Seasonal variation and living alone are related to pulmonary rehabilitation non-completion

• 作者: James R Walsh Jenny D Paratz Michelle E Wood Norman R Morris Stephanie T Yerkovich Zoe J McKeough
• 来源期刊: 世界呼吸病学杂志
• 学科: 医学
• 关键词: Chronic OBSTRUCTIVE PULMONARY disease PULMONARY rehabilitation Predictive factors PROGRAM completion PROGRAM non-completion
• 年，卷（期）: 2013,（2）
• 页码范围: 29-37
• 页数: 9页
• 分类号: R

摘要

AIM:To identify baseline characteristics that independently predict pulmonary rehabilitation non-completion and compare these findings against the participant’s reasons for non-completion.METHODS:Participants with chronic obstructive pulmonary disease(COPD)who attended a standardised twice weekly,eight week pulmonary rehabilitation program(located in the sub-tropics,latitude 27°29’South)between 2010 and 2012 were recruited.The baseline characteristics of program completers and non-completers were compared in a case-controlled design.Participants who attended<12/16 sessions were classified as a non-completer.Non-completers(those who missed>4 sessions of the program)were asked by one independent investigator to participate in a survey about their pulmonary rehabilitation experience.Baseline characteristics were assessed for differences between program completers and non-completers.The baseline characteristics included disease severity,exercise capacity,smoking history,participant’s social support and the season when each participant commenced rehabilitation.Non-completers that agreed to participate in the survey were asked to indicate what personal factors or external factors contributed to their program non-completion.Comparisons of completers and non-completers baseline characteristics were performed using cross-tabulations and t-tests,with significant measures analysed in a multivariate binary logistic regression model.Non-completers survey responses were compared to the identified independent predictors using cross-tabulations.RESULTS:Twenty-six participants(23.4%)of the 111 participants with COPD[(mean±SD)age was 67.4±9.2 years and FEV1 54.6%±22.3%)],were classified as non-completers.Forty-five participants(40.5%)commenced pulmonary rehabilitation during winter.Thirty-six participants(32.4%)were living alone at program commencement.In the multivariate analysis(n=111),only programs that commenced in winter(Exp B:0.255,95%CI:0.090-0.727,P=0.011)and participants that lived alone(Exp B:2.925,95%CI:1.039-