Adherence to pulmonary rehabilitation: A qualitative study

Arnold, Elisabeth; Bruton, Anne; Ellis‐Hill, Caroline

doi:10.1016/j.rmed.2006.02.007

Cited by 150 publications

(185 citation statements)

References 21 publications

Supporting

Mentioning

164

Contrasting

Unclassified

Order By: Relevance

“…The findings showed that the group itself was very important for some of the participants in terms of sharing experiences with others, as are also described in other studies from hospital settings (Petersson et al, 2000;Gustafsson et al, 2004;Monninkhof et al, 2004;Barlow et al, 2005;Clark et al, 2005;Arnold et al, 2006;Kanervisto et al, 2007;Wilson et al, 2007;Halding et al, 2010). The present findings are similar to other findings where persons with other chronic diseases have told that the group promotes a collective identity and sense of belonging (Clark et al, 2005;Halding et al, 2010) and that participants learned together how to manage the disease (Petersson et al, 2000;Barlow et al, 2005;Clark et al, 2005;Arnold et al, 2006;Halding et al, 2010).…”

Section: Discussionsupporting

confidence: 90%

“…The present findings are similar to other findings where persons with other chronic diseases have told that the group promotes a collective identity and sense of belonging (Clark et al, 2005;Halding et al, 2010) and that participants learned together how to manage the disease (Petersson et al, 2000;Barlow et al, 2005;Clark et al, 2005;Arnold et al, 2006;Halding et al, 2010). As in another study, they felt that they had regained control over life and obtained a new identity, that of living with COPD (Halding et al, 2010).…”

Section: Discussionsupporting

confidence: 90%

See 1 more Smart Citation

How life turned out one year after attending a multidisciplinary pulmonary rehabilitation programme in primary health care

Zakrisson

Theander

Anderzén‐Carlsson

2013

Prim Health Care Res Dev

View full text Add to dashboard Cite

Aim: To describe experiences among patients with chronic obstructive pulmonary disease (COPD) of the lasting usefulness one year after participating in a multidisciplinary pulmonary rehabilitation (PR) programme in a primary health care (PHC) setting. Background: COPD affects patients' functioning in daily life. In a previous study, the patients participated in a programme for PR and were found to increase their functional capacity, quality of life and decrease exacerbations. The present study aims to provide a deeper understanding of the experience of participating in the programme. Design: The study has a descriptive, qualitative design and is part of a longitudinal study on a multidisciplinary programme for PR of patients with COPD. Method: Semi-structured interviews with 20 participants were performed and data analysed by qualitative content analysis. Findings: The findings are presented in one theme that illustrates the participants' experience of their current situation; I live life at my own pace, and three sub-themes illustrating this experience related to the participation in the programme; Awareness of limitations in my life; Regained control over my life; and No change in my life. Conclusion: Irrespective of whether the patients had already found their own strategies for managing the disease or whether the programme changed their lives, they lived their lives at their own pace. However, their lives were shadowed by worry. Relevance to clinical practice: A multidisciplinary programme for PR in PHC could be an alternative for patients suffering from COPD, in order to facilitate for them in their daily life. It is suggested that the inclusion of patients in such groups should be based on each individual's need based on symptoms or functional capacity in everyday life, not based on spirometry values.

show abstract

Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 90%

How life turned out one year after attending a multidisciplinary pulmonary rehabilitation programme in primary health care

Zakrisson

Theander

Anderzén‐Carlsson

2013

Prim Health Care Res Dev

View full text Add to dashboard Cite

show abstract

“…Having a specific COPD class means participants are empathetic towards others with symptoms of breathlessness and sputum production, and so are less self-conscious about their bodies' unpredictable behaviours (Gullick, 2008, Arnold et al, 2006. Under supervision, people become more comfortable exerting their body and are less likely to become panicked by exertional dyspnoea (Williams et al, 2010).…”

Section: The Impact Of Pulmonary Rehabilitation For the Patient And Fmentioning

confidence: 99%

Psychosocial Dimensions of COPD for the Patient and Family

Gullick¹

2012

Chronic Obstructive Pulmonary Disease - Current Concepts and Practice

View full text Add to dashboard Cite

“…In this sense, the absence of psychosocial measures may also have been relevant. However, it should be noted that the number of assessed patients was higher than previously used in similar studies on adherence to PR 17,18 . Another important limitation is the non-inclusion of more complex measures of lung function, such as static lung volumes and diffusing capacity, thus not allowing a better phenotypic characterization of the participants 35 .…”

Section: Discussionmentioning

confidence: 77%

“…Adherence to the PR was defined as the participant's ability to complete the proposed program, with at least 80% attendance of sessions [16][17][18] . If the participant withdrew from the PR before the end of the proposed period, he/she was asked to state the reasons for withdrawal.…”

Section: Adherence To Prmentioning

confidence: 99%

Influência do tabagismo atual na aderência e nas respostas à reabilitação pulmonar em pacientes com DPOC

Santana¹,

Squassoni²,

Neder³

et al. 2010

Rev. bras. fisioter.

View full text Add to dashboard Cite

Objective: To investigate the modulating effects of current smoking on adherence and responses to pulmonary rehabilitation (PR) in patients with chronic obstructive pulmonary disease (COPD). Methods: In a prospective study, 18 ex-smokers and 23 current smokers (GOLD stages II-III) were enrolled in a 12-week multidisciplinary, supervised PR program. The patients were assessed clinically and as to subjective variables (dyspnea and health-related quality of life) and objective variables (body composition, pulmonary function and 6-min walking distance). The degree of nicotine dependence in current smokers was assessed by the Fagerström test. Program completion defined PR "adherence".Results: There was a significant association between current smoking and non-adherence to PR with 30.4% vs. 11.1% and odds ratio=2.9(1.6-4.1; p<0.01). However, the current smokers who completed the program (n=16) had a similar absentee rate to the ex-smokers, as well as similar gains in the subjective (quality of life) and objective (walked distance) items. Additionally, there was a significant reduction in daily cigarette consumption and in the degree of nicotine dependence in current smokers (p<0.05). Conclusions: Although current smoking is negatively related to PR adherence, COPD smokers who complete the PR can have similar gains in functionality and quality of life compared to ex-smokers. Moreover, PR may be related to decreased nicotine dependence, even without a formal smoking withdrawal program.Key words: COPD; rehabilitation; exercise; smoking; physical therapy. ResumoObjetivo: Investigar o possível efeito modulador do tabagismo atual na aderência e nos efeitos da reabilitação pulmonar (RP) em pacientes com doença pulmonar obstrutiva crônica (DPOC). Métodos: Em um estudo prospectivo, 18 pacientes ex-tabagistas e 23 tabagistas atuais (GOLD estádios II-IV) foram incluídos num programa multidisciplinar de RP com duração de 12 semanas. Os pacientes foram submetidos à avaliação clínica e à de variáveis subjetivas (dispneia e qualidade de vida) e objetivas (composição corporal, função pulmonar e teste da caminhada de 6 minutos). Nos pacientes tabagistas, obteve-se o nível de dependência da nicotina pela escala de Fagerström. A interrupção da RP antes do término previsto foi considerada indicativa de não aderência ao programa. Resultados: A proporção de pacientes não-aderentes à RP foi maior nos tabagistas do que nos ex-tabagistas (30,4% vs 11,1%, respectivamente; razão de chance=2,9 (1,6-4,1); p<0,01). Entretanto, os tabagistas atuais que completaram o programa (n=16) apresentaram taxa de absenteísmo à RP similar ao observado nos ex-tabagistas, assim como ganhos equivalentes nas respostas subjetivas (qualidade de vida) e objetivas (distância caminhada).Adicionalmente, houve redução significante no número de cigarros consumidos diariamente e no grau de dependência da nicotina nos tabagistas atuais (p<0,05). Conclusões: Embora o tabagismo atual reduza a aderência à RP, pacientes tabagistas com DPOC que completam tais programas a...

show abstract

Adherence to pulmonary rehabilitation: A qualitative study

Cited by 150 publications

References 21 publications

How life turned out one year after attending a multidisciplinary pulmonary rehabilitation programme in primary health care

How life turned out one year after attending a multidisciplinary pulmonary rehabilitation programme in primary health care

Psychosocial Dimensions of COPD for the Patient and Family

Influência do tabagismo atual na aderência e nas respostas à reabilitação pulmonar em pacientes com DPOC

Contact Info

Product

Resources

About