Eficacia de la rehabilitación respiratoria en pacientes con EPOC moderada en atención primaria y mantenimiento de los beneficios a los 2 años

Gómez, Aixa San Emeterio; Román, Miguel; Larraz, C.; Esteva, Magdalena; Mir, Isabel; Thomas, V; Ripio, Joana; Macho, Ana Negro

doi:10.1157/13092346

Cited by 9 publications

(3 citation statements)

References 12 publications

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“…The second group received PR for 3 months without further maintenance (RHB group) and the third (control) group received routine care without rehabilitation (GC group). The study protocol has been published elsewhere [20]. …”

Section: Methodsmentioning

confidence: 99%

Efficacy of pulmonary rehabilitation in patients with moderate chronic obstructive pulmonary disease: a randomized controlled trial

Román¹,

Larraz²,

Gómez³

et al. 2013

BMC Fam Pract

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BackgroundPulmonary Rehabilitation for moderate Chronic Obstructive Pulmonary Disease in primary care could improve patients’ quality of life.MethodsThis study aimed to assess the efficacy of a 3-month Pulmonary Rehabilitation (PR) program with a further 9 months of maintenance (RHBM group) compared with both PR for 3 months without further maintenance (RHB group) and usual care in improving the quality of life of patients with moderate COPD.We conducted a parallel-group, randomized clinical trial in Majorca primary health care in which 97 patients with moderate COPD were assigned to the 3 groups. Health outcomes were quality of life, exercise capacity, pulmonary function and exacerbations.ResultsWe found statistically and clinically significant differences in the three groups at 3 months in the emotion dimension (0.53; 95%CI0.06-1.01) in the usual care group, (0.72; 95%CI0.26-1.18) the RHB group (0.87; 95%CI 0.44-1.30) and the RHBM group as well as in fatigue (0.47; 95%CI 0.17-0.78) in the RHBM group. After 1 year, these differences favored the long-term rehabilitation group in the domains of fatigue (0.56; 95%CI 0.22-0.91), mastery (0.79; 95%CI 0.03-1.55) and emotion (0.75; 95%CI 0.17-1.33). Between-group analysis only showed statistically and clinically significant differences between the RHB group and control group in the dyspnea dimension (0.79 95%CI 0.05-1.52). No differences were found for exacerbations, pulmonary function or exercise capacity.ConclusionsWe found that patients with moderate COPD and low level of impairment did not show meaningful changes in QoL, exercise tolerance, pulmonary function or exacerbation after a one-year, community based rehabilitation program. However, long-term improvements in the emotional, fatigue and mastery dimensions (within intervention groups) were identified.Trial registrationISRCTN94514482

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Section: Methodsmentioning

confidence: 99%

Efficacy of pulmonary rehabilitation in patients with moderate chronic obstructive pulmonary disease: a randomized controlled trial

Román¹,

Larraz²,

Gómez³

et al. 2013

BMC Fam Pract

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“…Potenciando aspectos como la educación de los familiares y el desarrollo de habilidades en situaciones especiales se logra mejorar la calidad de vida de los pacientes, ya que menguan los síntomas y las posibles complicaciones a largo plazo, porque la mayoría de los pacientes, al ser de carácter crónico, son más vulnerables a adquirir nuevas complicaciones. El objetivo del plan casero es fomentar el cuidado y autocuidado en el manejo terapéutico respiratorio mediante acciones educativas en salud que faciliten la rehabilitación del paciente en el ámbito domiciliario y minimicen el riesgo de complicaciones producto de su enfermedad [7,8].…”

Section: Introductionunclassified

“…Se deben plantear objetivos claros, medibles y coherentes con las expectativas para cada paciente. La valoración inicial y continua es fundamental [8,9].…”

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Adherencia de planes caseros de terapia respiratoria en pacientes con enfermedades crónicas del programa de atención domiciliaria, Cali, 2014

Rojas

Millán

Orrego

2016

Rev. Fac. Nac. Salud Pública

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Pulmonary rehabilitation for chronic obstructive pulmonary disease

McCarthy

Casey

Devane

et al. 2015

Cochrane Database of Systematic Reviews

1,601

1,235

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Pulmonary rehabilitation relieves dyspnoea and fatigue, improves emotional function and enhances the sense of control that individuals have over their condition. These improvements are moderately large and clinically significant. Rehabilitation serves as an important component of the management of COPD and is beneficial in improving health-related quality of life and exercise capacity. It is our opinion that additional RCTs comparing pulmonary rehabilitation and conventional care in COPD are not warranted. Future research studies should focus on identifying which components of pulmonary rehabilitation are essential, its ideal length and location, the degree of supervision and intensity of training required and how long treatment effects persist. This endeavour is important in the light of the new subgroup analysis, which showed a difference in treatment effect on the CRQ between hospital-based and community-based programmes but no difference between exercise only and more complex pulmonary rehabilitation programmes.

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Eficacia de la rehabilitación respiratoria en pacientes con EPOC moderada en atención primaria y mantenimiento de los beneficios a los 2 años

Abstract: Quality of life with the Chronic Respiratory Questionnaire, 6-minute walking test, Borg Dyspnoea Scale, Medical Research Council Dyspnoea Score, Lung Function Tests, and intervention group.

Cited by 9 publications

References 12 publications

Efficacy of pulmonary rehabilitation in patients with moderate chronic obstructive pulmonary disease: a randomized controlled trial

Efficacy of pulmonary rehabilitation in patients with moderate chronic obstructive pulmonary disease: a randomized controlled trial

Adherencia de planes caseros de terapia respiratoria en pacientes con enfermedades crónicas del programa de atención domiciliaria, Cali, 2014

Pulmonary rehabilitation for chronic obstructive pulmonary disease

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