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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-
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篇名 Seasonal variation and living alone are related to pulmonary rehabilitation non-completion
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) 所属期刊栏目
研究方向 页码范围 29-37
页数 9页 分类号 R
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节点文献
Chronic
OBSTRUCTIVE
PULMONARY
disease
PULMONARY
rehabilitation
Predictive
factors
PROGRAM
completion
PROGRAM
non-completion
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研究去脉
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相关学者/机构
期刊影响力
世界呼吸病学杂志
不定期
2218-6255
北京市朝阳区东四环中路62号楼远洋国际中
出版文献量(篇)
66
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0
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