University of Oxford | July 2018 |COPD patients’ quality of life improved by socialising and regular exercise
People with COPD (Common Obstructive Pulmonary Disease) may have better quality of life if they have access to health professionals, socialise with friends and take regular exercise, finds research from the University of Oxford and University of Lincoln (via University of Oxford).
The journal Primary Care Respiratory Medicines, study shows that regular contact with healthcare professionals, including feedback about progress and achievements, is important to motivate people with COPD to be physically active following pulmonary rehabilitation-a treatment of exercise and education in the NHS, which can improve fitness, reduce shortness of breath and enhance quality of life in people with COPD. The research team also found that social interaction with peers fosters a sense of solidarity and support following rehabilitation. Regular exercise sessions also encourage the establishment of a routine.
The average treatment is 6-8 weeks and while patients with COPD report positive experiences and value support from health professionals during this programme, this study found a number of impediments to remaining active after pulmonary rehabilitation including social isolation, restricted access to exercise sessions in the community, and symptoms of their condition such as breathlessness that evoked anxiety or fear and make them avoid activities.
Dr Arwel Jones, Research Fellow at the Lincoln Institute for Health at the University of Lincoln, UK said: ‘Being physically active is extremely important for people with COPD, however, people with the disease find it difficult to remain physically active once they have finished pulmonary rehabilitation.’ (Source: University of Oxford)
University of Oxford COPD patients’ quality of life improved by socialising and regular exercise
The systematic review can be read in full from Nature
Pulmonary rehabilitation has short-term benefits on dyspnea, exercise capacity and quality of life in COPD, but evidence suggests these do not always translate to increased daily physical activity on a patient level. This is attributed to a limited understanding of the determinants of physical activity maintenance following pulmonary rehabilitation. This systematic review of qualitative research was conducted to understand COPD patients’ perceived facilitators and barriers to physical activity following pulmonary rehabilitation. Electronic databases of published data, non-published data, and trial registers were searched to identify qualitative studies (interviews, focus groups) reporting the facilitators and barriers to physical activity following pulmonary rehabilitation for people with COPD. Thematic synthesis of qualitative data was adopted involving line-by-line coding of the findings of the included studies, development of descriptive themes, and generation of analytical themes. Fourteen studies including 167 COPD patients met the inclusion criteria. Seven sub-themes were identified as influential to physical activity following pulmonary rehabilitation. These included: intentions, self-efficacy, feedback of capabilities and improvements, relationship with health care professionals, peer interaction, opportunities following pulmonary rehabilitation and routine. These encapsulated the facilitators and barriers to physical activity following pulmonary rehabilitation and were identified as sub-themes within the three analytical themes, which were beliefs, social support, and the environment. The findings highlight the challenge of promoting physical activity following pulmonary rehabilitation in COPD and provide complementary evidence to aid evaluations of interventions already attempted in this area, but also adds insight into future development of interventions targeting physical activity maintenance in COPD.
Robinson, H., Williams, V., Curtis, F., Bridle, C., & Jones, A. W. |2018 | Facilitators and barriers to physical activity following pulmonary rehabilitation in COPD: a systematic review of qualitative studies| NPJ primary care respiratory medicine| 28| 1 |19