Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/28134
Title: Why do people with chronic obstructive pulmonary disease repeat pulmonary rehabilitation? Perspectives of patients and health professionals.
Austin Authors: Storey, Shannon;Erbas, Bircan;Holland, Anne E 
Affiliation: 5 Discipline of Physiotherapy, La Trobe University, Melbourne, Victoria, Australia
Institute for Breathing and Sleep
Peninsula Health, Frankston, Victoria, Australia
School of Public Health, La Trobe University, Melbourne, Victoria, Australia
Department of Physiotherapy, Alfred Health, Melbourne, Victoria, Australia
Issue Date: 2019
Publication information: Chronic Respiratory Disease 2019; 16: 1479973118816420
Abstract: Many people with chronic obstructive pulmonary disease (COPD) undertake pulmonary rehabilitation more than once. This study examined patient experiences and health professional perspectives regarding repeating pulmonary rehabilitation. Participants were 14 patients with COPD and 15 health professionals. Patients had undertaken pulmonary rehabilitation at a tertiary hospital; health professionals were doctors, physiotherapists, and nurses. Semi-structured interviews were conducted, and data were analyzed using thematic analysis. Patients described improved fitness and better breathing after repeating pulmonary rehabilitation; however, some also reported that repeating required confronting their disease progression. Improved confidence and motivation were an important outcome of repeating. Although most participants had attended community-based exercise classes, they valued the greater intensity of exercise and closer supervision that came with repeating pulmonary rehabilitation. Health professionals reported referring patients to repeat pulmonary rehabilitation if they had worsening functional capacity, an exacerbation, or hospitalization. There was no agreement regarding the optimal time for repeating and many would only re-refer if the patient demonstrated motivation to attend. In conclusion, patients with COPD reported many symptomatic benefits from repeating pulmonary rehabilitation and gained confidence from a supervised program. There was no agreement between health professionals regarding the optimal time to repeat pulmonary rehabilitation.
URI: https://ahro.austin.org.au/austinjspui/handle/1/28134
DOI: 10.1177/1479973118816420
ORCID: 0000-0003-2061-845X
Journal: Chronic Respiratory Disease
PubMed URL: 30789015
Type: Journal Article
Subjects: Pulmonary disease
chronic obstructive
qualitative study
quality of life
Appears in Collections:Journal articles

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