From Breathlessness to Better Living: Transforming COPD Care with Home-based Pulmonary Rehabilitation.

IF 1.4 Q2 MEDICINE, GENERAL & INTERNAL
Abins Thozhuthinkal Kasim, Ravi Gaur, Nitesh Manohar Gonnade, Nagma Sheenam, Chinchu Kolakkanni, Sarankumar Ganesan, Adharshna Thangamalai Kannan
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引用次数: 0

Abstract

Background: Chronic respiratory diseases, such as chronic obstructive pulmonary disease (COPD), significantly impact patients' quality of life by limiting physical function, mobility, and overall well-being. Pulmonary rehabilitation (PR), particularly home-based programs, has emerged as a vital non-pharmacological intervention to address these limitations. However, comprehensive assessments of the impact of home-based PR on both lung function and disability in COPD patients remain limited.

Objective: This study aimed to evaluate the effectiveness of a 12-week home-based PR program on pulmonary function and disability in COPD patients, using pulmonary function tests (PFTs) and the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) to assess outcomes across multiple domains.

Methods: A prospective, single-arm pre-post interventional study was conducted among 62 COPD patients at All India Institute of Medical Sciences, Jodhpur. Participants completed a 12-week home-based PR program, which included endurance exercises, breathing techniques, and self-management education. Pulmonary function tests were conducted, and disability levels were assessed using WHODAS 2.0 at baseline and after completing the program.

Results: Improvements were observed in pulmonary function, with forced vital capacity (FVC), and forced expiratory volume in one second (FEV1), showing substantial increases (FVC: 2.50±0.43 L to 2.85±0.59 L; FEV1: 1.53±0.33 L to 1.63±0.34 L; P<0.001). The WHODAS 2.0 scores demonstrated notable reductions in disability, particularly in the life activities and participation domains (P<0.001). Cognitive and self-care scores remained stable, while improvements in mobility were observed but not significant. Regression analysis revealed a strong negative correlation between increases in FVC and reductions in WHODAS 2.0 total scores (r=-0.65), highlighting FVC as a key predictor of disability reduction.

Conclusion: The 12-week home-based PR program improved lung function and reduced disability in COPD patients. These findings support the role of home-based PR as a viable, patient-centered alternative to traditional rehabilitation, addressing both physical and social dimensions of health. Future research should focus on long-term outcomes, the potential for broader implementation, and expanding access to underserved populations.

从呼吸困难到更好的生活:以家庭为基础的肺部康复改造COPD护理。
背景:慢性呼吸系统疾病,如慢性阻塞性肺疾病(COPD),通过限制身体功能、活动能力和整体健康显著影响患者的生活质量。肺康复(PR),特别是以家庭为基础的项目,已经成为解决这些局限性的重要的非药物干预手段。然而,基于家庭的PR对COPD患者肺功能和残疾影响的综合评估仍然有限。目的:本研究旨在评估为期12周的基于家庭的PR项目对COPD患者肺功能和残疾的有效性,使用肺功能测试(PFTs)和世界卫生组织残疾评估表2.0 (WHODAS 2.0)来评估多个领域的结果。方法:在焦特布尔全印度医学科学研究所对62名COPD患者进行了一项前瞻性单臂介入前后研究。参与者完成了一个为期12周的家庭公关项目,其中包括耐力练习、呼吸技巧和自我管理教育。进行肺功能测试,并在基线和完成项目后使用WHODAS 2.0评估残疾水平。结果:肺功能、用力肺活量(FVC)、用力呼气量(FEV1)均有明显改善(FVC由2.50±0.43 L增至2.85±0.59 L;FEV1: 1.53±0.33 L ~ 1.63±0.34 L;结论:为期12周的家庭PR项目改善了COPD患者的肺功能并减少了残疾。这些发现支持以家庭为基础的PR作为一种可行的、以患者为中心的传统康复替代方案的作用,解决了健康的生理和社会层面。未来的研究应侧重于长期结果、更广泛实施的潜力以及扩大服务不足人群的可及性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Rambam Maimonides Medical Journal
Rambam Maimonides Medical Journal MEDICINE, GENERAL & INTERNAL-
CiteScore
3.20
自引率
6.70%
发文量
55
审稿时长
8 weeks
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