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一项探索印度浦那参与和开展肺康复的主要利益相关者的需求、偏好和挑战的调查。

A survey exploring the needs, preferences, and challenges of the key stakeholders for participating in and developing pulmonary rehabilitation in Pune, India.

机构信息

Clinical Research Department, Symbiosis University Hospitals and Research Centre, Symbiosis Medical College for Women, Symbiosis International (Deemed) University, Pune, India.

Department of Respiratory Sciences, University of Leicester, Leicester, UK.

出版信息

Chron Respir Dis. 2024 Jan-Dec;21:14799731241267305. doi: 10.1177/14799731241267305.

DOI:10.1177/14799731241267305
PMID:39075037
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11289815/
Abstract

Considering a huge burden of chronic respiratory diseases (CRDs) in India, there is a need for locally relevant Pulmonary rehabilitation (PR) services. This cross-sectional survey was aimed to explore the interest, needs and challenges among various stakeholders for PR in Pune city, India. At the outpatient respiratory medicine department of a multi-speciality hospital in Pune, India, 403 eligible people with CRDs were invited to participate in the survey, of which 370 (92%) responded and agreed to participate. (220 males, mean ± SD age 56 ± 15 years). Out of the 370, 323 (87%) people with CRDs were keen to attend PR. In a multiple selection question, there was inclination towards paper-based manuals home-based (70%) and web-based (84%) programs. 207 healthcare providers (HCPs), including physicians, pulmonologists and physiotherapists involved in the care of people living with CRDs across Pune city were invited to participate in the survey. Out of the 207, (80%) of the HCPs believed that PR was an effective management strategy and highlighted the lack of information on PR and need for better understanding of PR (48%) and its referral process. The surveyed stakeholders are ready to take up PR, identifying specific needs around further knowledge of PR, modes of delivery, and referral processes, that could potentially feed the development of relevant PR programs in the Indian healthcare settings.

摘要

考虑到印度慢性呼吸系统疾病(CRD)的巨大负担,印度需要提供具有地方相关性的肺康复(PR)服务。这项横断面调查旨在探讨印度浦那市各利益相关者对 PR 的兴趣、需求和挑战。在浦那市一家多专科医院的门诊呼吸医学科,邀请了 403 名符合条件的 CRD 患者参加调查,其中 370 名(92%)人回应并同意参加。(220 名男性,平均年龄 ± 标准差为 56 ± 15 岁)。在这 370 名患者中,323 名(87%)CRD 患者有兴趣参加 PR。在多项选择问题中,人们倾向于选择基于纸质的手册、家庭为基础(70%)和基于网络的(84%)项目。邀请了参与 CRD 患者护理的 207 名医疗保健提供者(HCP),包括医生、肺科医生和物理治疗师,参与调查。在这 207 名 HCP 中,有 80%的人认为 PR 是一种有效的管理策略,并强调缺乏 PR 信息以及对 PR 及其转诊流程的更好理解的需求(48%)。参与调查的利益相关者已准备好开展 PR,确定了对 PR 进一步了解、交付模式和转诊流程的具体需求,这些需求有可能为印度医疗保健环境中相关 PR 项目的发展提供信息。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3e2/11289815/7950ebd922fe/10.1177_14799731241267305-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3e2/11289815/8a21f5adf9a1/10.1177_14799731241267305-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3e2/11289815/dd6ea8f7280c/10.1177_14799731241267305-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3e2/11289815/39ad3c18eaa7/10.1177_14799731241267305-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3e2/11289815/79ea1214196e/10.1177_14799731241267305-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3e2/11289815/7950ebd922fe/10.1177_14799731241267305-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3e2/11289815/8a21f5adf9a1/10.1177_14799731241267305-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3e2/11289815/dd6ea8f7280c/10.1177_14799731241267305-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3e2/11289815/39ad3c18eaa7/10.1177_14799731241267305-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3e2/11289815/79ea1214196e/10.1177_14799731241267305-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3e2/11289815/7950ebd922fe/10.1177_14799731241267305-fig5.jpg

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本文引用的文献

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A pulmonary rehabilitation program reduces hospitalizations in chronic obstructive pulmonary disease patients: A cost-effectiveness study.一项肺康复计划可减少慢性阻塞性肺疾病患者的住院次数:一项成本效益研究。
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Healthcare (Basel). 2022 Sep 17;10(9):1795. doi: 10.3390/healthcare10091795.
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Identifying Appropriate Delivery of and Referral to Pulmonary Rehabilitation in Uganda: A Survey Study of People Living with Chronic Respiratory Disease and Health Care Workers.确定乌干达肺部康复的适当提供方式及转诊情况:一项针对慢性呼吸道疾病患者和医护人员的调查研究
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