Case Study: Improving a Pulmonary Rehabilitation Programme – A Co-produced Approach

2020 ◽  
pp. 69-79
Author(s):  
Sharon J. Williams ◽  
Lynne Caley
Keyword(s):  
Pulmonary Rehabilitation ◽  
Rehabilitation Programme ◽  
Pulmonary Rehabilitation Programme

scholarly journals Experience-based co-design to improve a pulmonary rehabilitation programme

2019 ◽  
Vol 32 (5) ◽  
pp. 778-787 ◽  
Author(s):  
Sharon Williams ◽  
Alice M. Turner ◽  
Helen Beadle
Keyword(s):  
Focus Groups ◽  
Pulmonary Rehabilitation ◽  
Design Methodology ◽  
Qualitative Case Study ◽  
Rehabilitation Programme ◽  
Patient Perspectives ◽  
Content Type ◽  
Pulmonary Rehabilitation Programme ◽  
Practical Implications

Purpose The purpose of this paper is to investigate patient perspectives on attending pulmonary rehabilitation (PR). This qualitative case study identifies the benefits and challenges to attending PR and presents areas of improvements as recommended by patients. Design/methodology/approach A qualitative case study of a UK case study based on a PR programme based on undertaking focus groups (n=3) and interviews (n=15) with current and former patients. Findings The findings report patient perspectives of the challenges and benefits of attending a PR programme along with recommendations on how the service could be improved. Research limitations/implications The authors focussed solely on a UK PR programme, so the findings might not be applicable to other countries if PR is organised and provided in a unique way or setting. Practical implications This paper provides valuable insights to patient perspectives offrom patients attending PR programmes, which are useful to those running and designing these services. Originality/value The findings identify the benefits and challenges for patients attending PR programmes and suggest areas where improvements can be made.

scholarly journals Effects of a Rehabilitation Programme Using a Nasal Inspiratory Restriction Device in COPD

2021 ◽  
Vol 18 (8) ◽  
pp. 4207
Author(s):  
Jose L. Gonzalez-Montesinos ◽  
Jorge R. Fernandez-Santos ◽  
Carmen Vaz-Pardal ◽  
Jesus G. Ponce-Gonzalez ◽  
Alberto Marin-Galindo ◽  
...  
Keyword(s):  
Pulmonary Rehabilitation ◽  
Rehabilitation Programme ◽  
Group Differences ◽  
Control Group ◽  
Chronic Obstructive ◽  
Maximum Value ◽  
Copd Patients ◽  
Significant Difference ◽  
Pulmonary Rehabilitation Programme ◽  
Positive Increment

Chronic obstructive pulmonary disease (COPD) patients are characterised for presenting dyspnea, which reduces their physical capacity and tolerance to physical exercise. The aim of this study was to analyse the effects of adding a Feel-Breathe (FB) device for inspiratory muscle training (IMT) to an 8-week pulmonary rehabilitation programme. Twenty patients were randomised into three groups: breathing with FB (FBG), oronasal breathing without FB (ONBG) and control group (CG). FBG and ONBG carried out the same training programme with resistance, strength and respiratory exercises for 8 weeks. CG did not perform any pulmonary rehabilitation programme. Regarding intra group differences in the value obtained in the post-training test at the time when the maximum value in the pre-training test was obtained (PostPRE), FBG obtained lower values in oxygen consumption (VO2, mean = −435.6 mL/min, Bayes Factor (BF10) > 100), minute ventilation (VE, −8.5 L/min, BF10 = 25), respiratory rate (RR, −3.3 breaths/min, BF10 = 2), heart rate (HR, −13.7 beats/min, BF10 > 100) and carbon dioxide production (VCO2, −183.0 L/min, BF10 = 50), and a greater value in expiratory time (Tex, 0.22 s, BF10 = 12.5). At the maximum value recorded in the post-training test (PostFINAL), FBG showed higher values in the total time of the test (Tt, 4.3 min, BF10 = 50) and respiratory exchange rate (RER, 0.05, BF10 = 1.3). Regarding inter group differences at PrePOST, FBG obtained a greater negative increment than ONBG in the ventilatory equivalent of CO2 (EqCO2, −3.8 L/min, BF10 = 1.1) and compared to CG in VE (−8.3 L/min, BF10 = 3.6), VCO2 (−215.9 L/min, BF10 = 3.0), EqCO2 (−3.7 L/min, BF10 = 1.1) and HR (−12.9 beats/min, BF10 = 3.4). FBG also showed a greater PrePOST positive increment in Tex (0.21 s, BF10 = 1.4) with respect to CG. At PreFINAL, FBG presented a greater positive increment compared to CG in Tt (4.4 min, BF10 = 3.2) and negative in VE/VCO2 intercept (−4.7, BF10 = 1.1). The use of FB added to a pulmonary rehabilitation programme in COPD patients could improve tolerance in the incremental exercise test and energy efficiency. However, there is only a statically significant difference between FBG and ONBG in EqCO2. Therefore, more studies are necessary to reach a definitive conclusion about including FB in a pulmonary rehabilitation programme.

Does body mass index influence the outcomes of a Waking-based pulmonary rehabilitation programme in COPD?

2012 ◽  
Vol 9 (2) ◽  
pp. 99-106 ◽  
Author(s):  
Neil J Greening ◽  
Rachael A Evans ◽  
Johanna EA Williams ◽  
Ruth H Green ◽  
Sally J Singh ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Pulmonary Rehabilitation ◽  
Rehabilitation Programme ◽  
Pulmonary Rehabilitation Programme
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