REHABILITATION FOR PERSONS WITH COPD.
0
Citation
1
Reference
20
Related Paper
Abstract:
Several small studies suggest that pulmonary rehabilitation improves short-term functional outcomes in patients with chronic obstructive pulmonary disease (COPD). This randomized study evaluated whether a comprehensive pulmonary rehabilitation program improved long-term outcomes in 119 outpatients with stable, mild to severe COPD. The patients …Post-acute rehabiitation is recommended in the treatment of chronic obstructive pulmonary disease (COPD). It enhances the sense of control by education, which should focus on patient information needs. However, it is unknown whether a geriatric rehabilitation programme for older patients with advanced COPD and severely impaired health status (the GR-COPD programme) does fit these patient information needs.The study aimed to identify the information needs of patients who were eligible for the GR-COPD programme, and investigated if health-related knowledge improved during rehabilitation.All patients indicated for the GR-COPD programme were eligible for this study. The information needs were measured with the Lung Information Needs Questionnaire (LINQ).The 158 patients (mean age 70.8 years; FEV1 %predicted: 35.5) showed relatively high baseline information needs (mean LINQ overall score: 8.6 [SD 3.1]), with the greatest need in the domains 'diet' and 'self-management'. After follow-up, the mean LINQ overall score significantly improved in patients who completed the GR-COPD programme (p=0.001).Patients' knowledge showed a statistically significant improvement in some areas during the GR-COPD programme.
Patient Education
Cite
Citations (10)
Cognitive impairment (CI) is increasingly documented as a co-morbidity of COPD. The reported prevalence of CI amongst COPD patients has a wide range (10-77%). Data regarding the effect of pulmonary rehabilitation (PR) are sparse. We recruited 21 consecutive COPD patients at GOLD stage 4 and with a minimal mental state examination (MMSE) score lower than 24 points. Fourteen were male, mean age was 63±10 yrs, 19 were smokers, fifteen were in LTOT, and five were using non-invasive mechanical ventilation. All patients were included in a 4-week (6 days per week, 90 minutes per day) supervised aerobic exercise, resistance training and educational programme. At baseline and at the end of the programme they underwent the following tests: global spirometry including MIP and MEP, 6MWT, blood gas analysis, CAT, Euro-QOL-5 and mMRC questionnaire. We evaluated cognitive performance by using MMSE and Montreal Cognitive assessment test (MoCA). The control group was of 20 COPD subjets matched for age, smoking habits and clinical conditions treated with standard therapy only. We found a statistically significant mean difference in 6MWT of 25.71, favouring PR (95% CI:[15.76-35.65]), and a significant increase in MoCA of 5 points (95% CI:[18-28]). In the study group we found a significant increse in Euro-QOL-5(p<0.01), in CAT (p=0.05), and in mMRC (p<0.05). We found a significant positive correlation between MoCA and increse in 6MWT (r=0.778; p<0.001) and between MoCA and Euro-QOL-5 (r=0.60;p<0.005). In summary, intensive exercise training may have a role in the mitigation of cognitive decline in COPD patinets. MoCA may be a useful and easy to perform tool to phenotype patients with COPD and mild cognitive impairment.
Montreal Cognitive Assessment
Cite
Citations (0)
Pulmonary rehabilitation helps improve quality of life for people with COPD, writes.
Cite
Citations (3)
Despite overwhelming evidence to suggest that pulmonary rehabilitation improves health status in patients with chronic obstructive pulmonary disease (COPD), this service is largely underutilised due to poor accessibility. This Canadian multicentre randomised study was designed to compare outpatient pulmonary rehabilitation with self-monitored home-based rehabilitation in improving dyspnoea.
Patients with stable COPD (forced expiratory volume in 1 s …
Cite
Citations (1)
Objective To approach the model of community rehabilitation for the patients with chronic obstructive pulmonary disease (COPD) during the remission stage.Methods The grade-based management and rehabilitation instruction were conducted for the patients with COPD whose health record had been established in community,including giving up smoking,breath exercise training,oxygen therapy in family,bronchodilator usage.The rehabilitation effect was analyzed one year later.Results Through rehabilitation management,the COPD patients had significantly statistic improvement in acute episode,subjective symptom of shortness of breath and body mass index as compared with pre-rehabilitation (P0.05).Conclusion The community rehabilitation management is an important link in comprehensive therapy for patients with COPD,it can strengthen physique,relieve the clinical symptoms and improve the life quality.
Oxygen therapy
Cite
Citations (0)
Objective: Pulmonary rehabilitation (PR) improves function, reduces symptoms and decreases healthcare usage in people with chronic obstructive pulmonary disease (COPD) following an acute exacerbation (AECOPD). However, rehabilitation uptake rates are low. This study aimed to address barriers to uptake and completion of PR following AECOPD. Methods: An action research approach was used to reflect on study feasibility, and to plan and implement an improved protocol. Phase I tested the feasibility of home-based PR started early after AECOPD. Phase II used qualitative interviews to identified potential barriers to program uptake. Phase III re-tested the program with changes to recruitment and assessment strategies. Results: Phase I: From 97 screened patients, 26 were eligible and 10 (38%) started home-based PR. Eight participants undertook ≥70% of PR sessions, achieving clinically meaningful improvement in 6-minute walk distance (mean (SD) change 76 (60) m) and chronic respiratory disease questionnaire total score (15 (21) units). Phase II: Potential barriers to uptake of home-based PR included access issues, confidence to exercise, and lack of information about PR benefits. Phase III: From 77 screened patients, 23 were eligible and 5 (22%) started the program. Discussion: Home-based PR improved clinical outcomes, but program eligibility and uptake remain challenging. Efforts should be made to ensure PR program eligibility criteria are broad enough to accommodate patient needs, and new ways of engaging patients are needed to improve PR uptake after AECOPD.
Cite
Citations (4)
Goal: When the literature is exemined, there is a limited number of publications for balance problems in patients with chronic obstructive pulmonary disease(COPD). For this reason, aim of this study is investigate how pulmonary rehabilitation effect balance control in patients with COPD. Methods: 37 patients with COPD(24 males, 13 females; mean age :57±6 years) who aplied to pulmonary rehabilitation unit in 6 months were included in the study.clinical files of all patients were evaluated and demographic data were recorded. Antropometric evaluations were performed, respiratory functions, exercise capacites were assessed and daily life activities scalas applied. Tandem Romberg(TR) and One Leg Standing Test(OLST) used to evaluate static balance control, Berg Balance Scala(BBS) and Time Up and GO ( TUG) test used to examinate dynamic balance control.SPSS 22. 0 for windows package program was used to evaluate the abtained data. Statictical significance was evaluated at p< 0.05 level. Results: Statistical analysis showed that there was a significant difference in development of both dynamic and static balance (BBS p <0.001, TR P <0.001, OLST-R P <0.001, OLST-L p <0.001). There was a significant difference (p <0.05) in the exercise capacities of patients (VO2 max) (p <0.03) and in the hospital anxiety depression scales (p <0.001) and there was no significant difference in terms of forced expiratory volume 1. second (FEV1) (p> 0.22). Conclusion: As a result of this study, it has been shown that the application of pulmonary rehabilitation affects the balance state positively. Therefore, it has been concluded that balance training should be included in pulmonary rehabilitation programs.
Balance Test
Cite
Citations (0)
The efficacy of pulmonary rehabilitation with a multi-disciplinary approach has been demonstrated especially in patients with chronic obstructive pulmonary disease (COPD). This review focuses particularly on the long-term outcome of pulmonary rehabilitation. Significant improvements have been demonstrated with respect to quality of life and exercise capacity up to one year after rehabilitation. Further investigations are still required on other outcome measures such as effects on repeated hospitalization, different types of rehabilitation (in-patient, out-patient, combined), and on rehabilitation of patients with non-obstructive pulmonary diseases.
Cite
Citations (4)
Introduction: The objective of this study was to evaluate the short and long term impact of a respiratory rehabilitation program (RRP) in patients with chronic obstructive pulmonary disease (COPD). Methods: Data were collected from 60 patients diagnosed with COPD who received a RRP during 12 weeks. Demographic and anthropometric variables, comorbidity (Charlson index), respiratory function, quality of life (COPD Assessment Test -CAT- and EuroQoL), daily physical activity (London Chest Activity of Daily Living Scale -LCADL-), and emotional state (Hospital Anxiety and Depression Scale -HADS-) were collected. Also, the 6-minute walking test (6MWT) was performed upon completion of RRP treatment and 24 weeks after completion. Results: Mean age and the forced expiratory volume at the first second (FEV1) were 69.3 ± 8.6 years and 58.1 ± 15.7% pred. After 12 weeks of a RRP there was a significant improvement in the level of dyspnea on the mMRC (p <0.001), LCADL-self-care scoring (p = 0.04), EuroQoL-EVA (p = 0.01) and EuroQoL-ET (p = 0.02) scoring and HADS-depression (p = 0.028). Also, there was a trend for a significantly increase in the distance covered in the 6MWT (p = 0.053). 24 patients were lost in the follow-up period after the end of the RRP. In the rest of the patients (n = 36) significant improvements were maintained in the level of dyspnea (p <0.001) and almost significants in the 6MWT (p = 0.082). Conclusions: In a short term, a RRP has a positive impact on dyspnea, quality of life, emotional state and daily activity of patients with COPD. In the long term, the impact on dyspnea is maintained.
Depression
Cite
Citations (0)