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Educational component in rehabilitation programs for persons with chronic obstructive pulmonary disease: a systematic review

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Tymruk-Skoropad K., Pavlova I., Stupnytska S.

Advances in Rehabilitation

2019

vol. 33

issue 4

51-65

Introduction Chronic obstructive pulmonary disease is a chronic disorder that involves high-priced treatment and management, 45–75% of which may be associated with exacerbation. Treatment, rehabilitation, adherence to a healthy lifestyle, and following recommendations for self-management require a patient’s high motivation and self-organization. Analysis and the search for effective strategies that could be implemented to enhance the effectiveness of an educational component in rehabilitation for people with COPD have become the purpose of the study. Material and methods The search was conducted on a resource of the National Center for Biotechnology Information. From the initial database searches, 2487 unique papers were identified, 895 were retrieved for full-text evaluation, 39 of those were included for further data extraction. Results Publications selected for analysis based on the main content were grouped into 5 categories; most articles were focused on the self-management strategy. Conclusions The current practice of conducting and recommending education for COPD patients, as well as modern technologies, will make it possible to properly implement this component in pulmonary rehabilitation programs, achieve the objectives and positive impacts. Effective educational strategies ensure long-term benefits for the patients, fewer exacerbations, better physical performance, and quality of life. The correct inhaler technique is the fundamental practical skill to be learned by COPD patients during training sessions. A set of recommendations has been developed, and they should be considered when elaborating on the curriculum within the pulmonary rehabilitation for COPD patients.

Assessment of disease-related knowledge among patients with chronic obstructive pulmonary disease: a cross-sectional study

88%

Tymruk-Skoropad K., Pavlova I., Sydoryk N., Kulitka Y., Kruk B.

Physical Activity Review

2020

vol. 2

issue 8

72-85

Introduction. The main task of this study was to study the level of knowledge of the Ukrainian patient about chronic obstructive pulmonary disease (COPD), and the factors that cause and affect this indicator, with the help of a validated instrument. Methods. 41 patients were involved in the study. Socio-demographic data, information on the duration, course of the disease and cooperation with a physical therapist were collected. Anthropometric measurements, spirometry, pulse oximetry, tonometry were performed. Patients were surveyed with Modified Medical Research Council Dyspnea Scale, Hospital Anxiety and Depression Scale, Clinical COPD Questionnaire score, and Bristol COPD Knowledge Questionnaire (BCKQ). Bristol COPD Knowledge Questionnaire was translated, crossculturally adapted and validated. Regression analysis was performed to determine relationships between the level of knowledge about the disease, socio-demographic data, indicators of respiratory system functional status, and survey data. Results. The average total score for BCKQ was 24.71±9.62 points. Patients gave the least number of correct answers to the question related to medical treatment. The level of knowledge depends on the factors such as age (β=-0.557; 95% CI: -1.041-0.086, p=0.086), duration of the disease (β=-0.114; 95% CI: -0.077-0.055, p=0.048), respiratory ratings, functional limitations, and own psychosocial dysfunction according to the CCQ scale (β =-0.506; 95% CI: -0.0070.752, p=0.053), and the HADS depression score (β =-0.655; 95% CI: -4.257- -0.085, p=0.043). Conclusion. The level of knowledge of Ukrainian patients about COPD is low. More experience of the disease did not affect the increase in the level of knowledge. Older patients had a lower level of knowledge about their disease. Impact of body mass index, spirometry results, level of severity of shortness of breath, and symptoms of the disease on the level of knowledge was not revealed.

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1 Advances in Rehabilitation

1 Physical Activity Review

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2 Tymruk-Skoropad K.

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1 Kulitka Y.

1 Stupnytska S.

1 Sydoryk N.

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Educational component in rehabilitation programs for persons with chronic obstructive pulmonary disease: a systematic review

Assessment of disease-related knowledge among patients with chronic obstructive pulmonary disease: a cross-sectional study