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[Patient perspective of the importance of asthma- and COPD-specific rehabilitation components: A secondary data analysis].

作者信息

Lingner Heidrun, Schmidt Katharina, Aumann-Suslin Ines, Wittmann Michael, Schuler Michael, Schultz Konrad

机构信息

Medizinische Hochschule Hannover, Zentrum Öffentliche Gesundheitspflege, Hannover, Deutschland; Mitglied des Deutsches Zentrum für Lungenforschung (DZL), Hannover, Deutschland.

Center for Health Economics Research Hannover, Leibniz Universität Hannover, Hannover, Deutschland.

出版信息

Z Evid Fortbild Qual Gesundhwes. 2018 Sep;135-136:41-49. doi: 10.1016/j.zefq.2018.03.008. Epub 2018 Apr 26.

Abstract

Little is known about the importance that patients attribute to individual rehabilitation components (RCs) and about which factors influence the patients' perspective and the impact of this judgment on the perceived success of the rehabilitation process. To address these questions, the data of 759 patients with chronic obstructive pulmonary disease (COPD) or bronchial asthma, who were interviewed at the end of their rehabilitation about the subjective importance of various RCs, were analysed retrospectively. The patients were pooled from our previous studies "Prospektive Katamnesestudie zur Asthma-Rehabilitation" (ProKAR) and "Routinemäßiges Inspirationsmuskeltraining in der COPD-Rehabilitation" (RIMTCORE). Asthma patients and COPD patients differed in their assessments. Their evaluation was also affected by personal parameters such as sex, comorbidities, quality of life and the perceived effectiveness of the "rehabilitation as a whole". Patients considered all RCs to be essential, with minor differences. However, the patients' assessment of the importance of the RCs was in the closest possible agreement with the evidence available for the effectivity of multimodal rehabilitation. The added value of the proposed study is to generate further insight into the upcoming scientific field of personal rating of therapy components.

摘要

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