scholarly journals Pulmonary Rehabilitation for Chronic Obstructive Pulmonary Disease in Natural Disaster Setting

2020 ◽  
Vol 8 (01) ◽  
pp. 36-43
Author(s):  
Siti Chandra Widjanantie
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Pulmonary Disease ◽  
Natural Disaster ◽  
Pulmonary Rehabilitation ◽  
Self Management ◽  
Chronic Obstructive ◽  
Community Based ◽  
Obstructive Pulmonary Disease ◽  
Copd Patients ◽  
Literature Reviews

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

scholarly journals Development and Preliminary Evaluation of the Effects of an mHealth Web-Based Platform (HappyAir) on Adherence to a Maintenance Program After Pulmonary Rehabilitation in Patients With Chronic Obstructive Pulmonary Disease: Randomized Controlled Trial

10.2196/18465 ◽  
2020 ◽  
Vol 8 (7) ◽  
pp. e18465 ◽  
Author(s):  
Begoña Jiménez-Reguera ◽  
Eva Maroto López ◽  
Shane Fitch ◽  
Lourdes Juarros ◽  
Marta Sánchez Cortés ◽  
...  
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Pulmonary Disease ◽  
Pulmonary Rehabilitation ◽  
Care Plan ◽  
Control Group ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease ◽  
Web Based ◽  
Maintenance Program ◽  
Copd Patients

Background Pulmonary rehabilitation is one of the main interventions to reduce the use of health resources, and it promotes a reduction in chronic obstructive pulmonary disease (COPD) costs. mHealth systems in COPD aim to improve adherence to maintenance programs after pulmonary rehabilitation by promoting the change in attitude and behavior necessary for patient involvement in the management of the disease. Objective This study aimed to assess the effects of an integrated care plan based on an mHealth web-based platform (HappyAir) on adherence to a 1-year maintenance program applied after pulmonary rehabilitation in COPD patients. Methods COPD patients from three hospitals were randomized to a control group or an intervention group (HappyAir group). Patients from both groups received an 8-week program of pulmonary rehabilitation and educational sessions about their illness. After completion of the process, only the HappyAir group completed an integrated care plan for 10 months, supervised by an mHealth system and therapeutic educator. The control group only underwent the scheduled check-ups. Adherence to the program was rated using a respiratory physiotherapy adherence self-report (CAP FISIO) questionnaire. Other variables analyzed were adherence to physical activity (Morisky-Green Test), quality of life (Chronic Obstructive Pulmonary Disease Assessment Test, St. George’s Respiratory Questionnaire, and EuroQOL-5D), exercise capacity (6-Minute Walk Test), and lung function. Results In total, 44 patients were recruited and randomized in the control group (n=24) and HappyAir group (n=20). Eight patients dropped out for various reasons. The CAP FISIO questionnaire results showed an improvement in adherence during follow-up period for the HappyAir group, which was statistically different compared with the control group at 12 months (56.1 [SD 4.0] vs 44.0 [SD 13.6]; P=.004) after pulmonary rehabilitation. Conclusions mHealth systems designed for COPD patients improve adherence to maintenance programs as long as they are accompanied by disease awareness and patient involvement in management. Trial Registration ClinicalTrials.gov NCT04479930; https://clinicaltrials.gov/ct2/show/NCT04479930

scholarly journals Use of audiovisual media for education and self-management of patients with Chronic Obstructive Pulmonary Disease – COPD

2015 ◽  
Vol 28 (1) ◽  
pp. 97-106 ◽  
Author(s):  
Janaína Schäfer ◽  
Lisiane Lisboa Carvalho ◽  
Natacha Angélica da Fonseca Miranda ◽  
Isabel Pommerehn Vitiello ◽  
Dulciane Nunes Paiva ◽  
...  
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Pulmonary Disease ◽  
Self Management ◽  
Chronic Obstructive ◽  
High Morbidity ◽  
Convenience Sample ◽  
Obstructive Pulmonary Disease ◽  
Copd Patients ◽  
Low Education ◽  
Quasi Experimental

Introduction Chronic Obstructive Pulmonary Disease (COPD) is considered a disease with high morbidity and mortality, even though it is a preventable and treatable disease. Objective To assess the effectiveness of an audiovisual educational material about the knowledge and self-management in COPD. Methods Quasi-experimental design and convenience sample was composed of COPD patients of Pulmonary Rehabilitation (PR) (n = 42), in advanced stage of the disease, adults of both genders, and with low education. All subjects answered a specific questionnaire before and post-education audiovisual session, to assess their acquired knowledge about COPD. Results Positive results were obtained in the topics: COPD and its consequences, first symptom identified when the disease is aggravated and physical exercise practice. Regarding the second and third symptoms, it was observed that the education session did not improve this learning, as well as the decision facing the worsening of COPD. Conclusion COPD patients showed reasonable knowledge about the disease, its implications and symptomatology. Important aspects should be emphasized, such as identification of exacerbations of COPD and decision facing this exacerbation.

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