Seasonal variation and living alone are related to pulmonary rehabilitation non-completion

来源 :World Journal of Respirology | 被引量 : 0次 | 上传用户:sbau_1019
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
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. Thebaseline 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 session 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: 1.039-8.229, P = 0.042) were identified as independent predictors of program non-completion. Twenty participants of the twenty-six non-completers agreed to participate in the survey about their pulmonary rehabilitation experience. The reasons given for non-completion were grouped into: medical reasons(75%), other personal reasons(30%) and external barriers(45%), with ten non-completers reporting more than one reason.No participant reported living alone or that the program commenced during winter as a reason for noncompletion. There was no relationship between illness being the participant’s reason for non-completion and the programs that commenced in winter(P = 0.135). CONCLUSION: Despite winter commencing programs and participants who lived alone being independent predictors of program non-completion, neither measure was reported by participants as a reason for noncompletion. METHODS: Participants with chronic obstructive pulmonary disease (COPD) who attended a standardized twice twice weekly, eight weeks pulmonary rehabilitation program The baseline characteristics of program completers and non-completers were compared in a case-controlled design. Participants who attended <12/16 sessions were classified Non-completers (those who missed> 4 session of the program) were asked by one independent investigator to participate in a survey about their pulmonary rehabilitation experience. The baseline characteristics include disease severity, exercise capacity, smoking history, Non-completers that agreed to participate in the survey survey asked asked to indicate if personal what 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 analyzed 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. 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% Participants who lived alone (Exp B: 2.925, 95% CI: 1.039-8.229, P = 0.042) were identified as independent predictors of program non-completion. Twenty participants of the twenty -six non-completers agreed to participate in the survey about their pulmonary rehabilitation experience. The reasons given for non-completion were grouped into: medical reasons (75%), other personal reasons (30%) and external barriers (45%), with ten non-completers reporting more than one reason. No participant reported living alone or that the program commenced during winter as a reason for noncompletion. There was no relationship between illness being the participant’s reason for non-completion and the programs that commenced in winter (P = 0.135) CONCLUSION: Despite winter commencing programs and participants who lived alone being independent predictors of program non-completion, neither measure was reported by participants as a reason for noncompletion.
其他文献
文章阐述了战略地图的含义,并从明确需求差异、确定目标客户群及其需求内容、制定文献信息资源价值变化时间表、建立战略主题、完成战略资本准备、决定最终具体完成文献信息
在数字化生存的今天,仿生设计思维所提倡的回归自然、天人合一的设计理念显得尤为重要。利用设计手法,对大自然中的结构、功能、肌理、意象等进行探析,总结出模拟生物圈的无
知识就是力量。(英国) 知识藏在谦虚的大海里。(朝鲜) 缺乏知识就无法思考,缺乏思考也就得不到知识。(日本) 知识能使你增加一双眼睛。(叙利亚) 杂草多的地庄稼少,空话多的
杭州余杭南苑时代广场5号楼(余杭区市民之家),该工程为余杭区政府投资项目,装饰面积34512平方米,结算造价3262.1204万元,单位面积造价945.2元/平方米。在空间布局上,“市民之
本文从职业教育人才培养模式特点出发,对职业学校企业冠名班引入企业文化教育问题的提出、原因、对策等作了初步探讨,期望能在探索职业学校校园文化与企业文化对接的途径上作
记得两年前,天大旱,雨水奇缺,人们渴望下雨的心情真如火烧鼎腹,又焦又急。为了夺取农业丰收,必须解决水的问题。当时,解放军对空发射了不少降雨弹,才下了一些雨水。水贵如油
对产业技术和产业化项目的资助模式与管理政策一直是各地政府急切要解决的问题。本文以美、德、日、韩等为研究对象,综合比较各国产业技术和产业项目的政府资助模式以及项目
企业在通过社交媒体重塑客户关系的过程中必须明确的是,从传统CRM向社交CRM转变不仅是采用新的运营模式或技术,更是理念、文化的转变。    作为客户关系管理(CRM)的下一代,社交CRM正迅猛发展。目前,企业纷纷努力管理社交媒体对其交互模式、运营、企业文化和收入的影响。社交媒体时代已经到来,借之重塑客户关系需要企业重新思考传统的CRM理念。    社交媒体实施范围不断扩展  社交媒体的普及速度令人
1979年11月1日至3日,上海市教育局教学处、上海教育学院历史系、上海市历史学会联合举办“中学历史教学专题讨论会”。到会的有部分中学历史教师二百四十二人,一些省市的十
我们说的动物行为,一般是指动物有机体用来应答生活环境影响的外观作为和活动。动物不能报告自己的心理活动和体验,人们只有通过它们的外部表现,也就是通过行为才能客观地研