• Atencion primaria · Nov 2018

    [Effectiveness of an educational program for respiratory rehabilitation of Chronic Obstructive Pulmonary Disease patients in Primary Care in improving the quality of life, symptoms, and clinical risk].

    • Cristina Blánquez Moreno, Cristina Colungo Francia, M Carme Alvira Balada, Belchin Kostov, Luis González-de Paz, and Antoni Sisó-Almirall.
    • Centro de Salud Comte Borrell, Consorcio de Atención Primaria de Salud Barcelona Izquierda (CAPSBE), Barcelona, España. Electronic address: crisblanquez@gmail.com.
    • Aten Primaria. 2018 Nov 1; 50 (9): 539546539-546.

    AimTo determine the impact of an educational program to improve the management of chronic obstructive pulmonary disease (COPD) that contributes to an increase of the quality of life, exercise capacity, level of dyspnoea, and clinical risk.DesignIntervention study without controls.LocationPrimary Healthcare Centre.Participants193 patients with COPD were invited, 73 accepted and 55 participated in the educational program.InterventionsRespiratory rehabilitation educational program with basic concepts of pulmonary and respiratory pathophysiology, respiratory physiotherapy exercises, practical workshop on the use of the most frequent inhalation devices, understanding of chronic disease and self-care measures in case of exacerbation.Main MeasurementsThe quality of life (the COPD assessment test), exercise tolerance (the Six-Minute Walk Test), rating of perceived exertion (Borg Dyspnoea Score) and clinical risk (BODE index) were assessed by means of validated questionnaires in Spanish.ResultsA total of 43 (78.2%) participants completed the program. An improvement in the quality of life by a mean of 3.3 points was observed (95%CI; 1.76-4.84). Just over half (53.5%) of the participants obtained a clinically relevant improvement. Participants also improved their physical exercise capacity at post-intervention by increasing the distance that they walked in 6min by a mean of 20.76m (95%CI; 2.57-38.95). Improvements in the level of dyspnoea and clinical risk were also observed.ConclusionsThe educational program shows a statistically significant and clinically relevant improvement in the quality of life, fatigue, symptomatology, exercise capacity, level of dyspnoea, and clinical risk. The program is adaptable to the health care routine of healthcare centres.Copyright © 2017 Elsevier España, S.L.U. All rights reserved.

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