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社区维持项目对肺康复后的患者体验。

Participant experiences of a community-based maintenance program post-pulmonary rehabilitation.

机构信息

1Graduate Department of Rehabilitation Science, Faculty of Medicine, University of Toronto, Toronto, ON, Canada.

出版信息

Chron Respir Dis. 2014 Feb;11(1):23-30. doi: 10.1177/1479972313516880.

Abstract

The aim of the present study was to describe the perspectives of individuals with chronic obstructive pulmonary disease (COPD) who participated in a minimally supervised maintenance exercise intervention and identify the barriers and facilitators associated with participation. The intervention was delivered in a community center and was designed to maintain exercise capacity and quality of life following discharge from pulmonary rehabilitation. This study utilized qualitative focus groups (FGs) involving individuals with COPD (n = 12) who had been attending the maintenance community program for at least 6 months. All individuals who met the inclusion criteria for the FGs consented to participate. Four themes were identified: (1) issues around attendance; (2) perceived benefits of the program; (3) perceived burdens of the program; and (4) recommendations for program improvement. Participants expressed more benefits than barriers, stating that their experience of improved function and quality of life facilitated their attendance. Barriers included exacerbations, fatigue, access to transportation, and weather. Participants endorsed the benefits of a community-based maintenance exercise program after pulmonary rehabilitation. Minimally supervised community-based programs with access to a case manager may provide a useful approach to enhancing adherence to exercise.

摘要

本研究旨在描述参加最小监督维持性运动干预的慢性阻塞性肺疾病(COPD)患者的观点,并确定与参与相关的障碍和促进因素。该干预措施在社区中心进行,旨在在从肺康复出院后维持运动能力和生活质量。本研究使用了包含 COPD 患者(n = 12)的定性焦点小组(FGs),这些患者至少参加了 6 个月的维持性社区项目。所有符合 FGs 纳入标准的人都同意参加。确定了四个主题:(1)出勤问题;(2)对该计划的认知益处;(3)该计划的认知负担;(4)计划改进建议。参与者表示益处多于障碍,他们表示功能和生活质量的改善使他们能够参加。障碍包括恶化、疲劳、交通设施和天气。参与者认可了肺康复后基于社区的维持性运动计划的好处。有病例管理员参与的最小监督的基于社区的项目可能是提高对运动的依从性的有效方法。

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