The economics of pulmonary rehabilitation and self-management education for patients with chronic obstructive pulmonary disease

Introduction: The frequency of natural disaster in Indonesia has increased recently, while there were still less capacity to overcome the respiratory problem as an impact of disaster. Subjects who havechronic obstructive pulmonary disease (COPD) need to have more attention in dealing with disaster setting.Methods: Literature reviews from the last ten years to find the data of the respiratory-related disease on disaster setting, which need pulmonary rehabilitation.Discussion: Subjects with COPD can get worse aftermath of natural disasters. The number of COPD exacerbation aftermath disaster was increased 1.5 fold. Pulmonary rehabilitation by trained patient forthe self-management of the symptoms was effective to reduce complication, increase the function and social integration.Conclusion: Pulmonary rehabilitation by optimizing community based training for self-management was effective as preparedness for COPD patients in natural disasters.Keywords: Chronic Obstructive Pulmonary Disease (COPD), Community based training, Natural Disaster, Pulmonary Rehabilitation

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S11 Feasibility of a web-based self-management programme, as a ‘bridge’ to starting pulmonary rehabilitation, for individuals hospitalised with an acute exacerbation of chronic obstructive pulmonary disease (AECOPD)

10.1136/thorax-2018-212555.17 ◽

2018 ◽

Cited By ~ 1

Author(s):

L Houchen-Wolloff ◽

M Orme ◽

L Clinch ◽

N Gardiner ◽

S Singh

Keyword(s):

Chronic Obstructive Pulmonary Disease ◽

Pulmonary Disease ◽

Acute Exacerbation ◽

Pulmonary Rehabilitation ◽

Management Programme ◽

Self Management ◽

Chronic Obstructive ◽

Obstructive Pulmonary Disease ◽

Web Based

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Are Improvements Maintained After In-home Pulmonary Telerehabilitation for Patients with Chronic Obstructive Pulmonary Disease?

International Journal of Telerehabilitation ◽

10.5195/ijt.2014.6156 ◽

2015 ◽

Vol 6 (2) ◽

pp. 21-30 ◽

Cited By ~ 5

Author(s):

Nicole Marquis ◽

Pierre Larivée ◽

Marie-France Dubois ◽

Michel Tousignant

Keyword(s):

Chronic Obstructive Pulmonary Disease ◽

Pulmonary Disease ◽

Management Education ◽

Positive Impact ◽

Self Management ◽

Chronic Obstructive ◽

Post Intervention ◽

Obstructive Pulmonary Disease ◽

6 Minute Walk Test ◽

Severe Copd

This study investigated if improvements can be maintained over 24 weeks when in-home pulmonary telerehabilitation is combined with asynchronous self-management education for Chronic Obstructive Pulmonary Disease (COPD). Twenty-three community-living elders with moderate to very severe COPD participated in a pre/post-intervention study. Over 8 weeks, they had access to self-learning capsules on self-management, received 15 in-home teletreatment sessions and were encouraged to gradually engage in unsupervised sessions. Participants were assessed before the intervention (T1), immediately after the intervention (T2), and 6 months later (T3). Outcome measures were 1) exercise tolerance (6-minute walk test [6MWT]), Cycle Endurance Test [CET]), and 2) quality of life (Chronic Respiratory Questionnaire [CRQ]). Although there were significant improvements after 8 weeks of pulmonary telerehabilitation on the 6MWT, CET and three of four CRQ domains, none of these improvements were maintained after 6 months and scores returned to their baseline values (all p values > 0.05 when comparing T3 with T1). While pulmonary telerehabilitation is possible and has a positive impact on patients with moderate to very severe COPD, improvements were not maintained in the long-term even when physical therapy was accompanied by self-management education.

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