Community-based exercise training for people with chronic respiratory and chronic cardiac disease: a mixed-methods evaluation
نویسندگان
چکیده
BACKGROUND Poor uptake and adherence are problematic for hospital-based pulmonary and heart failure rehabilitation programs, often because of access difficulties. The aims of this mixed-methods study were to determine the feasibility of a supervised exercise training program in a community gymnasium in people with chronic respiratory and chronic cardiac disease, to explore the experiences of participants and physiotherapists and to determine if a community venue improved access and adherence to rehabilitation. METHODS Adults with chronic respiratory and/or chronic cardiac disease referred to a hospital-based pulmonary and heart failure rehabilitation program were screened to determine their suitability to exercise in a community venue. Eligible patients were offered the opportunity to attend supervised exercise training for 8 weeks in a community gymnasium. Semi-structured interviews were conducted with participants and physiotherapists at the completion of the program. RESULTS Thirty-one people with chronic respiratory and chronic cardiac disease (34% males, mean [standard deviation] age 72 [10] years) commenced the community-based exercise training program. Twenty-two (71%) completed the program. All participants who completed the program, and the physiotherapists delivering the program, were highly satisfied, with reports of the community venue being well-equipped, convenient, and easily accessible. Using a community gymnasium promoted a sense of normality and instilled confidence in some to continue exercising at a similar venue post rehabilitation. However, factors such as cost and lack of motivation continue to be barriers. CONCLUSION The convenience and accessibility of a community venue for rehabilitation contributed to high levels of satisfaction and a positive experience for people with chronic respiratory and chronic cardiac disease and physiotherapists.
منابع مشابه
The effect of exercise on the quality of life amongst people with a respiratory disease
Background: Pulmonary rehabilitation is an evidence-based, multidisciplinary, comprehensive intervention for patients with chronic respiratory diseases who are symptomatic and whose daily living activities are often restricted. Pulmonary rehabilitation programs are designed to improve the physical and emotional condition of people with chronic respiratory disease and to promote long-term adhere...
متن کاملEffect of Diaphragmatic Respiratory Training on Some Pulmonary Indexes in Older People With Chronic Obstructive Pulmonary Disease
Objectives Chronic Obstructive Pulmonary Disease (COPD) is one of the most important progressive pulmonary disorders. Diaphragmatic dysfunction is an essential factor in the worsening and progression of symptoms in patients with COPD. Therefore, we investigated the effect of diaphragmatic respiratory training on some pulmonary indexes in these patients. Methods & Materials This quasi-experimen...
متن کاملComparing the Effect of Resistive Inspiratory Muscle Training and Incentive Spirometry on Respiratory Pattern of COPD patients
Background: Resistive Inspiratory Muscle Training (RIMT) is a well-known technique for rehabilitation of patients with Chronic Obstructive Pulmonary Disease (COPD). Incentive spirometry is another technique with potential viability for this application, but there is limited evidence in support of its efficacy in the rehabilitation of COPD patients. Aim: The objective of this study was to compar...
متن کاملEvaluation of narrow band UVB therapeutic effect on chronic mucocutaneous graft versus host disease lesions: A case series
Background: Chronic graft versus host disease (cGVHD) is a major cutaneous complication of bone marrow transplantation (BMT). Although milder forms of this process may be associated with a lower incidence of tumor recurrences, it is mandatory to develop a more efficient and less harmful therapeutic approach.Methods: This case-series study enrolled 7 patients diagnosed with chronic mucocutaneous...
متن کاملThe effects of Pilates and diaphragm exercises on some pulmonary factors in chronic obstructive pulmonary Patients
Introduction and purpose: Chronic obstructive pulmonary disease (COPD) is one of the most important pulmonary diseases. The most important way to minimize the progress of the disease is to rehabilitate the lung. Rehabilitation of the lung improves respiratory pattern. To this end, the effects of two types of Pilates and Diaphragm exercises on some of the pulmonary factors in these patients were...
متن کامل