Understanding Long-term Requirements in Pulmonary Rehabilitation for COPD: Insights from Interviews with Respiratory Care Professionals

Abstract

Abstract Chronic obstructive pulmonary disease (COPD) is characterized by persistent obstruction to airflow through the lungs and long-term respiratory symptoms. Apart from dyspnea, a critical characteristic of patients with COPD is an impaired capacity to exercise, which limits their ability to participate in daily activities and severely impacts their quality of life. To provide a precise and effective exercise prescription, it is necessary to translate exercise science into evidence-based recommendations for pulmonary rehabilitation (PR). This study aims to enhance our understanding of the continuous requirements for long-term PR in COPD patients. To achieve this, a series of semi-structured investigations will be conducted, focusing on three key aspects: exploring the essential tasks and conditions for implementing PR, identifying the specific requirements for assistive devices, and examining the health management practices for patients after hospital discharge. The interviews were carried out with a convenience sample of 24 respiratory care professionals who possess an average of 17 years of relevant clinical work experience and are actively involved in providing PR services to COPD patients. Interviews were transcribed verbatim, and analysis was undertaken to identify the following themes: (1) Necessary Conditions for Clinical Pulmonary Rehabilitation ; (2) The Need for Assistive Devices in Pulmonary Rehabilitation ; and (3) Post-Discharge Care for Patients with Chronic Lung Disease. Our findings indicate that the implementation of exercise training to enhance the exercise capacity of COPD patients is a complex process. Barriers associated with respiratory care professionals (RCPs) contribute to the challenges in effectively implementing exercise training programs. These barriers emphasize the importance of precise measurement and monitoring of physiological parameters. Furthermore, it is crucial to consider individual differences, limitations in workplaces and medical resources, and the effective utilization of technology for continuous monitoring of patient recovery.