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Updated: Jun 27, 2026
07:10
Home-Based Prescribed Pulmonary Exercise in Patients with Stable Chronic Obstructive Pulmonary Disease
Published on: August 24, 2019
[Perceived self-efficacy and respiratory rehabilitation]
A Tomasich1, S Rossi Ferrario, L Guzzi
1Serv. Psicologia Clinica, A.O. Salvini, Garbagnate Milanese (MI).
Giornale Italiano Di Medicina Del Lavoro Ed Ergonomia
|November 26, 2008
Summary
Rehabilitation may not improve self-efficacy in daily activities for chronic respiratory patients if they have anxiety or depression. Psychological assessment is crucial before starting treatment.
Area of Science:
- Gerontology
- Psychology
- Rehabilitation Medicine
Context:
- Chronic respiratory diseases disproportionately affect older adults (over 65) in disadvantaged socio-cultural settings.
- Patients often experience heightened anxiety and depressive symptoms, impacting their rehabilitation outcomes.
- Limited family support exacerbates emotional distress in this population.
Purpose:
- To investigate the impact of rehabilitation on self-efficacy for daily living activities in elderly patients with chronic respiratory diseases.
- To assess the correlation between psychological factors (anxiety, depression) and self-efficacy.
- To evaluate the effectiveness of rehabilitation in enhancing perceived self-efficacy post-discharge.
Summary:
- Patients with chronic respiratory diseases exhibited higher anxiety and depressive symptoms than the general population.
- Female patients reported lower self-efficacy expectations and perceived self-efficacy compared to males.
- Anxiety and depressive symptoms were negatively correlated with both expected and perceived self-efficacy.
Impact:
- Pre-rehabilitation psychological screening is essential to mitigate the negative effects of emotional disturbances on treatment outcomes.
- Developing community day-centers can provide vital support for individuals with chronic respiratory diseases, especially those lacking adequate family support.
- Addressing psychological comorbidities is key to maximizing the benefits of rehabilitation for patients with chronic respiratory conditions.
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