Respiratory Therapy Department, Faculty of Applied Medical Sciences, Jazan University, Jazan, Saudi Arabia
Department of Respiratory Care, Prince Sultan Military College of Health Sciences, Dammam, Saudi Arabia.
BMJ Open. 2022 Oct 27;12(10):e063900. doi: 10.1136/bmjopen-2022-063900.
To assess the attitude of healthcare providers (HCPs) towards the delivering of pulmonary rehabilitation (PR) to patients with chronic obstructive pulmonary disease (COPD) and identify factors and barriers that might influence referral.
A cross-sectional online survey consisting of nine multiple-choice questions.
Saudi Arabia.
980 HCPs including nurses, respiratory therapists (RT) and physiotherapists.
HCPs attitudes towards and expectations of the delivery of PR to COPD patients and the identification of factors and barriers that might influence referral in Saudi Arabia.
Overall, 980 HCPs, 53.1% of whom were men, completed the survey. Nurses accounted for 40.1% of the total sample size, and RTs and physiotherapists accounted for 32.1% and 16.5%, respectively. The majority of HCPs strongly agreed that PR would improve exercise capacity 589 (60.1%), health-related quality of life 571 (58.3%), and disease self-management in patients with COPD 589 (60.1%). Moreover, the in-hospital supervised PR programme was the preferred method of delivering PR, according to 374 (38.16%) HCPs. Around 85% of HCPs perceived information about COPD, followed by smoking cessation 787 (80.3%) as essential components of PR besides the exercise component. The most common patient-related factor that strongly influenced referral decisions was 'mobility affected by breathlessness' (64%), while the 'availability of PR centres' (61%), the 'lack of trained HCPs' (52%) and the 'lack of authority to refer patients' (44%) were the most common barriers to referral.
PR is perceived as an effective management strategy for patients with COPD. A supervised hospital-based programme is the preferred method of delivering PR, with information about COPD and smoking cessation considered essential components of PR besides the exercise component. A lack of PR centres, well-trained staff and the authority to refer patients were major barriers to referring patients with COPD. Further research is needed to confirm HCP perceptions of patient-related barriers.
评估医疗保健提供者（HCP）对慢性阻塞性肺疾病（COPD）患者实施肺康复（PR）的态度，并确定可能影响转诊的因素和障碍。
一项包含九个多项选择题的横断面在线调查。
沙特阿拉伯。
980 名 HCP，包括护士、呼吸治疗师（RT）和物理治疗师。
HCP 对 COPD 患者实施 PR 的态度和期望，以及确定可能影响沙特阿拉伯转诊的因素和障碍。
共有 980 名 HCP 完成了调查，其中 53.1%为男性。护士占总样本量的 40.1%，RT 和物理治疗师分别占 32.1%和 16.5%。大多数 HCP 强烈认为 PR 将改善运动能力 589（60.1%）、健康相关生活质量 571（58.3%）和 COPD 患者的疾病自我管理 589（60.1%）。此外，根据 374 名 HCP 的说法，医院内监督的 PR 计划是提供 PR 的首选方法。约 85%的 HCP 认为 COPD 信息，其次是戒烟 787（80.3%），除运动部分外，这些信息是 PR 的重要组成部分。强烈影响转诊决策的最常见患者相关因素是“呼吸困难影响活动能力”（64%），而“PR 中心的可用性”（61%）、“缺乏训练有素的 HCP”（52%）和“缺乏转介患者的权力”（44%）是转诊的最常见障碍。
PR 被视为 COPD 患者的有效管理策略。监督下的医院内方案是提供 PR 的首选方法，除运动部分外，COPD 信息和戒烟被认为是 PR 的重要组成部分。缺乏 PR 中心、训练有素的人员和转介患者的权力是影响 COPD 患者转诊的主要障碍。需要进一步研究以确认 HCP 对患者相关障碍的看法。
