Effect of Home-based Pulmonary Rehabilitation on Daily Activity of Patients with Chronic Obstructive Pulmonary Disease

Document Type : Original Quantitative and Qualitative Research Paper

Authors

1 Instructor of Operating Room ,Department of Operating Room, School of Paramedical, Bushehr University of Medical Sciences, Bushehr, Iran

2 Associate Professor of Rehabilitation&Gerontological Nursing, Department of Gerontology & Nursing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran

3 Associate Professor of Nursing, Department of Nursing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran

4 Instructor of Midwifery, Department of Midwifery , School of Nursing and Midwifery, Bushehr University of Medical Sciences, Bushehr, Iran

5 Associate Professor of Internal, School of Medicine. Nursing and Respiratory Health Management Research Center, NRITDL, Masih Daneshvari Hospital, Shahid Beheshti University of Medical Sciences, Tehran ,Iran

Abstract

Background: Pulmonary rehabilitation is an important part of treatment in patients with COPD (Chronic Obstructive Pulmonary Disease) with the goal of achieving and maintaining maximum functional independence since this disease causes symptoms including fatigue, and consequently decrease in daily living activity.
Aim: To determine the effect of home-based pulmonary rehabilitation on daily living activity among patients with COPD.
Methods: This quasi-experimental pretest-posttest study was conducted on 40 patients with COPD who had been admitted to Masih Daneshvari hospital of Tehran in 1389 and were selected with randomized blocking method in two intervention and control groups. For each participant in the intervention group, 3 one-hour, personal, face to face sessions with the content of theoretical teaching and practical training (training exercises including walking, lip bud breathing and practicing it) was carried out and was continued at home for 7 weeks after discharge.The research instrument was standard demographic Barthel Index. Data were analyzed by SPSS version 11.5 using descriptive and inferential statistics (t-test, chi-square test, and ANOVA).
Results: The mean age of the participants was 63.5±11.5 and 58.3%were male. Average score of daily living activities before the intervention was 87.2± 7.5 and 80.5± 16.1 in controls (p=0.12). After the intervention, the intervention group had a mean score of daily living activities of 95.5± 4.5 and the control group had 80.8±11 (P<0.001).
Conclusion: The home-based pulmonary rehabilitation program can be an effective step to improve daily living activities in patients with COPD, maximize their independence, and reduce complications in these patients.

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References

  1. Mohammadi F, Jowkar Z, Khankeh HR, Tafti SF. Effect of Home-based Nursing Pulmonary Rehabilitation on Patients with Chronic Obstructive Pulmonary. Br J Community Nurs. 2013; 18(8):398-403
  2. Jokar Z, Mohammadi F, khankeh HR, Tafti SF. Effect of Home-based Pulmonary Rehabilitation on Fatigue in Patients with COPD. Hayat 2012; 18(5):64-72) Persian (
  3. Zakeri Moghadam M, Shaban M, Kazem Nejad A, Tavassoli Kh.  The Effect of Breathing Exercises on Fatigue Level of COPD Patients. Hayat. 2006; 12(3):17-25. )Persian(
  4. Tajvidi M, Mandana A, Parsainiya A, Babai Gh. Effect of Teaching Guide on Nutrition Spirometric Parameters in Patients with COPD. Research Nursing. 2009; 15(4):59-23. )Persian(
  5. Thomas MJ, Simpson J, Riley R, Grant. The Impact of Home-based Physiotherapy Interventions on Breathlessness during Activities of Daily Living in Severe COPD: A Systematic Review. Physiotherapy. 2010; 96(2): 108-19.
  6. Holland A. Breathing Retraining for Individuals with Chronic Obstructive Pulmonary Disease – No Role for Clinicians. Chron Respir Dis. 2009; 6(1):45-6.
  7. Kasper DL, Braunwald E, Hauser S, Longo D, Jameson JL, Fauci AS. Harrison’s principles of internal medicine. McGraw-Hill; 2005. P. 1547- 51.
  8. Pitta F, Troosters T, Probst V S, Langer D, Decramer M, Gosselink R. Are Pationts With COPD More Active After Pulmonary Rehabilitation? CHEST. 2008; 134(2);273-80.
  9. Holland A. Breathing Retraining for Individuals with Chronic Obstructive Pulmonary Disease – No Role for Clinicians. Chron Respir Dis. 2009; 6(1):.43-4.
  10. Toms J, Harrison K. Living with Chronic Lung Disease and the Effect of Pulmonary Rehabilitation: Patients’ Perspectives. Physiotherapy. 2002; 88(10):605-19.
  11. Sewell L. Sally j. Singh, Johanna E.A. et al. Can Individualized Rehabilitation Improve Functional Independece in Elderly Patients With COPD? CHEST. 2005; 128(3):1194-1200.
  12. National Guideline Clearinghouse (NGC). Guideline Synthesis. Available at: http://www.guideline.gov/content.aspx?id=43794, 2009.
  13. Abdolvahhab M, Bagheri H, Movahediyan M, Oliyai Gh, Jalili M, Baghestani AR, Effects of Treatment on Activites of Daily Living Limitations of Adult Hemiplegic Patients. Journal of Modern Rehabilitation. 2009; 3(1, 2): 28-32. )Persian(
  14. Research Assistant Department of Statistic. Available at: http://www.salamatnews.com/. 2009
  15. Azimi R, Mohammadi F, Hoseini MA, Farzi M. The Effect of Home-based Stroke Rehabilitation on Quality of Life of Stroke Survivors and Their Family Caregiver’s Strain.Evidence Based Care. 2013; 3(6): 77-85. (Persian)
  16. Ashworth NL, Chad KE, Harrison EL, Reeder BA, Marshall SC. Home versus Center Based Physical Activity Programs in Older Adults. Cochrane Database Syst Rev 2009; 25(1):CD004017.
  17. Oh GE .The Effects of Home-based Pulmonary Rehabilitation in Patients with Chronic Lung Disease. Int J Nurs Stud. 2003; 40(8):873-9.
  18. Norman IJ, Redfem SJ, editors. Mental Health Care for Elderly People. New York: Churchill Livingstone; 2008
  19. Mohammadi SH.F. Theoretical Bases of Rehabilitation Nursing.Tehran: Social Welfare& Rehabilitation Science. 1390.
  20. Memarian R, Mohammadi E, Mirbagheri N. The Effect of Planning Regular Walking As Rehabilitation in Chronic Obstructive Pulmonary Patient, s Clinical Status. Journal of Rehabilitation. 2009; 10(2): 27-32. )Persian(
  21. Katz PP. Measures of Adult General Functional Status: the Barthel Index, Katz Index of Activities of Daily Living Health Assessment Questionnaire(HAQ), MACTAR Patient Preference Disability Questionnaire and Modified Health Assessment Questionnaire (MHAQ), Arthritis care Res. 2003; 49(5): 15-27.
Evidence Based Care
Volume 4, Issue 4 - Serial Number 4
January 2015
Pages 69-76

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