Additional Evidence for the Long-Term Benefits of Pulmonary Rehabilitation.

BACKGROUND: Pulmonary rehabilitation programs document outcomes to prepare for program certification, to demonstrate the value of the program to upper management, and to provide feedback to pulmonary rehabilitation staff regarding the efficacy of the program. The overall goal of this study was to ev...

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Publicado en:Respiratory Care Vol. 60; no. 8; pp. 1120 - 1130
Autores principales: Donesky, DorAnne, Citron, Tracie L., Hilling, Lana, Cayou, Cindy, Milic, Michelle M.
Formato: research tables/charts Journal Article
Publicado: Mary Ann Liebert, Inc. Aug2015
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Mary Ann Liebert, Inc.
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        atl: Additional Evidence for the Long-Term Benefits of Pulmonary Rehabilitation.
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        au:
          Donesky, DorAnne
          Citron, Tracie L.
          Hilling, Lana
          Cayou, Cindy
          Milic, Michelle M.
        affil: Department of Physiological Nursing, University of California, San Francisco, California
      sug:
        subj:
          Lung Diseases Rehabilitation
          Pulmonary Disease, Chronic Obstructive Rehabilitation
          Rehabilitation, Pulmonary
          Outcomes (Health Care)
          Program Evaluation Methods
          Patient Compliance
          Health Resource Utilization
          Exercise
          After Care
          Human
          Prospective Studies
          Descriptive Research
          California
          Questionnaires
          Funding Source
          Descriptive Statistics
          Data Analysis Software
          T-Tests
          Chi Square Test
          Middle Age
          Aged
          Aged, 80 and Over
          Female
          Male
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Female
          Male
      ab: BACKGROUND: Pulmonary rehabilitation programs document outcomes to prepare for program certification, to demonstrate the value of the program to upper management, and to provide feedback to pulmonary rehabilitation staff regarding the efficacy of the program. The overall goal of this study was to evaluate the feasibility of using non-research-generated clinical data to report long-term outcomes following a pulmonary rehabilitation program. METHODS: Using a longitudinal descriptive design, all subjects who completed pulmonary rehabilitation at one communitybased pulmonary rehabilitation program in the San Francisco Bay Area were asked to complete a 6-month and subsequent yearly questionnaires. Adherence to pulmonary rehabilitation techniques was described for 7 y following pulmonary rehabilitation participation, health-care utilization from 1 y before pulmonary rehabilitation was compared with subsequent years, and health-care utilization was compared between those who participated in ongoing regular exercise after pulmonary rehabilitation and those who did not exercise. RESULTS: More than 70% of subjects who completed the questionnaire reported adherence to pulmonary rehabilitation techniques, including exercise for at least 7 y following pulmonary rehabilitation. Health-care utilization declined after pulmonary rehabilitation. Subjects who did not exercise regularly required significantly more health care than those who exercised regularly (P < .05). CONCLUSIONS: This study demonstrated the ability of one pulmonary rehabilitation program to accurately monitor extended longterm follow-up after pulmonary rehabilitation. Implementing this long-term monitoring methodology consistently in pulmonary rehabilitation programs could contribute to evaluation of the comparative effectiveness of various treatment options.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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