Why are COPD patients unable to complete the outpatient pulmonary rehabilitation program?

Hulya Sahin, Ilknur Naz, Hulya Sahin, Ilknur Naz

Abstract

This study aims to compare demographic and clinical characteristics of chronic obstructive pulmonary disease (COPD) patients who complete and fail to complete outpatient pulmonary rehabilitation (PR) program and to determine the reasons for not completing the program. Patients with COPD referred to the PR program were divided into two groups: Those who completed the program were classified as group 1 and those who did not complete were classified as group 2, and their data were compared. Patients who failed to complete the program were contacted through phone and asked why they ceased their participation in the program. In group 2, number of smoker patients and patients using nebulizer and receiving long-term oxygen treatment, emergency admissions, and dyspnea perception were higher ( p = 0.003, p < 0.001, p = 0.033, p = 0.011, p < 0.001, respectively); forced expiratory volume in one second (%) value, exercise capacity, and quality of life were lower ( p = 0.024, p = 0.001, p = 0.014, respectively). When considered from the sociodemographic perspective, group 2 had a lower education level and a higher rate of living alone ( p < 0.001). Factors impairing the program compliance were lack of motivation (49.0%), transportation problems (23.8%), COPD exacerbation (18.4%), work-related reasons (4.8%), and hospitalization (4.1%), respectively. Smokers and severe COPD patients fail to complete PR program due to various reasons, especially lack of motivation. It is very important for health practitioners to inform patients accurately and adopt a positive attitude.

Keywords: COPD; COPD exacerbation; lack of motivation; patient compliance; pulmonary rehabilitation; transportation problems.

Conflict of interest statement

Declaration of conflicting interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Flowchart. COPD: chronic obstructive pulmonary disease, PR: pulmonary rehabilitation; mMRC: Modified Medical Research Council.
Figure 2.
Figure 2.
Reasons of patients for not participating in the PR program. PR: pulmonary rehabilitation.

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Source: PubMed

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