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[Factors associated with poor acceptance of illness in patients with COPD].

Authors
  • Grassion, L1
  • Le Guillou, F2
  • Izadifar, A2
  • Piperno, D2
  • Raherison-Semjen, C3
  • 1 Service des maladies respiratoires, CHU de Haut-Lévêque, avenue de Magellan, 33000 Pessac, France. Electronic address: [email protected] , (France)
  • 2 Association BPCO, 115, rue Saint Dominique, 75007 Paris, France. , (France)
  • 3 Service des maladies respiratoires, CHU de Haut-Lévêque, avenue de Magellan, 33000 Pessac, France; Inserm U1219 Bordeaux Population Health Research Center, Bordeaux University, 33000 Bordeaux, France. , (France)
Type
Published Article
Journal
Revue des maladies respiratoires
Publication Date
Apr 01, 2019
Volume
36
Issue
4
Pages
461–467
Identifiers
DOI: 10.1016/j.rmr.2018.11.010
PMID: 30956003
Source
Medline
Keywords
Language
French
License
Unknown

Abstract

In patients suffering from chronic obstructive pulmonary disease (COPD), the acceptance of the illness is probably a major factor in the improvement of quality of life. The aim of this study is to identify the criteria associated with a good or bad acceptance of the disease and to identify means of improving it. We have undertaken a telephone enquiry among patients with COPD with the aid of a standardized questionnaire established by several health experts. Of the 1040 patients who have been contacted, 356 (34 %) replied to the questionnaire. Ninety-nine patients reported unacceptance of their disease (28 %). The patients who did not accept their disease were significantly more severe, with more difficulty in performing daily life activities, particularly exercising. These patients had significantly greater difficulty in understanding their disease and also reported more frequently a moralizing attitude among their family. The greater the handicap of the disease, the greater is the difficulty in accepting the disease by the patient. The doctor could have an impact in improving the therapeutic education and involving the family in the patient's care. Copyright © 2019 SPLF. Published by Elsevier Masson SAS. All rights reserved.

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