Participation and drop-out in pulmonary rehabilitation: a qualitative analysis of the patient's perspective

康复 社会心理的 肺康复 悲观 物理疗法 定性研究 医学 心理学 透视图(图形) 精神科 社会科学 计算机科学 认识论 哲学 社会学 人工智能
作者
Maarten J. Fischer,Margreet Scharloo,Jannie J. Abbink,A Thijs-Van,Arjan Rudolphus,Lucia Snoei,John Weinman,Ad A. Kaptein
出处
期刊:Clinical Rehabilitation [SAGE Publishing]
卷期号:21 (3): 212-221 被引量:116
标识
DOI:10.1177/0269215506070783
摘要

Objective: To examine patients' pretreatment beliefs and goals regarding pulmonary rehabilitation. Design: Qualitative study using semi-structured interviews. Setting: Interviews conducted at participants' homes. Subjects: Twelve patients with chronic obstructive pulmonary disease who had been referred to a rehabilitation clinic. Main measures: Patients' beliefs about pulmonary rehabilitation, self-set treatment goals and anticipated reasons for drop-out. Results: Patients' beliefs about pulmonary rehabilitation comprised positive aspects (participation as an opportunity for improvement, a safe and multidisciplinary setting, presence of motivating and supporting patients) and negative aspects of exercising in a rehabilitation centre (e.g. disruption of normal routine, being tired after training, transportation difficulties, limited privacy and confrontation with severely ill patients). Four types of treatment goals were formulated: increase in functional performance, weight regulation, reduction of dyspnoea, and improvement of psychosocial well being. Four clusters of anticipated reasons for drop-out were identified: the intensity of the programme, barriers to attending (e.g. transportation problems, sudden illness and other duties/responsibilities), lack of improvement and social factors. Four different attitudes towards pulmonary rehabilitation could be distinguished: optimistic, ‘wait and see’, sceptic and pessimistic. Follow-up data revealed that whereas a pessimistic attitude (high disability, low self-confidence, many concerns) was related to decline, the ‘sceptic’ patients had dropped out during the course. Conclusions: Uptake and drop-out may be related to patients' perceived disabilities, expected benefits and concerns with regard to rehabilitation, practical barriers and confidence in their own capabilities.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
刚刚
1秒前
Jeason完成签到 ,获得积分10
1秒前
1秒前
LaTeXer应助林林林林采纳,获得50
1秒前
不想发布了新的文献求助10
2秒前
2秒前
3秒前
3秒前
3秒前
llll发布了新的文献求助10
4秒前
ailsa完成签到 ,获得积分20
5秒前
大碗公发布了新的文献求助10
5秒前
7秒前
11秒前
12秒前
SciGPT应助hyue采纳,获得10
12秒前
Lip发布了新的文献求助50
14秒前
卫wei完成签到,获得积分10
14秒前
大碗公完成签到,获得积分10
15秒前
汉堡包应助多情的飞绿采纳,获得30
16秒前
17秒前
隐形曼青应助大根猫采纳,获得10
17秒前
18秒前
Liu完成签到,获得积分10
18秒前
18秒前
fsy完成签到,获得积分10
18秒前
20秒前
小鱼干完成签到,获得积分20
20秒前
wwwssss完成签到 ,获得积分10
20秒前
yarkye完成签到,获得积分10
21秒前
21秒前
21秒前
weidongwu发布了新的文献求助10
21秒前
llll发布了新的文献求助10
22秒前
23秒前
23秒前
好的哥完成签到,获得积分10
24秒前
上官若男应助KingXing采纳,获得10
25秒前
张大宝完成签到,获得积分10
25秒前
高分求助中
A new approach to the extrapolation of accelerated life test data 1000
ACSM’s Guidelines for Exercise Testing and Prescription, 12th edition 500
‘Unruly’ Children: Historical Fieldnotes and Learning Morality in a Taiwan Village (New Departures in Anthropology) 400
Indomethacinのヒトにおける経皮吸収 400
Phylogenetic study of the order Polydesmida (Myriapoda: Diplopoda) 370
基于可调谐半导体激光吸收光谱技术泄漏气体检测系统的研究 350
Robot-supported joining of reinforcement textiles with one-sided sewing heads 320
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 3988838
求助须知:如何正确求助?哪些是违规求助? 3531250
关于积分的说明 11252914
捐赠科研通 3269838
什么是DOI,文献DOI怎么找? 1804820
邀请新用户注册赠送积分活动 881943
科研通“疑难数据库(出版商)”最低求助积分说明 809028