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Patients admitted with an acute exacerbation of chronic obstructive pulmonary disease had positive experiences exercising from the beginning of their hospital stay: A qualitative analysis.
MedLine Citation:
PMID:  24177681     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
The aim of the study is to explore the experiences of inpatients with an acute exacerbation of chronic obstructive pulmonary disease, who participated in a very early exercise programme while acutely unwell. This qualitative study analysed responses from participant interviews as part of a mixed method trial whereby participants were randomly allocated into three groups: low intensity, moderate to high intensity aerobic and resistance exercises or a control group who received routine physiotherapy. Everyone allocated to the exercise groups were invited to participate in the qualitative study. Interviews were within a week post discharge and the results were analysed thematically. A total of 19 participants were interviewed and described their experience as positive and beneficial and reported an increased motivation towards exercising. These findings converged with the high levels of exercise adherence (83%) and within-group improvements in walking capacity observed in both exercise groups. Participants also reported commencement of a home exercise programme after discharge but intention to participate in community pulmonary rehabilitation remained low. Participation in a very early exercise programme while acutely unwell can lead to positive attitude towards exercise. The results converge with the quantitative results that provided preliminary evidence of programme feasibility and within-group improvement in exercise tolerance.
Authors:
Clarice Y Tang; Nicholas F Taylor; Felicity C Blackstock
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Chronic respiratory disease     Volume:  10     ISSN:  1479-9731     ISO Abbreviation:  Chron Respir Dis     Publication Date:  2013  
Date Detail:
Created Date:  2013-11-01     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101197408     Medline TA:  Chron Respir Dis     Country:  England    
Other Details:
Languages:  eng     Pagination:  197-205     Citation Subset:  IM    
Affiliation:
1Physiotherapy Department, Eastern Health, Maroondah Hospital, Victoria, Australia.
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