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Updated: Jan 9, 2026
Home-Based Prescribed Pulmonary Exercise in Patients with Stable Chronic Obstructive Pulmonary Disease
Published on: August 24, 2019
Effects of Home-Based Pulmonary Rehabilitation on Walking, Anxiety and Sleep in Patients With Chronic Obstructive
Sabahat Coşkun1, Neriman Yükseltürk Şimşek2, Yakup Arslan3
1Faculty of Health Sciences, Bilecik Şeyh Edebali University, Bilecik, Türkiye.
Aim:
This study aims to evaluate whether an 8-week, nurse-led, home-based pulmonary rehabilitation programme improves walking capacity, anxiety and sleep quality in adults with chronic obstructive pulmonary disease.
Methods:
This was a single-centre, open-label, parallel-group randomized controlled trial with assessments at baseline and week 8. Ninety adults with stable COPD (GOLD II-III) were enrolled and randomized 1:1 (fixed-block size = 2; SNOSE concealment); 84 completed week-8 assessments and were analysed (home-based rehabilitation, n = 43; standard care, n = 41). Participants' mean age was 67.71 years; 73.8% were male; mean baseline FEV1 was 55% predicted. The 8-week intervention comprised home-based breathing and full-body resistance exercises (3-5×/week, 25-30 min), initiated with a tele-monitored session to ensure correct technique and supported by weekly nurse-led calls, alongside structured nurse-delivered education. Prespecified primary outcomes were 6-min walk distance, anxiety (STAI) and sleep quality (PSQI); secondary outcomes were cardiopulmonary signs, dyspnoea and spirometric indices.
Results:
At week 8, the intervention improved walking capacity versus control (p < 0.001). Anxiety decreased on STAI-I/II (p < 0.001), and overall sleep quality improved on PSQI (p = 0.001), with benefits on Subjective Sleep Quality and Daytime Dysfunction (both p < 0.001); effects on Sleep Disturbances and Sleep Medication were smaller. Dyspnoea (Borg) also improved (p < 0.001). Secondary outcomes were consistent, and no intervention-related adverse events occurred.
Conclusion:
Nurse-led, home-based pulmonary rehabilitation is a feasible and safe approach that improves functional capacity as well as psychological and sleep outcomes in adults with chronic obstructive pulmonary disease.
Trial Registration:
ClinicalTrials.gov identifier: NCT06862713.
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