Cardiopulmonary Rehabilitation, Seton Medical Center, 1900 Sullivan Avenue, Daly City, CA 94015, USA.
Drexel University School of Medicine, Lifeline Pulmonary Rehabilitation and Therapy, Pittsburgh, PA, USA.
Clin Chest Med. 2014 Jun;35(2):423-8. doi: 10.1016/j.ccm.2014.02.014. Epub 2014 Apr 12.
Variable aspects of pulmonary rehabilitation (PR) programs include staff composition, setting, structure, and duration. Longer PR programs generally translate into greater improvements in outcomes and (perhaps) prolonged maintenance of benefits. Barriers to PR include transportation issues, inconvenience for the patient, cost and insurance coverage problems, lack of perceived benefit, concurrent illness, and influence of the provider. PR settings include inpatient and outpatient environments. PR has been shown to improve health care utilization during or immediately following chronic obstructive pulmonary disease exacerbations. Challenges to providing PR may be partially addressed by technological developments.
肺康复（PR）项目的可变方面包括工作人员组成、环境、结构和持续时间。较长的 PR 项目通常会转化为更好的结果改善，并且（可能）延长获益的维持。PR 的障碍包括交通问题、患者不便、费用和保险覆盖问题、缺乏感知益处、并发疾病以及提供者的影响。PR 环境包括住院和门诊环境。已经证明 PR 可以改善慢性阻塞性肺疾病恶化期间或之后的医疗保健利用情况。技术发展可能部分解决提供 PR 所面临的挑战。
