Pulmonary Rehabilitation Coordinator, Respiratory Services, Counties Manukau Health, Auckland.
Senior Lecturer, School of Clinical Sciences, Auckland University of Technology, Auckland.
N Z Med J. 2022 Feb 25;135(1550):13-25.
The primary aim of this survey was to develop an understanding of current pulmonary rehabilitation practices in New Zealand. The onset of a COVID-19 lockdown in New Zealand in March 2020, shortly after completion of the initial survey, enabled a follow-up survey to determine how services had adapted in response to the global pandemic.
A cross-sectional observational design using two sequential purpose designed online surveys administered before (Survey 1) and after COVID-19 lockdowns (Survey 2) in New Zealand.
Survey 1 was completed by 36 PR services across New Zealand and showed homogeneity in the content and structure of services provided. PR was primarily funded by district health boards, run by a multi-disciplinary team of health professionals and included participants with a range of chronic respiratory conditions. All programmes completed pre- and post-PR assessments, were a minimum of eight weeks in duration and included exercise and education. Survey 2 showed that, during level 4 and level 3 COVID-19 restrictions, 11 (40.7%) of services paused PR programmes, with 16 (59%) adapting the service to provide home-based rehabilitation via telephone or teleconference facilities.
PR programmes in New Zealand report following Australian and New Zealand PR best practice guidelines and are homogenous in content and structure, but COVID-19 restrictions highlighted the need for services to provide more diverse options for service delivery. Future service development should focus on providing a range of delivery options allowing increased access to PR, tailoring therapy to meet individual needs and ensuring services are engaging for all participants to optimise participation.
本调查的主要目的是了解新西兰目前的肺康复实践情况。2020 年 3 月，新西兰在完成初始调查后不久就出现了 COVID-19 封锁，这使得我们能够进行后续调查，以确定服务在应对全球大流行时是如何调整的。
采用横断面观察设计，在新西兰进行了两次前后顺序的、目的明确的在线调查。
第一次调查有 36 个 PR 服务参与，展示了服务提供内容和结构的同质性。PR 主要由地区卫生委员会资助，由多学科的健康专业人员团队运营，包括患有各种慢性呼吸道疾病的参与者。所有计划都完成了 PR 前后评估，持续时间至少为 8 周，包括运动和教育。第二次调查显示，在 4 级和 3 级 COVID-19 限制期间，有 11 个（40.7%）服务暂停了 PR 计划，有 16 个（59%）调整了服务，通过电话或远程会议设施提供家庭康复。
新西兰的 PR 计划遵循澳大利亚和新西兰 PR 最佳实践指南，在内容和结构上具有同质性，但 COVID-19 限制突出表明，服务需要提供更多的服务提供选择。未来的服务发展应侧重于提供多种交付选择，增加对 PR 的获取，定制治疗以满足个人需求，并确保服务对所有参与者都具有吸引力，以优化参与度。
