title: Care dependency in patients with chronic obstructive pulmonary disease and heart failure - a secondary data analysis of German prevalence studies.
abstract: OBJECTIVE
  The aim of this study was to compare the degree of care dependency between hospitalised patients with chronic heart failure (CHF) and patients with chronic obstructive pulmonary disease (COPD).
  
  
  METHODS
  Secondary data analysis of five German prevalence studies from 2007 to 2011. Care dependency was measured using the Care Dependency Scale.
  
  
  RESULTS
  Hospitalised patients with CHF or COPD 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 CHF or COPD did not differ statistically significantly in those items. Only the items 'eating and drinking' almost achieved statistical significance (p = 0.06).
  
  
  CONCLUSIONS
  Patients with CHF or COPD 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.
authors.affiliation: Pflegedirektion, University Heart Center Freiburg-Bad Krozingen, Freiburg, Germany.
authors.forename: Stefan
authors.initials: S
authors.lastname: Köberich
authors.forename: Christa
authors.initials: C
authors.lastname: Lohrmann
authors.forename: Theo
authors.initials: T
authors.lastname: Dassen
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005858:Germany / Q000453:epidemiology; D006333:Heart Failure / Q000150:complications / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D029424:Pulmonary Disease, Chronic Obstructive / Q000150:complications / Q000628:therapy*
keywords: chronic obstructive pulmonary disease; discharge planning; health status; heart failure; secondary data analysis