van Dam van Isselt Eléonore F, Spruit Monica, Groenewegen-Sipkema Karin H, Chavannes Niels H, Achterberg Wilco P
1Department of Public Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands.
Chron Respir Dis. 2014 May;11(2):111-9. doi: 10.1177/1479972314529674.
In view of the worldwide aging population, disease-specific geriatric rehabilitation (GR) programs are needed. Therefore, we developed and implemented a postacute GR program for patients with advanced chronic obstructive pulmonary disease (COPD) (the GR-COPD program). The aim of this study is to investigate the feasibility of the GR-COPD program and to present clinical data on patient characteristics and course of functional capacity and health status. This is a naturalistic prospective cohort study of patients with advanced COPD. A total of 61 patients entered the GR-COPD program and were eligible to participate in this study. All patients suffered from advanced COPD, and comorbidities were frequent. On admission, functional capacity and health status were severely limited but showed significant and clinically relevant improvement during the GR-COPD program. Patients with advanced COPD admitted to hospital for an acute exacerbation suffer from severely impaired functional capacity and poor health status. Development and implementation of a postacute GR program for these patients are feasible and likely to offer substantial improvements. Further research is essential and should focus on designing a controlled intervention trial to investigate the efficacy of the program.
鉴于全球人口老龄化，需要针对特定疾病的老年康复（GR）项目。因此，我们为晚期慢性阻塞性肺疾病（COPD）患者开发并实施了一个急性后期GR项目（GR-COPD项目）。本研究的目的是调查GR-COPD项目的可行性，并提供有关患者特征以及功能能力和健康状况变化过程的临床数据。这是一项针对晚期COPD患者的自然前瞻性队列研究。共有61名患者进入GR-COPD项目并符合本研究的参与条件。所有患者均患有晚期COPD，且合并症常见。入院时，患者的功能能力和健康状况严重受限，但在GR-COPD项目期间有显著且具有临床意义的改善。因急性加重而住院的晚期COPD患者功能能力严重受损，健康状况不佳。为这些患者开发和实施急性后期GR项目是可行的，并且可能带来实质性改善。进一步的研究至关重要，应侧重于设计一项对照干预试验来研究该项目的疗效。
