Outcomes of a home-based pulmonary maintenance program for individuals with COPD: A pilot study

Abstract

This preliminary pilot study explores sustained benefits of pulmonary rehabilitation (PR) in people with chronic obstructive pulmonary disease (COPD) attending a 12 month home-based pulmonary maintenance program. The incidence of COPD is high and ageing populations will see this continue and possibly increase. PR programs are effective, however, benefits may dissipate if the program is not continued. The maintenance program involved: strength retraining exercises; collaborative goal setting; regular telephone calls; and home visits. Around half of the 29 participants remained in contact with the program for 12 months and 21 completed final or 6 month assessment. Most participants maintained: respiratory functioning; quality of life; and self-efficacy, with some showing improvements. Outcomes provide knowledge for improving patient care through a home-based strategy to maintain benefits of PR programs. Results suggest that in light of likely decline in benefits sixtwelve months after PR, the maintenance program contributed to sustained benefits for COPD individuals.

Effectiveness of nursing interventions for breathlessness in people with chronic obstructive pulmonary disease: A systematic review and meta‐analysis

“…One of the two‐one‐group pre–post studies evaluated partnership‐based nursing practice for people with COPD and found an improvement in SGRQ scores over time (MD = 3.9–20.2, p = 0.04 to <0.0001) for all the SGRQ subscores and total score (Ingadottir & Jonsdottir, ). The other one‐group pre–post study evaluated home‐based pulmonary rehabilitation and found no improvement over time in SGRQ scores (MD = −0.02 to −3.39, p = not reported) (Cooke et al., ).…”

“…The studies were conducted in Turkey (Akinci & Olgun, 2011), Australia (Cooke, Moyle, Griffiths, & Shields, 2010;Wood-Baker, Reid, Robinson, & Walters, 2012), Iceland (Ingadottir & Jonsdottir, 2010), China (Liu et al, 2013), Japan (Moriyama, Takeshita, Haruta, Hattori, & Ezenwaka, 2015), Korea (Oh, 2003) In this category, one RCT was identified (Liu et al, 2013) and two studies with a two-group pre-post design (Akinci & Olgun, 2011;Moriyama et al, 2015). These three studies used the SGRQ and included an online video-based breathing programme (Liu et al, 2013), education about COPD and performance of breathing exercises and physical training (Akinci & Olgun, 2011), or a nurse-led self-management educational programme that included an interactive workbook, learning materials and journal for self-monitoring (Moriyama et al, 2015).…”

Quality of Life in Chronic Obstructive Pulmonary Disease: An Evolutionary Concept Analysis

“…The identification of such concepts facilitates placement of the chosen concept (QoL) within its context (COPD). Alexander and Wagner, 2012;Bentsen, Wentzel-Larsen, Henriksen, Rokne, and Wahl, 2010;Bentsen, Langeland, and Holm, 2012;Bentsen, Rokne, and Wahl, 2013;Bratås, Espnes, Rannestad, and Walstad, 2012;Cooke, Moyle, Griffiths, and Shields, 2009;Gellis et al, 2012;Hutchinson et al, 2010;Ingadottir and Jonsdottir, 2010;Kil, Oh, Koo, and Suk, 2010;Janssen, Spruit, Wouters, and Schols, 2012;Jeppesen et al, 2012;Lin et al, 2012;Nguyen, Donesky-Cuenco, and Carrieri-Kohlman, 2008;Wakabayashi et al, 2011;Warwick, Gallagher, Chenoweth, and Stein-Parbury, 2010;Wong, Carson, and Smith, 2012;Wood-Baker, Reid, Robinson, and Walters, 2012;…”

“…Coping strategies Barnett, 2008;Blumenthal et al, 2009 Self-management Bentsen et al, 2012;Bischoff et al, 2012;Ingadottir and Jonsdottir, 2010;Warwick et al, 2010;Wood-Baker et al, 2012 Maintaining of physical and emotional aspects Chen, Chen, Lee, Cho, and Weng, 2008;Efraimsson et al, 2008 Exercise capacity Chan et al, 2010;Cooke et al, 2009 Positive mental attitude Cooke et al, 2009 Self-efficacy Cooke et al, 2009;Efraimsson et al, 2008;Wood-Baker et al, 2012 Disease characteristics Disease severity Ade-Oshifogun, 2012; Hrisanfow and Hägglund, 2013;van Dam van Isselt et al, 2013;Wilson et al, 2008 Symptomatology dyspnea Akinci et al, 2013;Alexander and Wagner, 2012;Bailey, 2008;Ek and Terneste...…”

Effectiveness of a Brief Self-Care Support Intervention for Pulmonary Rehabilitation Among the Elderly Patients with Chronic Obstructive Pulmonary Disease in Korea

“…Although positive effects of PR on HRQoL as well as functional capacity are widely recognized (Cooke, Moyle, Griffiths & Shields, ; Wagg, ), maintaining all these benefits from PR in patients with COPD has been challenging in the face of the incurable and progressive nature of the disease (Jenkins, Hill & Cecins, ; Wagg, ).…”