmonary Disease: A Systematic Integrative Literature Review. COPD: Journal of Chronic Obstructive Pulmonary Disease. 2018;15: 600-11.
20. Scheerens C, Chambaere K, Pardon K, Derom E, Van Belle S, Joos G, et al. Development of a complex intervention for early integration of palliative home care into standard care for end-stage COPD patients: A Phase 0–I study. PLoS One. 2018;13(9):1-20.
21. Noppe D, Veen H in ‘t, Mooren K. COPD patients in need of palliative care: Identification after hospitalization through the surprise question. Chron Respir Dis. 2018;16.
22. Meffert C, Hatami I, Xander C, Becker G. Palliative care needs in COPD patients with or without cancer: An epidemiological study. Eur Respir J. 2015 Sep 1;46(3):663-70.
23. Bellinger CR, Peters SP. Outpatient chronic obstructive pulmonary disease management: Going for the GOLD. J Allergy Clin Immunol Pract [Internet]. 2015;3(4):471-8. doi: 10.1016/j.jaip.2015.04.010
24. Herramienta PICO para la formulacion y búsqueda de preguntas. 2014 [cited 2020 Jun 14]; Disponible en: https://www.researchgate.net/publication/294874478
25. Moher D, Liberati A, Tetzlaff J, Altman DG. Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement. PLoS Med [Internet]. 2009 Jul 21 [cited 2020 Jun 14];6(7):e1000097. Disponible en: https://dx.plos.org/10.1371/journal.pmed.1000097
26. Urrútia G, Bonfill X. PRISMA declaration: A proposal to improve the publication of systematic reviews and meta-analyses. Med Clin (Barc). 2010;135(11):507-11.
27. Sandau C, Bove DG, Marsaa K, Bekkelund CS, Lindholm MG. Is the high intensity symptoms experienced by patients admitted with chronic obstructive pulmonary disease documented by health professionals? A prospective survey with comparison of patient reported outcomes and medical records. Eur Clin Respir J [Internet]. 2018;5(1). Disponible en: https://doi.org/10.1080/20018525.2018.1506236
28. Strömgren A, Groenvold M, Sorensen A, Andersen L. Symptom recognition in advanced cancer. A comparison of nursing records against patient self-rating. Acta Anaesthesiologica Scandinavica. 2008 Jul45(9):1080-1085. Disponible en: doi.org/10.1034/j.1399-6576.2001.450905.x
29. Lee J, Nguyen HQ, Jarrett ME, Mitchell PH, Pike KC, Fan VS. Effect of symptoms on physical performance in COPD. Hear Lung. 2018;47(2):149-56.
30. Véron C, Pautex S, Weber C, Janssens JP, Cedraschi C. Recollection of participating in a trial: A qualitative study of patients with severe and very severe chronic obstructive pulmonary disease. PLoS One. 2018;13(9):1-13.
31. Gainza-Miranda D, Sanz-Peces EM, Alonso-Babarro A, Varela-Cerdeira M, Prados-Sánchez C, Vega-Aleman G, et al. Breaking Barriers: Prospective study of a cohort of advanced chronic obstructive pulmonary disease patients to describe their survival and end-of-life palliative care requirements. J Palliat Med [Internet]. 2019 Mar 1 [cited 2020 May 17];22(3):290-6. Disponible en: https://www.liebertpub.com/ doi: 10.1089/jpm.2018.0363
32. Miravitlles M, Izquierdo JL, Esquinas C, Pérez M, Calle M, López-Campos JL, et al. The variability of respiratory symptoms and associated factors in COPD. Respir Med. 2017 Aug 1;129:165-72.
33. Weber C, Stirnemann J, Herrmann FR, Pautex S, Janssens JP. Can early introduction of specialized palliative care limit intensive care, emergency and hospital admissions in patients with severe and very severe COPD? A randomized study. BMC Palliat Care. 2014;13(1).
34. Johnson KM, Tan WC, Bourbeau J, Sin DD, Sadatsafavi M, Hamid Q, et al. The diagnostic performance of patient symptoms in screening for COPD. 19, Respiratory Research. BioMed Central Ltd.; 2018. p. 1-5.
35. Chai CS, Liam CK, Pang YK, Ng DLC, Tan SB, Wong TS, et al. Clinical phenotypes of COPD and health-related quality of life: A cross-sectional study. Int J COPD. 2019;14:565-73.
36. Qian MYY, Politis J, Thompson M, Wong D, Le B, Irving L, et al. Individualized breathlessness interventions may improve outcomes in patients with advanced COPD. Respirology. 2018 Dec 1;23(12):1146-51.
37. Kim WJ, Yim JJ, Kim DK, Lee MG, Fuhlbrigge AL, Sliwinski P, et al. Severe COPD cases from Korea, Poland, and USA have substantial differences in respiratory symptoms and other respiratory illnesses. Int J COPD. 2017;12:3415-23.
38. Coton S, Vollmer WM, Bateman E, Marks GB, Tan W, Mejza F, et al. Severity of Airflow Obstruction in Chronic Obstructive Pulmonary Disease (COPD): Proposal for a New Classification. COPD J Chronic Obstr Pulm Dis. 2017 Sep 3;14(5):469-75.
39. Kabbach EZ, Mazzuco A, Borghi-Silva A, Cabiddu R, Agnoleto AG, Barbosa JF, et al. Increased parasympathetic cardiac modulation in patients with acute exacerbation of COPD: How should we interpret it? Int J COPD. 2017;12:2221-30.
40. Alonso T, Sobradillo P, de Torres JP. Enfermedad pulmonar obstructiva crónica en mujeres: ¿somos diferentes? Arch Bronconeumol. 2017 Apr;53(4):222-7.
41. Maddocks M, Lovell N, Booth S, Man WDC, Higginson IJ. Palliative care and management of troublesome symptoms for people with chronic obstructive pulmonary disease. Lancet. 2017 Sep 2;390(10098):988-1002. doi: 10.1016/S0140-6736(17)32127-X.
42. Johnson KM, Safari A, Tan WC, Bourbeau J, FitzGerald JM, Sadatsafavi M. Heterogeneity in the respiratory symptoms of patients with mild-to-moderate COPD. Int J COPD. 2018;13:3983-95.
43. Vázquez JH, García IA, Jiménez-García R, Meca AÁ, de Andrés AL, Ruiz CM, et al. COPD phenotypes: Differences in survival. Int J COPD. 2018;13:2245-51.
44. Bowman B, Meier DE. Palliative care for respiratory disease: An education model of care. Chron Respir Dis. 2018 Feb;15(1):36-40. doi: 10.1177/1479972317721562.
45. Duenk R, Verhagen C, Bronkhorst E, Djamin R, Bosman G, Dekhuijzen P, et al. Development of the ProPal-COPD tool to identify patients with COPD for proactive palliative care. Int J COPD [Internet]. 2017 [cited 2020 May 16];2017;12:2121-28. doi: 10.2147/COPD.S140037
46. Lavesen M, Marsa KBM, Bove DG. A new way of organising palliative care for patients with severe chronic obstructive pulmonary disease. Int J Palliat Nurs. 2018;24(2):64-8.
47. Finamore P, Spruit M, Schols J, Antonelli Incalzi R, Wouters E, Janssen D. Clustering of patients with end-stage chronic diseases by symptoms: a new approach to identify health needs. Ging Clin Exp Res. 2021 Feb;33(2):407-417. doi: 10.1007/s40520-020-01549-5
48. Almagro P, Yun S, Sangil A, Rodríguez-Carballeira M, Marine M, Landete P, et al. Palliative care and prognosis in COPD: A systematic review with a validation cohort. Int J COPD. 2017;12:1721-9.
49. Tavares N, Jarrett N, Hunt K, Wilkinson T. Palliative and end-of-life care conversations in COPD: a systematic literature review. ERJ Open Res [Internet]. 2017;3(2):00068-2016. doi: 10.1183/23120541.00068-2016
50. Mathews G, Johnston B. Palliative and end-of-life care for adults with advanced chronic obstructive pulmonary disease: A rapid review focusing on patient and family caregiver perspectives. Curr Opin Support Palliat Care. 2017 Dec;11(4):315-27. doi: 10.1097/SPC.0000000000000303
Cómo citar
Cabal Escandón, V., Montes Monsalve, L. A. ., Celis Sarmiento, N. S., & Ortiz Mahecha, A. L. . (2022). Grupo de síntomas de enfermedad pulmonar obstructiva crónica y cuidados paliativos: una revisión sistemática. Investigación En Enfermería: Imagen Y Desarrollo, 24. https://doi.org/10.11144/Javeriana.ie24.gsep
Sección
Artículos de Revisión Integrativa o Sistemática