School of Rehabilitation Science, McMaster University, Hamilton, Ontario, Canada.
West Park Healthcare Centre, Respiratory Medicine, Toronto, Ontario, Canada.
COPD. 2023 Dec;20(1):71-79. doi: 10.1080/15412555.2022.2141622. Epub 2023 Jan 19.
Pulmonary rehabilitation is a cornerstone intervention for controlling respiratory symptoms in people with chronic respiratory diseases. Chronic cough affects up to 90% of people with chronic respiratory diseases, however, it is currently unknown whether chronic cough is assessed and/or managed in pulmonary rehabilitation. This study aimed to determine if and how chronic cough is assessed and managed in pulmonary rehabilitation. This was a cross-sectional study. Pulmonary rehabilitation programs in Canada were identified online websites. A representative from each program was invited to complete an online survey including the following topics: program demographics, assessment and management practices, and barriers and facilitators. Of 133 programs contacted, 31 returned a completed survey (23% response rate). Approximately half (52%) of respondents reported enrolling patients with chronic cough. Of those, 45% reported assessing and 62% reported intervening in chronic cough. Inadequate knowledge of assessment and management techniques was commonly identified to be a barrier and increased education was suggested as a possible facilitator. Based on pulmonary rehabilitation programs that responded to our survey, chronic cough is a prevalent symptom; however, it is scarcely assessed and managed. A need for structured education and the use of standardised strategies were reported as facilitators to the assessment and management of chronic cough in pulmonary rehabilitation.
肺康复是控制慢性呼吸系统疾病患者呼吸症状的基石干预措施。慢性咳嗽影响高达 90%的慢性呼吸系统疾病患者，然而，目前尚不清楚慢性咳嗽是否在肺康复中进行评估和/或管理。本研究旨在确定慢性咳嗽在肺康复中是否以及如何进行评估和管理。这是一项横断面研究。在加拿大的在线网站上确定了肺康复计划。邀请每个计划的代表完成一项在线调查，其中包括以下主题：计划人口统计学、评估和管理实践以及障碍和促进因素。在联系的 133 个计划中，有 31 个返回了完整的调查（23%的回复率）。大约一半（52%）的受访者报告招募了患有慢性咳嗽的患者。其中，45%的人报告进行了评估，62%的人报告进行了干预。普遍认为缺乏评估和管理技术的知识是一个障碍，并建议增加教育作为可能的促进因素。根据对我们调查做出回应的肺康复计划，慢性咳嗽是一种普遍存在的症状；然而，它很少被评估和管理。报告称，结构化教育和使用标准化策略是肺康复中慢性咳嗽评估和管理的促进因素。
