Pulmonary rehabilitation and weaning programs: effects on performance status, quality of life (QOL) and emotional responses
G. Vagheggini, F. Moretti, G. Palmiero, P. Cavicchioli, J. Bandini, D. Berrighi, P. Moretti, S. Mugnetti, P. Brogi, N. Ambrosino (Volterra, Italy)
Source: Annual Congress 2009 - Pulmonary rehabilitation: extending the scope and benefit of rehabilitation for patients with chronic respiratory disease
Disease area: Airway diseases, Respiratory critical care
Abstract Aim: To assess the effects of a weaning program (WP) including an individual psychological intervention on QoL and emotional responses of tracheostomised difficult-to wean patients.Materials and methods: 22 WP patients (14 m, age 64.4±12.4), were retrospectively analyzed in order to evaluate the psychological status (State Trait Anxiety Inventory-Y), QoL [Satisfaction Profile (SAT-P), St George Respiratory Questionnaire-SGRQ], and the clinical and performance status (PaO2/FIO2, MRC dyspnoea score, Functional Independence Measure-FIM, six minute walking distance-6MWT). The results were compared with those of 34 patients (18 m, age 71.8±9.9) undergone a post-acute pulmonary rehabilitation program (PRP).Results:
Table 1: WP patients On admission On discharge P PaO2/FIO2 245.1±54.1 304.6±45.9 ** MRC 3.2±1.0 1.9±1.1 ** FIM 74.3±20.6 91.8±18.9 ** 6MWT 56.4±73.7 114.1±78.2 ** STAI-Y 44.7±11.7 39.4±10.4 ** SAT-P 67.8±13.0 70.0±9.8 * SGRQ 78.2±7.1 62.6±11.8 **
Tab.2: PRP patients On admission On discharge P PaO2/FIO2 270.2±48.5 307.1±47.3 ** MRC 2.9±0.8 1.8±0.8 ** FIM 99.5±20.5 111.1±13.0 ** 6MWT 149.1±89.1 209.8±90.8 ** STAI-Y 40.5±8.8 37.3±8.3 * SAT-P 72.2±11.7 74.8±8.2 * SGRQ 68.6±12.2 60.8±13.5 **
An improvement in the state anxiety level was observed in 17/22 (77%) WP; compared to 16/34 (47%) PRP patients.Conclusions: Both programs were able to reduce the state anxiety level and improve the perceived QoL as well as functional status.
Rating:
You must login to grade this presentation.
Share or cite this content
Citations should be made in the following way:
G. Vagheggini, F. Moretti, G. Palmiero, P. Cavicchioli, J. Bandini, D. Berrighi, P. Moretti, S. Mugnetti, P. Brogi, N. Ambrosino (Volterra, Italy). Pulmonary rehabilitation and weaning programs: effects on performance status, quality of life (QOL) and emotional responses. Eur Respir J 2009; 34: Suppl. 53, 537
You must login to share this Presentation/Article on Twitter, Facebook, LinkedIn or by email.
Member's Comments
Related content which might interest you:
Related content which might interest you:
Pulmonary rehabilitation: quality of life (QoL) outcome in relation to baseline levels of QoL Source: Eur Respir J 2004; 24: Suppl. 48, 633s Year: 2004
Assessment of relation among emotional status, pulmonary function test, exercise performance, and quality of life in patients with COPD Source: Annual Congress 2007 - Assessment and outcomes in patients with chronic airway obstruction Year: 2007
Effect of psychological factors on exercise capacity (EC) and health-related quality of life (HRQL) in COPD undergoing pulmonary rehabilitation (PR) Source: International Congress 2015 – Latest insights into pulmonary rehabilitation Year: 2015
Pulmonary rehabilitation outcome: quality of life (QoL) and COPD severity Source: Eur Respir J 2004; 24: Suppl. 48, 633s Year: 2004
Comparing the chronic respiratory questionnaire-self report (CRQ-SR) and the breathing problems questionnaire (short version) (BPQ-SV) as a quality of life outcome measure for pulmonary rehabilitation (PR) Source: Annual Congress 2007 - Rehabilitation: measuring, monitoring and maintenance Year: 2007
Effect of pulmonary rehabilitation on health status, depression and anxiety Source: Annual Congress 2006 - Outcomes in pulmonary rehabilitation Year: 2006
The impact of rehabilitation-induced symptomatic, functional and psychological outcomes on health-related quality of life Source: Eur Respir J 2006; 28: Suppl. 50, 72s Year: 2006
Improvements of lung function, exercise capacity, symptoms and disease-related quality of life (QoL) after in-patient pulmonary rehabilitation (AHB) in Germany Source: Eur Respir J 2006; 28: Suppl. 50, 555s Year: 2006
The impact of COVID-19 shielding on levels of physical activity and health-related quality of life in COPD patients following pulmonary rehabilitation Source: Virtual Congress 2021 – New approaches to pulmonary rehabilitation and chronic care Year: 2021
Associations between PCD-specific health-related quality of life (QOL-PCD) outcomes and clinical measures Source: International Congress 2018 – Biomarkers and lung function in airway disease Year: 2018
Responsiveness of dyspnea, impact of COPD on health status and quality of life on aerobic and resistance training in different intensities – Pilot study Source: International Congress 2015 – The challenge of choosing the best physical and functional assessment methods Year: 2015
Conceptual differences in health related quality of life (HrQoL) and quality of life (QoL) in COPD patients in relation to differences in natural course and determinants Source: Annual Congress 2008 - Quality of life and mood disturbances in rehabilitation Year: 2008
Improving passive coping style increases quality of life in patients referred for pulmonary rehabilitation Source: Annual Congress 2008 - Respiratory mechanics, muscles and breathing; functional status measures and coping styles Year: 2008
Does rehabilitation improve health-related quality of life (HRQL) in patients with advanced respiratory failure? Source: Annual Congress 2007 - Health-related quality of life (HRQL) in patients with severe chronic respiratory failure Year: 2007
Predictors for long-term health related quality of life after lung transplantation; do they differ between physical and psychological dimensions? Source: Annual Congress 2006 - Lung transplantation: infection, rejection, animal models and more Year: 2006
How can health-related quality of life (HRQL) be measured in patients receiving noninvasive ventilation? Source: Annual Congress 2007 - Health-related quality of life (HRQL) in patients with severe chronic respiratory failure Year: 2007
Interactions between quality of life and psychological status of caregivers and their asthmatic children in function of swimming training Source: Annual Congress 2008 - Clinical aspects of asthma in school-aged children Year: 2008
Community pulmonary rehabilitation for COPD: physical, psychological and quality of life improvements are independent of age and disease severity Source: Eur Respir J 2007; 30: Suppl. 51, 93s Year: 2007
Impact of autonomy impairments and social conditions on quality of life in COPD-patients with long-term NIV Source: Virtual Congress 2021 – Home mechanical ventilation: organisation and outcomes Year: 2021