A Feasibility Trial of Two Rehabilitation Models in Severe Cardiopulmonary Illness
| Autor: | James Hunziker, Bonnie G. Steele, Robert L. Burr, Cynthia M. Dougherty, Ina Gylys Colwell |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Male
030506 rehabilitation medicine.medical_specialty medicine.medical_treatment Physical Therapy Sports Therapy and Rehabilitation Coronary Artery Disease Rehabilitation Nursing Pulmonary Disease Chronic Obstructive 03 medical and health sciences 0302 clinical medicine Quality of life Internal medicine medicine Humans Clinical significance Models Nursing General Nursing Depression (differential diagnoses) Aged Veterans COPD Rehabilitation Ejection fraction Cardiopulmonary rehabilitation business.industry General Medicine Middle Aged medicine.disease United States respiratory tract diseases United States Department of Veterans Affairs Heart failure Feasibility Studies Female 0305 other medical science business 030217 neurology & neurosurgery |
| Zdroj: | Rehabilitation Nursing. 44:130-140 |
| ISSN: | 0278-4807 |
| Popis: | PURPOSE The purpose of this study was to compare functional capacity and daily activity between two exercise rehabilitation interventions in severe chronic obstructive pulmonary disease (COPD) or heart failure with reduced ejection fraction (HFrEF) over 6 months. Secondarily, we compared intervention groups on symptoms, depression, quality of life, and cardiopulmonary function. DESIGN/METHODS Ninety patients with severe COPD (n = 63) or HFrEF (n = 27) were randomized to either an exercise adherence intervention or standard cardiopulmonary rehabilitation. Patients were 65-year-old male veterans who had either severe COPD (FEV1 < 50% predicted) or HFrEF (EF% < 40%). RESULTS There were no statistically significant differences between the intervention groups or COPD or HfrEF groups on functional capacity, daily activity, symptoms, depression, quality of life, or cardiopulmonary function at 6 months. CONCLUSION In late-stage COPD and HFrEF, functional capacity is not improved with rehabilitation interventions. CLINICAL RELEVANCE In severe COPD and heart failure, cardiopulmonary rehabilitation conducted at home or in the outpatient setting was not beneficial. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|