在马来西亚为患有慢性呼吸道疾病的患者开发家庭肺部康复计划:混合方法可行性研究
Soo Chin Chan1, Julia Patrick Engksan1, Jayakayatri Jeevajothi Nathan2
1Department of Rehabilitation Medicine, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia.
Journal of global health
|October 26, 2023
概括
对于马来西亚的慢性呼吸道疾病患者来说,即使在COVID-19大流行期间,在家进行的肺部康复 (Home-PR) 也是可行的. 家庭支持至关重要,该计划显示了改善远程医疗保健的潜力.
科学领域:
- 肺部医学 肺部医学
- 康复科学 康复科学 康复科学
- 公共卫生 公共卫生
背景情况:
- 随着COVID-19的爆发,人们越来越需要远程医疗解决方案,特别是对于慢性呼吸系统疾病 (CRD) 患者.
- 在健康危机期间,在家进行的肺部康复 (home-PR) 提供了一个比在人身计划更安全的替代方案.
- 评估马来西亚本地PR的可行性对于远程管理CRD至关重要.
研究的目的:
- 评估在马来西亚为CRD患者实施家庭PR计划的可行性.
- 了解患者对家庭肺部康复的坚持和经验.
主要方法:
- 在马来西亚招募了30名CRD患者参加为期8周的家庭PR计划 (每周5次).
- 通过每周的电话来监测遵守;在基线和9周评估功能能力 (6MWT) 和生活质量 (CAT).
- 与12名参与者进行了半结构化采访,以收集有关家庭公关计划的反.
主要成果:
- 28名参与者 (93%) 坚持完整的计划,表现出高度的参与度.
- 由于COVID-19的限制,只有37%的人参加了PR后评估.
- 定性分析揭示了关键主题:家庭参与,障碍,同行/专业互动和计划增强.
结论:
- 家庭公关是CRD管理的可行模型,即使在流行病中,也可以适应远程交付.
- 家庭和护理人员的参与显著支持患者参与家庭PR.
- 建议进行程序性改进,以最大限度地利用家庭肺部康复的好处.
相关概念视频
01:25Pulmonary Function Tests
347
Pulmonary Function Tests (PFTs)
Pulmonary Function Tests are crucial diagnostic tools for assessing respiratory function, particularly in patients with chronic respiratory disorders. They comprehensively evaluate lung volumes, ventilatory function, breathing mechanics, diffusion, and gas exchange. These tests help diagnose pulmonary diseases and play a significant role in monitoring disease progression, evaluating disability, and assessing response to therapy.
PFTs involve using a spirometer, a...
Pulmonary Function Tests are crucial diagnostic tools for assessing respiratory function, particularly in patients with chronic respiratory disorders. They comprehensively evaluate lung volumes, ventilatory function, breathing mechanics, diffusion, and gas exchange. These tests help diagnose pulmonary diseases and play a significant role in monitoring disease progression, evaluating disability, and assessing response to therapy.
PFTs involve using a spirometer, a...
347
01:30Chronic Obstructive Pulmonary Disease-V: Nursing Management
3.9K
Nursing management of Chronic Obstructive Pulmonary Disease (COPD) is crucial for providing thorough care and support to patients. Nurses play an integral role in this process through detailed assessment, careful planning, targeted interventions, and ongoing evaluation. Here's an overview of the critical steps in nursing management for COPD.
Assessment
Assessment
3.9K
01:27Chronic Obstructive Pulmonary Disease-IV: Assessement and Diagnostic Studies
2.5K
Assessing and diagnosing Chronic Obstructive Pulmonary Disease (COPD) involves a detailed approach that includes a comprehensive review of medical history, physical examination, and a variety of diagnostic tests. This thorough evaluation is essential to ensure an accurate diagnosis and guide effective management strategies.
Medical History
Medical History
2.5K
01:29Chronic Obstructive Pulmonary Disease-V: Management
2.6K
Managing Chronic Obstructive Pulmonary Disease (COPD) involves a multifaceted approach to reduce symptoms, prevent exacerbations, improve overall health status, and slow disease progression. Key strategies include lifestyle modifications, pharmacotherapy, supportive therapies, and, in some cases, surgery. Here is an overview of the primary COPD management strategies:
Smoking Cessation
Smoking Cessation
2.6K
01:20Chronic Obstructive Pulmonary Disease-I: Introduction
2.8K
Chronic Obstructive Pulmonary Disease (COPD) is a long-lasting respiratory condition requiring continuous attention and care. It is a progressive lung disease that leads to breathing challenges due to airflow obstruction. It manifests as persistent respiratory symptoms and restricted airflow resulting from abnormalities in the airways and alveoli, usually due to long-term exposure to harmful particles or gases. COPD mainly consists of two primary conditions: emphysema and chronic bronchitis.
2.8K
01:22Chronic Obstructive Pulmonary Disease
1.3K
COPD is defined as a heterogeneous lung condition marked by persistent respiratory symptoms such as dyspnea, cough, and sputum production, caused by abnormalities in the airways that cause airflow obstruction.
Smoking is a primary risk factor for COPD, with over 80% of patients having a history of it. Patients typically experience progressive dyspnea or labored breathing, frequent coughing, and recurrent pulmonary infections. Many eventually succumb to respiratory failure, characterized by...
Smoking is a primary risk factor for COPD, with over 80% of patients having a history of it. Patients typically experience progressive dyspnea or labored breathing, frequent coughing, and recurrent pulmonary infections. Many eventually succumb to respiratory failure, characterized by...
1.3K