E-ISSN 2149-2530
Original Article
Comparison of compliance rates and treatment efficiency in home-based with hospital-based pulmonary rehabilitation in COPD
1 Clinic of Pulmonary Rehabilitation, University of Health Sciences, Yedikule Chest Diseases and Thoracic Surgery Training and Research Hospital, İstanbul, Turkey  
Turk Thorac J ; 5: -
DOI: 10.5152/TurkThoracJ.2019.18060
Key Words: pulmonary rehabilitation, dyspnoea, exercise capacity, walk test, COPD.
Abstract

Objective: We aimed to compare the home-based Pulmonary Rehabilitation (PR) with the hospitalbased PR in terms of exercise compliance rates and efficiency of therapy in stable Chronic Obstructive Pulmonary Diseases (COPD).

 

Material and Methods: Stable severe and very severe COPD patients who were admitted consequently to our PR clinic were prospectively included in the study. The patients who completed the home-based PR for at least four days a week for two months as recommended were called Study Group. The patients who had completed the hospital-based PR in our clinic before this study were taken as a Control Group.

 

Results: Thirty five patients included in home-based PR but ten patients were incompatible with the exercise training and four patients were out of follow up. Twenty-one patients successfully completed home-based PR (Study Group) and compliance rate was 60%. Thirty seven patients who had previously underwent the hospital-based PR and 25 of them completed the exercise program (Control Group) thus their compliance rate was 67% . There was no difference between the two groups in terms of treatment compliance rates. The significant improvement in six-minutes walking distance, modified Medical Research Council dyspnoea and COPD assessment test scores were observed after PR in both groups and there was no difference in terms of the levels of improvement.

 

Conclusion: This study showed that approximately two-thirds of COPD patients successfully completed home based PR and also this program provided similar benefits in terms of quality of life and exercise capacity compared with hospital based PR.

Cite this article as: Pehlivan E, Yazar E, Balcı A, et al. Comparison of compliance rates and treatment efficiency in home-based with hospital-based pulmonary rehabilitation in COPD. Turk Thorac J 2019; DOI: 10.5152/TurkThoracJ.2019.18060

Key Words
Authors
All
Author's Corner
Survey
AVES | Copyright © 2018 Turkish Thoracic Society Latest Update: 02.01.2019