title: [Perceptions of consequences of chronic respiratory insufficiency in subjects over 65 years with home respiratory assistance. Apropos of 85 patients].
abstract: Chronic respiratory diseases (C.R.D.) induce changes in daily activities and mood for the patients who require respiratory assistance (oxygen delivery or ventilation). The aim of this study was to compare physical and social consequences of this disease. A self administered questionnaire was sent to one hundred patients, over sixty five years of age, who were affiliated with the "Association Limousine d'Aide aux Insuffisants Respiratories" (A.L.A.I.R.). The mean age was 72.4 +/- 0.66 (65-92), the mean PaO2 was 54 mm Hg +/- 0.2 (39-76). C.R.D. was stable during the study and treatments did not change. The questionnaire was composed of four scales and twenty-eight subjects; each item was weighed for importance. Subjects included: symptoms, mood, sleep, relationships with their wife or family, home activities. Eighty-five questionnaires were analysed. Reproductibility was good (92%) and non-responses to some questions was less than 10%. Coherence between the scales and the twenty-eight items was poor. Regression linear analysis found that only dyspnea was correlated with PaO2 (p < 0.007). For patients, the most important items were: abnormalities of home activities (37%), dyspnea (38%), relationships with their wife (39%) or family (45%), dependence (52%) and perception of A.L.A.I.R. (77%). Quality of life is an important concept for these patients with C.R.D. versus clinical symptoms. Perception of respiratory assistance is very good.
authors.affiliation: Service de Pathologie Respiratoire et d'Allergologie, Hôpital universitaire du Cluzeau, Limoges.
authors.forename: A
authors.initials: A
authors.lastname: Vergnenegre
authors.forename: H
authors.initials: H
authors.lastname: Triki
authors.forename: L
authors.initials: L
authors.lastname: Letenneur
authors.forename: S
authors.initials: S
authors.lastname: Jeandeau
authors.forename: B
authors.initials: B
authors.lastname: Melloni
authors.forename: P
authors.initials: P
authors.lastname: Samptiaux
authors.forename: H
authors.initials: H
authors.lastname: Gastinne
authors.forename: F
authors.initials: F
authors.lastname: Bonnaud
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D002908:Chronic Disease; D005190:Family; D005260:Female; D006699:Home Care Services; D006801:Humans; D008297:Male; D010102:Oxygen Inhalation Therapy; D011788:Quality of Life; D012131:Respiratory Insufficiency / Q000150:complications / Q000523:psychology* / Q000628:therapy; D012138:Respiratory Therapy; D011795:Surveys and Questionnaires
vernacular_title: Perception des conséquences de l'insuffisance respiratoire chronique chez les sujets de plus de 65 ans ayant une assistance respiratoire à domicile. A propos de 85 patients.