Evaluation of the intervention of home-based pulmonary rehabilitation in patients with chronic obstructive pulmonary disease

Abstract

Objective Chronic obstructive pulmonary disease (COPD) can be prevented and treated, although presenting with persistent airflow restriction; the airflow restriction caused by COPD is mostly progressive. In recent years, more attention has been paid to the home-based pulmonary rehabilitation (PR) and its influence on COPD. Exercise training is the basic constituent of PR. However, it is not clear which exercise trainings are the ideal ways to deliver home-based PR. Methods In this review, we focus on the effect of home-based exercise training on patients with COPD. We searched literature, which was necessarily required to be randomized controlled trails (RCTs) from the establishment of the four respective databases (Medline, PubMed, Web of Science, and China National Knowledge Infrastructure) from January 2008 to January 2018. We used the Cochrane collaborative “risk of bias” tool to assess the quality of evidence. A total of 21 trials (1694 participants) were included. Through the analysis of the literature, we find that a simple, low-cost, and low-intensity family-based lung-rehabilitation plan to adapt to the real life may lead to the improvement of the ability to exercise, the reduction of the difficulty in breathing, and the improvement of carrying out daily activities. Results In the exercise training of home-based PR, lower limb exercise (LLE) training demonstrated a more perceptible effect in improving the quality of life of patients with COPD. At the same time, the combination of LLE training, breathing training, and upper limb exercise training is more obvious than the simple LLE training. In addition, home-based low-intensity aerobic training may sometimes be no less than the outpatient or center intervention to improve dyspnea, health status, and exercise tolerance. In conclusion, the simple and easy home-based PR exercise program is useful. Long-term home-based PR may require an enhanced need for maintenance. Conclusions A simple, low-cost, and low-intensity high blood pressure response (HBPR) plan to adapt to the real life may lead to an augmentation in the ability to exercise, a reduction of the difficulty in breathing, and an improvement in carrying out day-to-day activities. HBPR strategies can benefit patients (elderly patients with COPD at home) in the long term.

The effectiveness of theory-based smoking cessation interventions in patients with chronic obstructive pulmonary disease: A meta-analysis

“…Further reading of the full text was re-screened to exclude 58 papers with the same data, outcome indicators that did not match, data that could not be translated into application, and lower quality. Ultimately, we included 11 articles [25][26][27][28][29][30][31][32][33][34][35] in our analysis, consisting of 9 Chinese-language articles [25][26][27][28][29][30][31][32][33] and 2 English-language articles [34][35]. A total of 3830 patients were included, including 1989 in the trial group and 1841 in the control group.…”

“…11 RCTs published between 2013 and 2023 were included in the meta-analysis. The studies were based on three different theories, including seven on the timing theory [25][26][27][28][29][30][31], two on the 5A nursing model [32][33], and two on the cognitive-behavioral theory [34][35]. One study on "Theory of Planned Behavior" [36] was not included in the meta-analysis because it was not an RCT.…”

“…All studies were graded B in quality. Ten studies [25][26][27][28][29][30][32][33][34][35] described the generation of randomized sequences, with seven studies [25-28, 30, 33, 35] using random number tables for grouping, one study [29] using odd-even numbering for grouping, one study [32] grouping according to patient preference, and one study [34] mentioning randomization but not specifying the method used. None of the 11 studies had any dropouts or missing data reports, and the experimental and control groups were comparable in terms of baseline levels before the intervention (P > 0.05).…”

“…Ten studies [25][26][27][28][29][30][31][33][34][35] were evaluated for smoking cessation rates. A heterogeneity test was conducted, resulting in an I 2 = 71% and P < 0.001.…”

Nursing Effect of Pulmonary Rehabilitation in Patients with Chronic Obstructive Pulmonary Disease

“…Lack of understanding of the patient's condition [2] will lead to the occurrence of pulmonary heart disease, which is detrimental. Based on this, it is clinically proposed to give the patient effective nursing care [3] . In this paper, the effect of pulmonary rehabilitation nursing in the nursing of COPD patients is studied, 30 patients were selected for the following reports.…”