Home-Based Prescribed Pulmonary Exercise in Patients with Stable Chronic Obstructive Pulmonary Disease

Liu, Xiaodan; Li, Peijun; Li, Jian; Xiao, Lu; Li, Ning; Lu, Yufan; Wang, Zhengrong; Su, Jianqing; Wang, Zhenwei; Shan, Chunlei; Wu, Wenqing

doi:10.3791/59765

Cited by 8 publications

(19 citation statements)

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“…In keeping with other studies in China and also America 51,52 , patients in our study were reluctant to take strenuous exercise due to shortness of breath, gentle exercise like TaiChi, QiGong and walking were considered more appropriate 51 . However, it should be recognised that they may not be as effective in building endurance and strength as other forms of exercise usually used in PR [53][54][55][56][57][58] . A new finding was GPs' concern about litigation.…”

Section: Discussionmentioning

confidence: 99%

Community lung health service design for COPD patients in China by the Breathe Well group

Pang

Pan

Adams

et al. 2022

npj Prim. Care Respir. Med.

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COPD is increasingly common in China but is poorly understood by patients, medications are not used as prescribed and there is no access to recommended non-pharmacological treatment. We explored COPD patients’ and general practitioners’ (GPs) knowledge of COPD, views on its management and the acceptability of a flexible lung health service (LHS) offering health education, exercise, self-management, smoking cessation and mental health support. Using a convergent mixed methods design, data were collected from patients and GPs using focus groups (FGs) in four Chinese cities, questionnaires were also used to collect data from patients. FGs were audio-recorded and transcribed. Quantitative data were analysed descriptively, thematic framework analysis was used for the qualitative data. Two-hundred fifty-one patients completed the questionnaire; 39 patients and 30 GPs participated in ten separate FGs. Three overarching themes were identified: patients’ lack of knowledge/understanding of COPD, current management of COPD not meeting patients’ needs and LHS design, which was well received by patients and GPs. Participants wanted COPD education, TaiChi, psychological support and WeChat for social support. 39% of survey responders did not know what to do when their breathing worsened and 24% did not know how to use their inhalers. 36% of survey respondents requested guided relaxation. Overall, participants did not fully understand the implications of COPD and current treatment was sub-optimal. There was support for developing a culturally appropriate intervention meeting Chinese patients’ needs, health beliefs, and local healthcare delivery. Further research should explore the feasibility of such a service.

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Section: Discussionmentioning

confidence: 99%

Community lung health service design for COPD patients in China by the Breathe Well group

Pang

Pan

Adams

et al. 2022

npj Prim. Care Respir. Med.

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“…After the self-assessment, the total score was multiplied by 1.25 to get an integer. The higher the final score, the more severe the symptoms ( 13 ). According to the results of the healthy Chinese population, the cut-off value of SAS SD is 50 points, in which 50–59 is considered mild anxiety, 60–69 is considered moderate anxiety, and 69 or above is considered severe anxiety.…”

Section: Methodsmentioning

confidence: 99%

Early Mental Health and Quality of Life in Discharged Patients With COVID-19

Zhang

Xue

et al. 2021

Front. Public Health

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Aim: This study aimed to analyze the early mental health (MH) and quality of life (QoL) of discharged patients with coronavirus disease 2019 (COVID-19), which can provide a scientific basis for the further development of intervention programs.Methods: In total, 108 subjects participated in this study, including an experimental group (90 patients diagnosed with COVID-19 from March to April 2020 and hospitalized in Wuhan China Resources & WISCO General Hospital, Wuhan, China, 83.3%) and a control group (18 healthy participants, 16.7%). Their MH and QoL were measured through the 12-item Short Form Health Survey version 2 (SF-12v2), the Self-rating anxiety scale (SAS), the Self-rating depression scale (SDS), and the International Physical Activity Questionnaire (IPAQ). The results of questionnaires were compared between these two groups.Results: (1) Comparison of anxiety status: among 90 discharged patients with COVID-19, 30 patients (33.3%) had a state of anxiety. Compared with healthy participants and the general population, patients with COVID-19 in the early stages of discharge had a higher incidence of anxiety and more severe anxiety symptoms (P < 0.05). (2) Comparison of depression status: among 90 discharged patients with COVID-19, 29 patients (32.2%) had a state of depression. Compared with healthy participants and the general population, patients with COVID-19 in the early stages of discharge had a higher incidence of depression and more severe depression symptoms (P < 0.05). (3) Comparison of QoL: 78 patients (86.7%) presented a decrease in physical health-related quality of life (HRQoL) and 73 patients (81.1%) presented a decrease in psychology-related QoL. The SF-12v2 physical component summary (PCS) and the SF-12v2 mental component summary (MCS) of patients were significantly lower than those of healthy people, especially in physical function (PF), vitality (VT), social function (SF), and mental health (MH) (all P < 0.05). (4) Gender differences in mental health and the QoL among patients with COVID-19: women had more severe anxiety/depression symptoms than men (P < 0.05). The scores of women in all dimensions of SF-12V2 were lower than those of men, and there were statistically significant differences between the two groups in PCS, PF, general health (GH), VT, and role-emotional (RE) (P < 0.05).Conclusion: During the early phase after being discharged, patients with COVID-19 might experience negative emotions, such as anxiety or depression, and also problems with reduced QoL, especially among female patients. Therefore, an intervention plan should focus on strengthening psychological condition and improving physical function, and gender-specific rehabilitation programmes should be adapted to improve psychological status and QoL.

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“…The intervention frequency of LZJ was twice a day in three studies [29][30][31], two to three a week in three studies [16,21,33],and ve to nine times a week in nine studies [17,19,[22][23][24]26,32,[36][37]. Regarding treatment duration, ten studies speci ed LZJ of three months [16][17][18]21,[23][24][27][28]33,36] while seven studies applied six months [19][20]22,[25][26]32,37]. Seventeen studies were two-armed parallel design [16][17][18][19][20][23][24][25][26][27][28][29][31][32][33][35][36]…”

Section: Description Of Studiesmentioning

confidence: 99%

The Effectiveness of Liu Zi Jue Exercise for Chronic Obstructive Pulmonary Disease (COPD): Systematic Review and Meta-analysis of Randomized Controlled Trials

Fan

Vernooij

et al. 2022

Preprint

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Background Liuzijue (LZJ), one of the traditional Chinese exercises, may influence the patients’ quality of life and pulmonary function, hence it might have beneficial effects in the treatment of chronic obstructive pulmonary disease (COPD). But evidence is still needed to evaluate LZJ’s effectiveness and potential subgroup differences. Therefore, a systematic review of relevant randomized controlled trials (RCTs) was performed to evaluate the effectiveness of LZJ on patient-important outcomes. Methods We systematically searched the Cochrane Library, Web of Science, PubMed, and Chinese databases since their inception until December 31,2021. Rigorous screening, risk of bias assessment, and data extraction have been performed in duplicate by two reviewers. A random effect model, with pre-specified subgroup analyses on type of comparisons were performed. Then we used a five-criteria list to assess the credibility of significant subgroup effects (P < 0.10). A GRADE evidence profile was established to assess the certainty of evidence. Results We included 22 eligible randomized controlled trials with 1304 patients. Compared with usual care, the standardized mean difference (SMD) on quality of life in the LZJ group is -0.67 (95%CI: [-0.96, -0.37], P < 0.0001). We found a statistical significance on FEV1% (MD = 5.75, 95%CI: [2.14,9.35], P = 0.002), FEV1 (MD = 0.26, 95%CI: [0.08,0.44], P = 0.004), and 6 minutes-walking distance(m)(MD = 38.04, 95%CI: [24.78,51.29], P < 0.00001). However, no differences were found for FVC (MD=-0.07, 95%CI: [-0.24,0.09], P = 0.38) and FEV1/FVC (MD = 6.51,95%CI: [-0.54,13.56], P = 0.07). The certainty of the evidence was low to very low because of the risk of bias, inconsistency, or indirectness. Conclusion Regularly exercising LZJ might be beneficial to the recovery of COPD based on evidence of low to very low certainty. Rigorously designed RCTs addressing patient-important outcomes with longer follow-up are still required. Trial registration: PROSPERO Registration number: CRD42021249739.

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Home-Based Prescribed Pulmonary Exercise in Patients with Stable Chronic Obstructive Pulmonary Disease

Cited by 8 publications

References 0 publications

Community lung health service design for COPD patients in China by the Breathe Well group

Community lung health service design for COPD patients in China by the Breathe Well group

Early Mental Health and Quality of Life in Discharged Patients With COVID-19

The Effectiveness of Liu Zi Jue Exercise for Chronic Obstructive Pulmonary Disease (COPD): Systematic Review and Meta-analysis of Randomized Controlled Trials

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