Changes in COPD-related anxiety symptoms during pulmonary rehabilitation: a prospective quantitative and qualitative study.
| Autor: | Farver-Vestergaard I; Department of Medicine, Lillebaelt Hospital, Vejle, Denmark.; Department of Regional Health Research, University of Southern Denmark, Odense, Denmark., Buksted EH; VIA Research Centre for Health and Welfare Technology, Program for Rehabilitation, VIA University College, Aarhus, Denmark., Sørensen D; VIA Research Centre for Health and Welfare Technology, Program for Rehabilitation, VIA University College, Aarhus, Denmark., Jonstrup S; Department of Health, Vejle Municipality, Vejle, Denmark., Hansen H; Respiratory Research Unit and Department of Respiratory Medicine, Copenhagen University Hospital, Hvidovre, Denmark.; Institute of Rehabilitation Sciences, University of Antwerp, Antwerp, Belgium., Christiansen CF; Department of Medicine, Lillebaelt Hospital, Vejle, Denmark.; Department of Regional Health Research, University of Southern Denmark, Odense, Denmark., Løkke A; Department of Medicine, Lillebaelt Hospital, Vejle, Denmark.; Department of Regional Health Research, University of Southern Denmark, Odense, Denmark. |
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| Jazyk: | angličtina |
| Zdroj: | Frontiers in rehabilitation sciences [Front Rehabil Sci] 2024 Aug 07; Vol. 5, pp. 1428893. Date of Electronic Publication: 2024 Aug 07 (Print Publication: 2024). |
| DOI: | 10.3389/fresc.2024.1428893 |
| Abstrakt: | Background: Fear-avoidance in COPD can have detrimental effects on pulmonary rehabilitation (PR) outcomes and is therefore important to address. This prospective study examined changes in and management of COPD-related anxiety symptoms over the course of a PR program. Methods: Patients with COPD referred to 9-weeks of PR in the municipality of Vejle, Denmark from January to December 2022 completed a six-minute walk test (6MWT) and the following questionnaires, both before and after PR: COPD Anxiety Questionnaire 20-item version (CAF-R), measuring COPD-related anxiety; COPD Assessment Test (CAT), measuring COPD-related disability; 12-Item Short-Form Health Survey (SF-12), measuring health-related quality of life (HR-QoL); sociodemographic and disease-related information. After PR, a subsample of the patients took part in semi-structured interviews exploring their understanding of how they managed COPD-related anxiety during PR. Pre- and post-assessment of COPD-related anxiety and other PR outcomes were analysed with t -tests and correlation analyses. Qualitative interviews were analysed using a thematic analysis approach. Results: A total of 72 patients with COPD (mean ± SD age 71 ± 8, 53% female) were included in the study, and 13 took part in qualitative interviews. A significant decrease in COPD-related anxiety was observed from before to after PR, corresponding to a small effect size (Cohen's d = 0.32; p = 0.018). Reductions in COPD-related anxiety were not associated with improvements in COPD-related disability, HR-QOL, or functional exercise capacity. The qualitative findings identified four anxiety management strategies, i.e., "planning", "problem-solving", "accepting", and "confronting", which were influenced by interactions with healthcare professionals and co-patients as well as patients' own perception. Conclusions: COPD-related anxiety symptoms was reduced after PR, potentially through the use of various management strategies. The strategies appeared to be influenced by interactional factors during the PR program. Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as potential conflicts of interest. The author(s) declared that they were an editorial board member of Frontiers, at the time of submission. This had no impact on the peer review process and the final decision. (© 2024 Farver-Vestergaard, Buksted, Sørensen, Jonstrup, Hansen, Christiansen and Løkke.) |
| Databáze: | MEDLINE |
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