Source: Annual Congress 2009 - Pulmonary rehabilitation: extending the scope and benefit of rehabilitation for patients with chronic respiratory disease
Disease area: Airway diseases

Abstract

Rationale: Patients with COPD often experience dyspnea during activity which leads to decreased physical capacity and quality of life. Patients with COPD also have decreased self-efficacy (SE) regarding daily living and other physical activities. We studied the effect of supervised pulmonary rehabilitation on SE in 29 COPD patients. Methods: Subjects were randomized to 8 weeks of pulmonary rehabilitation (PR) (n=15; FEV₁=49±10 %predicted; mean±SD) or control (C) (n= 14; FEV₁=48±16 %predicted). PR included exercise training 3 sessions/week and education once weekly; C included education only. Walking capacity, SE (general and for walking), activity-related dyspnea and quality of life were measured before and after intervention. Results: After PR (p<0.05): endurance shuttle walk and 6-minute walk distance improved by 277 and 16 m, respectively; general SE and SE for walking improved by 18 and 22 %, respectively; the Transition Dyspnea Index (TDI) focal score increased 4.1 units; the Chronic Respiratory Disease Questionnaire (CRQ) dyspnea score improved 1.1 units; and the St. George‘s Respiratory Questionnaire (SGRQ) score fell 8.0 units. There was no significant change in any of these measurements after C. Increased SE correlated significantly with improvements in the TDI (r=0.40, p=0.03), CRQ dyspnea (r=0.43, p=0.02) and SGRQ total (r=-0.36, p=0.05). Increased SE for walking correlated with increased 6-minute walking distance (r=0.52, p=0.004). Conclusions: Pulmonary rehabilitation increased general and activity-related self-efficacy. Improvement in self-efficacy is an important component of improvement in activity-related dyspnea and quality of life. [Support: Spear Fund, Queen‘s; Swedish Heart & Lung Fdn]

Rating:

Share or cite this content

Citations should be made in the following way:
K. Wadell, A. Deesomchok, M. Preston, P. Laveneziana, K. Webb, D. O‘Donnell (Kingston, Canada; Umeå, Sweden). Effect of pulmonary rehabilitation on self-efficacy in patients with COPD. Eur Respir J 2009; 34: Suppl. 53, 529

Member's Comments

No comment yet.

Related content which might interest you: Effects of pulmonary rehabilitation in asthma patients Source: International Congress 2017 – Best abstracts in pulmonary rehabilitation in patients with chronic lung diseases Year: 2017 Effects of pulmonary rehabilitation in patients with asthma Source: International Congress 2018 – Let’s interact and discuss the hot topics in pulmonary rehabilitation Year: 2018 Effects of Hochuekkito combined with pulmonary rehabilitation in patients with COPD Source: International Congress 2017 – Latest insights into pulmonary rehabilitation in COPD Year: 2017 Effects of pulmonary rehabilitation in the management of moderate COPD adults Source: Eur Respir J 2004; 24: Suppl. 48, 518s Year: 2004 Impact of obesity on pulmonary rehabilitation in COPD patients Source: Annual Congress 2011 - Challenges in rehabilitation: some old dilemmas revisited with some solutions? Year: 2011 Effects of pulmonary rehabilitation treatment on cognitive performance in COPD patients Source: Eur Respir J 2007; 30: Suppl. 51, 569s Year: 2007 Effect of pulmonary rehabilitation on balance control in patients with COPD Source: International Congress 2018 – What’s hot in rehabilitation in COPD and interstitial lung disease (ILD)? Year: 2018 Effects of smoking history on the benefits of pulmonary rehabilitation in patients with COPD Source: International Congress 2017 – Latest insights into pulmonary rehabilitation in COPD Year: 2017 Impact of a pulmonary rehabilitation program on psychopathology of patients diagnosed with COPD Source: Annual Congress 2012 - The best posters on quality of life and coping styles in COPD Year: 2012 Evaluation of change in fatigue after pulmonary rehabilitation programme in COPD patients Source: Eur Respir J 2007; 30: Suppl. 51, 96s Year: 2007 Effect of pulmonary rehabilitation on EuroQoL in COPD patients Source: Annual Congress 2008 - Impact of rehabilitation programmes in COPD and non-COPD patients Year: 2008 The effectiveness of pulmonary rehabilitation in elderly patients with COPD Source: Annual Congress 2004 - Outcome of pulmonary rehabilitation Year: 2004 Impact of pulmonary rehabilitation on anxiety and depression in patients with COPD Source: Annual Congress 2008 - Impact of rehabilitation programmes in COPD and non-COPD patients Year: 2008 The effect of pulmonary rehabilitation on balance in patients with COPD Source: Annual Congress 2010 - Pulmonary rehabilitation and chronic care: new developments in interventions, assessment and care Year: 2010 Coping styles in patients with COPD before and after pulmonary rehabilitation Source: Annual Congress 2012 - The best posters on quality of life and coping styles in COPD Year: 2012 Powerful effects of multidisciplinary pulmonary rehabilitation on fatigue in COPD patients Source: Annual Congress 2008 - Effects of rehabilitation in very disabled COPD patients Year: 2008 The effectiveness of pulmonary rehabilitation in COPD outpatients with comorbidities Source: Annual Congress 2011 - Exercise tests and emerging outcomes: defining the impact of pulmonary rehabilitation Year: 2011 Impact of fatigue improvement after pulmonary rehabilitation education on the long-term prognosis of patients with COPD Source: International Congress 2018 – What’s hot in rehabilitation in COPD and interstitial lung disease (ILD)? Year: 2018 Predictors of daily physical activity in COPD patients undergoing pulmonary rehabilitation Source: International Congress 2018 – Additional latest insights in pulmonary rehabilitation for chronic lung diseases Year: 2018 Effects of home-based pulmonary rehabilitation on physical frailty in people with COPD and chronic respiratory failure. Source: Virtual Congress 2020 – Optimising the benefits of pulmonary rehabilitation Year: 2020