A comparison of pulmonary rehabilitation delivered in the home or at a centre for patients with COPD

作者：Debeaumont D^*; Dupuis J; Viacroze C; Dennangeon S; Muir J F; Tardif C

来源：Revue des Maladies Respiratoires, 2015, 32(9): 913-920.

DOI：10.1016/j.rmr.2014.11.063

• Pulmonary rehabilitation
• Quality of life
• COPD
• Exercise
• Peak oxygen uptake

Aim. There are few data showing how pulmonary rehabilitation (PR) for COPD patients carried out at home impacts on health-related quality of life (HRQL). The aim of this study was to determine if PR conducted at home improves quality of life.
Methods. We compared the results of home-based PR versus PR performed in an outpatient center. The outcomes were the HRQL measured by the Saint-George's Hospital questionnaire and the 6-minute walk test distance (6MWT). Fifty-six COPD patients were included for PR either at home (n=27) or in the outpatient center (n=29) depending on distance from the center and patients preference. The two groups were similar for sex, age, BMI, lung function, and initial peak oxygen uptake.
Results. 6MWT showed a similar non-significant improvement in both groups after PR (+12 +/- 46 m in home-based PR, + 13 +/- 34 m in outpatient center). HRQL was significantly improved in the home-based group in 2 domains : "Activity" (-8.6 +/- 6.4 vs -0.7 +/- 7.7, P < 0.05), "Impact" (-8.4 +/- 6.5 vs 1.6 +/- 11.7, P < 0.001) and total score (-8.2 +/- 4.0 vs 0.0 +/- 8.8, P < 0.001).
Conclusion. Pulmonary rehabilitation at home is associated with improvements in healthrelated quality of life, and thus can be considered where availability of treatment in specialized centers is limited.

• 出版日期2015-11