Korean J Rehabil Nurs.  2016 Dec;19(2):82-99. 10.7587/kjrehn.2016.19.2.82.

A Systematic Review of Home based Pulmonary Rehabilitation in COPD Patients: Randomized Controlled Trials

• Ahn MH
• Choi JY
• Kim YH

• KMID: 2369014
• DOI: http://doi.org/10.7587/kjrehn.2016.19.2.82

Abstract

PURPOSE
The purpose of this study was to review systematically the effects of home based pulmonary rehabilitation in chronic obstructive pulmonary disease (COPD) patients using qualitative synthesis.
METHODS
Studies designed randomized controlled trials were identified to extract data and to assess the quality of studies in 8 domestic and 3 foreign search engines, and hand search reference reviews.
RESULTS
A total of 9 studies met the inclusion criteria. Overall, the methodological quality of the studies ranged from average to poor. Home based pulmonary rehabilitation consisted of exercise, education, and psychosocial interventions. Several exercises such as aerobic, strength, respiratory muscle training, and flexibility were used in home based pulmonary rehabilitation for COPD patients. Upper muscle exercise and walking were the most frequently used exercises. The most common topics for education were "˜knowledge of the illness' and "˜drug management'. Walking distance test (WDT) and quality of life (QoL) were the most frequently measured as the dependent variables to evaluate rehabilitation outcomes, followed by pulmonary function test (PFT) and dyspnea. WDT was the most effective outcome, followed by dyspnea, QoL and PFT.
CONCLUSION
This study informed about the details of scientific and effective home based rehabilitation programs in COPD patients for future researchers and clinicians. These findings can help expand the recognition and accessibility of home based rehabilitation in COPD patients.

Keyword

Pulmonary disease; Chronic obstructive; Rehabilitation; Review

MeSH Terms

Breathing Exercises
Dyspnea
Education
Exercise
Hand
Humans
Lung Diseases
Pliability
Pulmonary Disease, Chronic Obstructive*
Quality of Life
Rehabilitation*
Respiratory Function Tests
Search Engine
Walking