The functional impact of an individualized, graded, outpatient pulmonary rehabilitation in end-stage chronic obstructive pulmonary disease

Ngaage, Dumbor L.; Hasney, K.; Cowen, Micheal E.

doi:10.1016/j.hrtlng.2004.08.003

Cited by 23 publications

(25 citation statements)

References 33 publications

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“…However, due to a lack of published research in this area, further studies are needed to The effect of PR on the experience of physical activities such as mobility is supported by previous findings from both qualitative 20,22,23 and quantitative studies. 30,31 Previous qualitative studies involved only one interview post-PR, so no pre-to post-comparisons were possible. The longitudinal study presented here contributes to a greater understanding of how PR programmes affect the experience of physical activities in patients with COPD.…”

Section: Discussionmentioning

confidence: 99%

The effect of pulmonary rehabilitation on perceptions of breathlessness and activity in COPD patients: a qualitative study

Williams

Bruton

Ellis‐Hill

et al. 2009

Primary Care Respiratory Journal

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Aim: The aim of this study was to explore, using qualitative research methods, how pulmonary rehabilitation (PR) programmes affect the experience of activity and breathlessness of people with COPD.Methods: A qualitative, interview-based approach was employed. Participants were interviewed pre-and post-PR. Data were analysed using systematic strategies informed by grounded theory methods.Results: Nine participants (three female) took part. A change in participants' perception of breathlessness and lessening of fear of activity were the main themes identified. PR appeared to impact on the experience of physical social activities, allowing participants to overcome feelings of social isolation.Conclusions: Prior to PR, participants associated activities with breathlessness and panic; post PR, participants reported reduced fear and felt able to increase their activities. These findings add to our understanding of the impact of PR on individuals' experience of activity and may contribute to improved programmes by addressing patients' needs.

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Section: Discussionmentioning

confidence: 99%

The effect of pulmonary rehabilitation on perceptions of breathlessness and activity in COPD patients: a qualitative study

Williams

Bruton

Ellis‐Hill

et al. 2009

Primary Care Respiratory Journal

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“…1992). In COPD patients, pulmonary rehabilitation has been shown to improve QOL by increasing the walking distance (Ngaage et al . 2004); this may also be possible in patients with lung cancer.…”

Section: Discussionmentioning

confidence: 99%

Quality of life in lung cancer patients: impact of baseline clinical profile and respiratory status

Mohan

Singh

et al. 2007

Eur J Cancer Care

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As cure is attainable in very few cases of lung cancer, the imperative issue is to make quality of life (QOL) as good as possible as part of the palliative care package. The aim of this paper was to evaluate the baseline QOL of lung cancer patients and observe its association with various clinical parameters and overall respiratory status. A total of 101 patients were administered the European Organization for Research and Treatment of Cancer core quality of life (EORTC QLQ-C30, version 3) questionnaire. Clinical profile and measures of respiratory status, including spirometry, measures of dyspnoea, and 6-min walk test, were recorded. Higher Karnofsky Performance Status (KPS) significantly correlated with better global health status (P < 0.001) and healthy level of functioning (P < 0.001). The cumulative symptom burden was significantly associated with global QOL (P = 0.01) and physical, role and cognitive function scales (P < 0.05). All dyspnoea measures negatively correlated with global QOL and functioning scales. Spirometric indices showed a positive correlation with all functional scales (P < 0.05) except social. In conclusion, lung cancer patients have unsatisfactory QOL, with the global health status and physical functions being most affected. Number of symptoms, KPS, dyspnoea and spirometry significantly affect QOL.

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“…Age31 as well as the degree of the bronchial obstruction32,33 do not constitute contraindications to PR; neither does continuous or intermittent noninvasive ventilation. Exertional severe hypoxemia must be corrected beforehand, by oxygen therapy.…”

Section: Contraindications and Barriers To Pulmonary Rehabilitationmentioning

confidence: 99%

Pulmonary rehabilitation and COPD: providing patients a good environment for optimizing therapy

Corhay¹,

Dang²,

Cauwenberge³

et al. 2013

COPD

112

107

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Chronic obstructive pulmonary disease (COPD) is an obstructive and progressive airway disease associated with an important reduction in daily physical activity and psychological problems that contribute to the patient’s disability and poor health-related quality of life (HRQoL). Nowadays, pulmonary rehabilitation (PR) plays an essential role in the management of symptomatic patients with COPD, by breaking the vicious circle of dyspnea–decreased activity–deconditioning–isolation. Indeed the main benefits of comprehensive PR programs for patients with COPD include a decrease in symptoms (dyspnea and fatigue), improvements in exercise tolerance and HRQoL, reduction of health care utilization (particularly bed-days), as well as an increase in physical activity. Several randomized studies and meta-analyses greatly established the benefits of PR, which additionally, is recommended in a number of influential guidelines. This review aimed to highlight the impact of PR on COPD patients, focusing on the clinical usefulness of PR, which provides patients a good support for change.

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The functional impact of an individualized, graded, outpatient pulmonary rehabilitation in end-stage chronic obstructive pulmonary disease

Cited by 23 publications

References 33 publications

The effect of pulmonary rehabilitation on perceptions of breathlessness and activity in COPD patients: a qualitative study

The effect of pulmonary rehabilitation on perceptions of breathlessness and activity in COPD patients: a qualitative study

Quality of life in lung cancer patients: impact of baseline clinical profile and respiratory status

Pulmonary rehabilitation and COPD: providing patients a good environment for optimizing therapy

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