期刊
HEALTHCARE
卷 10, 期 1, 页码 -出版社
MDPI
DOI: 10.3390/healthcare10010119
关键词
chronic respiratory diseases; maintenance strategies; pulmonary rehabilitation; physical activity
This study explores the value of community-based strategies in sustaining the effects of pulmonary rehabilitation for patients with chronic respiratory diseases. The findings suggest that maintaining an independent and active lifestyle, along with motivation and professional and peer support, are key elements in sustaining the benefits of pulmonary rehabilitation.
Pulmonary rehabilitation (PR) is an effective intervention for people with chronic respiratory diseases (CRD); however, its effects fade after 6-12 months. Community-based strategies might be valuable to sustain PR benefits, but this has been little explored. People with CRD, informal carers, and healthcare professionals (HCPs) were recruited from pulmonology appointments of two local hospitals, two primary care centres, and one community institutional practice and through snowballing technique. Focus groups were conducted using a semi-structured guide. Data were thematically analysed. Twenty-nine people with CRD (24% female, median 69 years), 5 informal carers (100% female, median 69 years), and 16 HCPs (75% female, median 36 years) were included. Three themes were identified: Maintaining an independent and active lifestyle which revealed common strategies adopted by people with intrinsic motivation and professional and peer support as key elements to maintain benefits, and that access to information and partnerships with city councils' physical activities were necessary future steps to sustain active lifestyles. This study suggests that motivation, and professional and peer support are key elements to maintaining the benefits of PR in people with CRD, and that different physical activity options (independent or group activities) considering peoples' preferences, should be available through partnerships with the community, namely city councils.
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