Self-perception of the patient with chronic obstructive pulmonary disease on its occupational performance during COVID-19 pandemic

Abstract

Introduction: Chronic Obstructive Pulmonary Disease (COPD) is characterized by progressive airflow limitation. In addition patients with COPD develop systemic manifestations that determine the progressive decline in functional capacity. Objective: To know the self-perception of patients with COPD about their occupational performance, also highlighting the influence of the COVID-19 pandemic on their daily lives. Method: Research of a descriptive nature and qualitative approach, as a technique the analysis of content in the thematic modality. The sample consisted of 9 COPD patients seen in the post-pulmonary rehabilitation maintenance program at a reference hospital in the provision of health services in cardiopneumology. Data collection took place from June to August 2020, through semi-structured interview script, through telephone calls. The recorded interviews were transcribed and submitted to content analysis, through the thematic analyses. Results: Daily occupations perceived as difficult to perform as a result of COPD are part of the category sleep, work, social participation, leisure, Activities of Daily Living (ADL) functional mobility, bathing, personal hygiene, dressing and sexual activity – and Instrumental Activities of Daily Living (IADL) - home management and shopping. Occupations limited by COPD were further impacted by the restrictive measures caused by COVID-19. Conclusion: Based on the understanding of the difficulties of COPD patients in performing their occupations, it was possible to know how much COPD has an impact on occupational performance and interferes in the most diverse occupations that bring meaning and purpose to life. The COVID-19 pandemic further delimited the involvement of patients with COPD in their significant occupations.