[논문]Building consensus for provision of breathlessness rehabilitation for patients with chronic obstructive pulmonary disease and chronic heart failure

Man, William D-C; Chowdhury, Faiza; Taylor, Rod S; Evans, Rachael A; Doherty, Patrick; Singh, Sally J; Booth, Sara; Thomason, Davey; Andrews, Debbie; Lee, Cassie; Hanna, Jackie; Morgan, Michael D; Bell, Derek; Cowie, Martin R

doi:10.1177/1479972316642363

Building consensus for provision of breathlessness rehabilitation for patients with chronic obstructive pulmonary disease and chronic heart failure 원문보기

Chronic respiratory disease, v.13 no.3, 2016년, pp.229 - 239

Man, William D-C (NIHR Respiratory Biomedical Research Unit, Royal Brompton & Harefield NHS Foundation Trust and Imperial College, UK) , Chowdhury, Faiza (NIHR CLAHRC Northwest London, Chelsea and Westminster Hospital NHS Foundation Trust, London, UK) , Taylor, Rod S (University of Exeter Medical School, Exeter, Devon, UK) , Evans, Rachael A (Centre of Exercise & Rehabilitation Science, Leicester Respiratory Biomedical Research Unit, Glenfield Hospital, Leicester, United Kingdom of Great Britain) , Doherty, Patrick (Department of Health Sciences, University of York, Heslington, York, UK) , Singh, Sally J (Centre of Exercise & Rehabilitation Science, Leicester Respiratory Biomedical Research Unit, Glenfield Hospital, Leicester, United Kingdom of Great Britain) , Booth, Sara (Department of Palliative Care and Cambridge University, Addenbrooke’s Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge Biomedical Campus, Cambridge, UK) , Thomason, Davey (NHS West London Clinical Commissioning Group, London, UK) , Andrews, Debbie (NHS West London Clinical Commissioning Group, London, UK) , Lee, Cassie (NIHR CLAHRC Northwest London, Chelsea a) , Hanna, Jackie , Morgan, Michael D , Bell, Derek , Cowie, Martin R

Abstract ▼ AI-Helper

The study aimed to gain consensus on key priorities for developing breathlessness rehabilitation services for patients with chronic obstructive pulmonary disease (COPD) and chronic heart failure (CHF). Seventy-four invited stakeholders attended a 1-day conference to review the evidence base for exercise-based rehabilitation in COPD and CHF. In addition, 47 recorded their views on a series of statements regarding breathlessness rehabilitation tailored to the needs of both patient groups. A total of 75% of stakeholders supported symptom-based rather than disease-based rehabilitation for breathlessness with 89% believing that such services would be attractive for healthcare commissioners. A total of 87% thought patients with CHF could be exercised using COPD training principles and vice versa. A total of 81% felt community-based exercise training was safe for patients with severe CHF or COPD, but only 23% viewed manual-delivered rehabilitation an effective alternative to supervised exercise training. Although there was strong consensus that exercise training was a core component of rehabilitation in CHF and COPD populations, only 36% thought that this was the ‘most important’ component, highlighting the need for psychological and other non-exercise interventions for breathlessness. Patients with COPD and CHF face similar problems of breathlessness and disability on a background of multi-morbidity. Existing pulmonary and cardiac rehabilitation services should seek synergies to provide sufficient flexibility to accommodate all patients with COPD and CHF. Development of new services could consider adopting a patient-focused rather than disease-based approach. Exercise training is a core component, but rehabilitation should include other interventions to address dyspnoea, psychological and education needs of patients and needs of carers.

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참고문헌 (35)

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Building consensus for provision of breathlessness rehabilitation for patients with chronic obstructive pulmonary disease and chronic heart failure 원문보기

Abstract ▼ AI-Helper

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