Bradley Gemma, Rooney Leigh, Whitehead Phillip J
Department of Social Work, Education and Community Wellbeing, Northumbria University, Newcastle Upon Tyne, UK.
Population Health Sciences Institute, Newcastle University, Newcastle Upon Tyne, UK.
Br J Occup Ther. 2022 Dec;85(12):984-992. doi: 10.1177/03080226221103155. Epub 2022 Jun 2.
Pulmonary rehabilitation (PR) is an intervention for people with chronic respiratory conditions. There are questions about which components are important to its success, including the nature of occupational therapy involvement. The aim of this research was to explore the experiences of people who had attended an occupational therapy-led PR programme in the United Kingdom to determine the most important components.
Semi-structured telephone interviews were conducted with service users who had experience of a community-based PR programme. Interviews were transcribed verbatim. Data were analysed using the framework analysis method with three researchers contributing to the analysis.
Nine people took part in the interviews, with a mean age of 72 years. Four themes were identified which were organised around the concepts of Doing, Being, Becoming Belonging. These were 'Doing exercise and physical activity', 'being breathless', 'belonging as an individual within the group' and 'becoming a person who lives with Chronic Obstructive Pulmonary Disease'.
Doing physical activity, whilst coping with being breathless and belonging as an individual within a group can positively influence experiences and perceived outcomes during and after PR. These dimensions have the potential to shape occupation-focussed PR programmes and the occupational therapy contribution in this area of practice.
肺康复（PR）是针对慢性呼吸道疾病患者的一种干预措施。关于其成功的重要组成部分存在一些问题，包括职业治疗参与的性质。本研究的目的是探索在英国参加过以职业治疗为主导的PR项目的人们的经历，以确定最重要的组成部分。
对有社区PR项目经验的服务使用者进行了半结构化电话访谈。访谈逐字记录。数据采用框架分析法进行分析，三名研究人员参与了分析。
九人参与了访谈，平均年龄72岁。确定了四个主题，这些主题围绕“做”“存在”“成为”“归属”的概念展开。它们分别是“进行锻炼和体育活动”“呼吸急促”“作为个体在群体中归属”以及“成为一名慢性阻塞性肺疾病患者”。
在应对呼吸急促以及作为个体在群体中归属的同时进行体育活动，能够对PR期间及之后的体验和感知结果产生积极影响。这些方面有可能塑造以职业为重点的PR项目以及该实践领域中的职业治疗贡献。
