Lingner Heidrun, Schmidt Katharina, Aumann-Suslin Ines, Wittmann Michael, Schuler Michael, Schultz Konrad
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.
Z Evid Fortbild Qual Gesundhwes. 2018 Sep;135-136:41-49. doi: 10.1016/j.zefq.2018.03.008. Epub 2018 Apr 26.
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.
关于患者对各个康复组成部分(RCs)所赋予的重要性,以及哪些因素影响患者的看法,以及这种判断对康复过程中感知到的成功的影响,我们所知甚少。为了解决这些问题,我们对759例慢性阻塞性肺疾病(COPD)或支气管哮喘患者的数据进行了回顾性分析,这些患者在康复结束时接受了关于各种RCs主观重要性的访谈。这些患者来自我们之前的研究“Prospektive Katamnesestudie zur Asthma-Rehabilitation”(ProKAR)和“Routinemäßiges Inspirationsmuskeltraining in der COPD-Rehabilitation”(RIMTCORE)。哮喘患者和COPD患者的评估存在差异。他们的评估还受到个人参数的影响,如性别、合并症、生活质量以及对“整体康复”的感知效果。患者认为所有的RCs都是必不可少的,只是存在细微差异。然而,患者对RCs重要性的评估与多模式康复有效性的现有证据最为接近。本研究的附加价值在于,能进一步深入了解治疗组成部分个人评分这一新兴科学领域。