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http://dx.doi.org/10.14474/ptrs.2020.9.2.82

Effects of and barriers to hospital-based pulmonary rehabilitation in patients with chronic obstructive pulmonary disease  

Kim, Sang Hun (Department of Rehabilitation Medicine, Biomedical Research Institute, Pusan National University Hospital)
Jeong, Jong Hwa (Department of Physical Therapy, Rehabilitation Medicine, Pusan National University Hospital)
Lee, Byeong Ju (Department of Rehabilitation Medicine, Biomedical Research Institute, Pusan National University Hospital)
Shin, Myung-Jun (Department of Rehabilitation Medicine, Biomedical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine)
Shin, Yong Beom (Department of Rehabilitation Medicine, Biomedical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine)
Publication Information
Physical Therapy Rehabilitation Science / v.9, no.2, 2020 , pp. 82-89 More about this Journal
Abstract
Objective: The purpose of this study was to assess the effect of hospital-based pulmonary rehabilitation (PR) on exercise capacity and quality of life as well as barriers to participation in persons with chronic obstructive pulmonary disease (COPD) in South Korea. Design: One-group pretest-posttest design. Methods: A total of 14 patients were enrolled in this study in an 8-week PR program with two 60-minute sessions per week. The program included: flexibility exercises, breathing techniques, strengthening exercises, and aerobic exercises. The outcomes were defined as changes in the variables before and after the PR program. A change in the 6-minute walk distance (6MWD) was defined as the primary outcome, and changes in pulmonary function test, respiratory and grip strength, and the St. George's Respiratory Questionnaire (SGRQ) about quality-of-life results were secondary outcomes. A dropout was defined as missing >3 of the 16 sessions. Results: Patients who completed the program showed a significant improvement of 43.57±39.43 m in the 6MWD (p<0.05), but no significant differences were noted for the other function tests. The SGRQ showed a significant improvement in the activity and total score (p<0.05). The total dropout rate was 53.3%. Newly developed symptoms, exacerbation of COPD, transport problems, and lack of motivation were major barriers to PR. Conclusions: Our study showed that an 8-week hospital-based PR program improved exercise capacity and quality of life but had a high dropout rate in individuals with COPD. Since comprehensive PR has only recently been established in South Korea, patient motivation and education are critical.
Keywords
Exercise; Lung Diseases; Obstructive; Quality of life; Rehabilitation;
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