Yurchak Sheena, Rawlinson Amy, Schaub Jessica, Shpilkerman Yana Ilin, Makarowski Colleen, Goddard Kirsten, Bhutani Mohit, Comeau Ann-Carol
Edmonton Southside Primary Care Network, Edmonton, AB.
Health Systems Evaluation & Evidence, Alberta Health Services, Edmonton, AB.
Can J Respir Ther. 2021 Dec 23;57:161-166. doi: 10.29390/cjrt-2021-040. eCollection 2021.
Pulmonary rehabilitation (PR) is an evidence-based, nonpharmacological intervention aimed to improve quality of life for patients living with Chronic Obstructive Pulmonary Disease (COPD). Unfortunately, in Canada, most PR programs are hospital based and these are few in number; therefore, accessibility to PR programs is limited.
The Edmonton Southside Primary Care Network implemented an evidence-based PR program within the setting of the patient's medical home.
Post-program evaluation demonstrated improvement in 6-minute walk distance, lower body strength, COPD health status, and quality of life, as well as a reduction in emergency department visits 1 year after program completion.
The results conclude that delivery of a PR program in a primary care setting is effective and can help address the issue of accessibility.
肺康复（PR）是一种基于证据的非药物干预措施，旨在改善慢性阻塞性肺疾病（COPD）患者的生活质量。不幸的是，在加拿大，大多数肺康复项目都以医院为基础，而且数量很少；因此，获得肺康复项目的机会有限。
埃德蒙顿南区初级保健网络在患者的医疗之家环境中实施了一项基于证据的肺康复项目。
项目后评估显示，6分钟步行距离、下肢力量、COPD健康状况和生活质量均有所改善，并且在项目完成1年后急诊就诊次数有所减少。
结果表明，在初级保健环境中开展肺康复项目是有效的，并且有助于解决可及性问题。
