Abstract:
BACKGROUND:Improving quality of life (QOL) is a key goal in the care of patients with COPD. Pulmonary rehabilitation (PR) has clearly been shown to improve QOL, but is not accessible to many eligible patients. There is a need for alternative programs designed to improve patient well-being that are accessible to all patients with COPD. Our goal was to pilot test a simple, telephone-based health-coaching intervention that was recently shown to decrease readmission among hospitalized COPD patients and stable COPD patients eligible for PR. METHODS:Subjects received a 3-month intervention consisting of 10 health-coaching telephone calls based on motivational interviewing principles. Outcome measures included dyspnea level, measured by the modified Medical Research Council scale, and QOL, measured by the Chronic Respiratory Questionnaire and a single-item general self-rated health status. RESULTS:Fifty subjects with moderate to severe COPD were enrolled in the study. Forty-four subjects (86%) completed the study intervention. Dyspnea measured by the modified Medical Research Council score improved significantly after the intervention (P = .002). The domains of fatigue, emotional function, and mastery on the Chronic Respiratory Disease Questionnaire and the single-item QOL question also improved significantly after the 3 months of health coaching (P = .001, P = .001, P = .007, and P = .03, respectively). Thirty-six (71%) subjects had a clinically meaningful improvement in at least 1 study end point (either in the severity of dyspnea or a domain of QOL). Thirty subjects (58%) had an improvement of ≥0.5 points, the minimum clinically important difference in at least 1 component of the Chronic Respiratory Disease Questionnaire. CONCLUSIONS:A telephone-delivered motivational interviewing-based coaching program for COPD patients is a feasible, well-accepted (by both participants and providers), simple, and novel intervention to improve the well-being of patients with COPD. This pilot study provides insight into a possible alternative to a conventional PR program for patients with limited access to that program.
journal_name
Respir Carejournal_title
Respiratory careauthors
Rehman H,Karpman C,Vickers Douglas K,Benzo RPdoi
10.4187/respcare.04984subject
Has Abstractpub_date
2017-08-01 00:00:00pages
1043-1048issue
8eissn
0020-1324issn
1943-3654pii
respcare.04984journal_volume
62pub_type
杂志文章相关文献
Respiratory Care文献大全abstract:BACKGROUND:Current literature has been inconsistent in demonstrating that minimizing the duration of mechanical ventilation in very-low-birth-weight (VLBW) newborns reduces lung damage. OBJECTIVE:To determine if introduction of bubble nasal CPAP (bnCPAP), early surfactant treatment, and rapid extubation (combined bnCP...
journal_title:Respiratory care
pub_type: 杂志文章
doi:10.4187/respcare.01998
更新日期:2013-07-01 00:00:00
abstract:BACKGROUND:Continuous high-frequency oscillation (CHFO) is a therapeutic mode for the mobilization of secretions. The Metaneb CHFO device also incorporates aerosol administration using an integrated jet nebulizer. However, the effectiveness of aerosol delivery and influential factors remain largely unreported. METHODS...
journal_title:Respiratory care
pub_type: 杂志文章
doi:10.4187/respcare.07050
更新日期:2020-02-01 00:00:00
abstract::Acute brain injury, in the form of trauma, stroke, or spontaneous hemorrhage, occurs commonly and in all age groups. Although the management of these conditions differs considerably, certain physiologic principles are shared by all and are useful in guiding the management of the most severely injured patients. This ar...
journal_title:Respiratory care
pub_type: 杂志文章
doi:
更新日期:2006-04-01 00:00:00
abstract::Traumatic brain injury is a problem that affects millions of Americans yearly and for which there is no definitive treatment that improves outcome. Continuous brain tissue oxygen (PbtO2 ) monitoring is a complement to traditional brain monitoring techniques, such as intracranial pressure and cerebral perfusion pressur...
journal_title:Respiratory care
pub_type: 杂志文章,评审
doi:10.4187/respcare.04962
更新日期:2016-09-01 00:00:00
abstract:OBJECTIVE:Evaluate the effects of continuous positive airway pressure (CPAP)/positive end-expiratory pressure (PEEP) and pressure support ventilation (PSV) on work of breathing (WOB). METHODS:With 13 anesthetized lambs we measured WOB with an esophageal balloon and flow signals. All the animals were sedated, intubated...
journal_title:Respiratory care
pub_type: 杂志文章
doi:
更新日期:2003-07-01 00:00:00
abstract::A 20-year-old man was admitted in the neurology ICU after the drainage of a large frontal hematoma related to the spontaneous bleeding of a recently diagnosed cavernoma. On admission the Glasgow coma score was 4/15, with evidence of sub-falcorial herniation and elevated intracranial pressure. On the 4th postoperative...
journal_title:Respiratory care
pub_type: 杂志文章
doi:10.4187/respcare.01322
更新日期:2012-07-01 00:00:00
abstract::We describe a unique presentation of polymyositis-associated pneumonitis. A 45-year-old man with a history of polymyositis presented with an episode of fever, cough, dyspnea, rapidly progressive respiratory failure, and unilateral pulmonary infiltrates. Although bacterial pneumonia was initially suspected, all culture...
journal_title:Respiratory care
pub_type: 杂志文章
doi:
更新日期:2007-12-01 00:00:00
abstract:BACKGROUND:Endotracheal tubes with standard polyvinyl chloride cuffs create folds on inflation into the trachea, which lead to potential leakage of subglottic secretions into the lower airways and cause lung colonization and pneumonia. The use of a double-layer prototype leak-proof cuff has shown effective prevention o...
journal_title:Respiratory care
pub_type: 杂志文章
doi:10.4187/respcare.06573
更新日期:2019-09-01 00:00:00
abstract:BACKGROUND:We previously reported the effects of high-flow nasal cannula (HFNC) oxygen therapy on thoraco-abdominal synchrony. This study was designed to clarify the effect of HFNC on thoraco-abdominal synchrony in pediatric subjects after cardiac surgery and to investigate HFNC optimal flow in this population. METHOD...
journal_title:Respiratory care
pub_type: 杂志文章,随机对照试验
doi:10.4187/respcare.06193
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND:The aim of this study was to develop an efficient, low-cost, home-based pulmonary rehabilitation program and to evaluate the impact of the program on exercise as measured by the 6-min walk test (6MWT) and treadmill endurance test. METHODS:Twenty-nine subjects with COPD (FEV1 = 62.4 ± 10.7% of predicted, 62....
journal_title:Respiratory care
pub_type: 杂志文章,随机对照试验
doi:10.4187/respcare.02994
更新日期:2015-04-01 00:00:00
abstract:BACKGROUND:Field walking tests are commonly used in patients with chronic pulmonary diseases for assessment of functional capacity. However, the physiological demands and magnitude of desaturation on 6-min walk test (6MWT), incremental shuttle walk test (ISWT), and endurance shuttle walk test (ESWT) have not been inves...
journal_title:Respiratory care
pub_type: 杂志文章
doi:10.4187/respcare.07171
更新日期:2020-05-01 00:00:00
abstract:BACKGROUND:Blow-by, a common form of nebulizer therapy, in which the device is held away from a child's face, has been dismissed as ineffective because studies have demonstrated incremental aerosol drop-off with increasing distances from the face. Many of these studies do not take into account differences among nebuliz...
journal_title:Respiratory care
pub_type: 杂志文章
doi:10.4187/respcare.01653
更新日期:2012-12-01 00:00:00
abstract:BACKGROUND:The ventilatory ratio (VR) is a dead-space marker associated with mortality in mechanically ventilated adults with ARDS. The end-tidal alveolar dead space fraction (AVDSf) has been associated with mortality in children. However, AVDSf requires capnography measurements, whereas VR does not. We sought to exami...
journal_title:Respiratory care
pub_type: 杂志文章
doi:10.4187/respcare.07937
更新日期:2021-02-01 00:00:00
abstract::Sialorrhea or drooling represents quite a common problem in patients with amyotrophic lateral sclerosis (ALS). In this review, we describe the possible treatments for this issue. Current medical management is not always effective: anticholinergic drugs (atropine, glycopyrrolate, amitriptyline, hyoscyamine, and transde...
journal_title:Respiratory care
pub_type: 杂志文章,评审
doi:10.4187/respcare.02856
更新日期:2015-03-01 00:00:00
abstract:INTRODUCTION:Common modalities of clinical exercise testing for outcome measurement after pulmonary rehabilitation (PR) include walk tests, progressive cycle ergometry, and cycle endurance testing. We hypothesized that patients' responses to PR, as measured by those 3 tests, are differentially correlated, and we design...
journal_title:Respiratory care
pub_type: 杂志文章
doi:
更新日期:2004-12-01 00:00:00
abstract:BACKGROUND:In a traditional endotracheal tube (ETT), there is a linear outward pull through its attachment to the ventilator tubing that leads to risk of accidental dislodgement. This study was conducted to assess the ETT flow characteristics and to evaluate providers' intubation experience using two ETT's in a simulat...
journal_title:Respiratory care
pub_type: 杂志文章
doi:10.4187/respcare.05813
更新日期:2018-09-01 00:00:00
abstract::Pressure support ventilation (PSV) is a commonly used mode. It is patient-triggered, pressure-limited, and (normally) flow-cycled. Triggering difficulty occurring during PSV is usually due to intrinsic positive end-expiratory pressure. The airway pressure generated at the initiation of inhalation is determined by the ...
journal_title:Respiratory care
pub_type: 杂志文章,评审
doi:
更新日期:2005-02-01 00:00:00
abstract:BACKGROUND:Users of home mechanical ventilation encounter major psychological and physiologic challenges. To ensure well-functioning home mechanical ventilation, users' experiences of care and treatment are important knowledge to supplement clinical perspectives. This systematic review aimed to summarize current qualit...
journal_title:Respiratory care
pub_type: 杂志文章,评审
doi:10.4187/respcare.06855
更新日期:2019-09-01 00:00:00
abstract:BACKGROUND:Capnometry detects hypoventilation earlier than pulse oximetry while supplemental oxygen is being administered. We compared the end-tidal CO2 (PETCO2 ) measured using a newly developed oxygen nasal cannula with a CO2-sampling port and the PaCO2 in extubated subjects after abdominal surgery. We also investiga...
journal_title:Respiratory care
pub_type: 杂志文章
doi:10.4187/respcare.04634
更新日期:2017-01-01 00:00:00
abstract::Optimizing patient-ventilator synchrony is essential in managing patients who require prolonged mechanical ventilation in the long-term acute-care hospital. Inadequate synchrony can increase work of breathing, cause patient discomfort, and delay both weaning and general rehabilitation. Achieving optimal synchrony in t...
journal_title:Respiratory care
pub_type: 杂志文章,评审
doi:10.4187/respcare.01084
更新日期:2011-02-01 00:00:00
abstract:BACKGROUND:Home mechanical ventilation (HMV) is a routine method of treatment for patients with chronic ventilatory failure. Over the last 20 y, a marked development in HMV has been noted in terms of its prevalence and the changing proportion of patients with various indications. However, data on HMV come exclusively f...
journal_title:Respiratory care
pub_type: 杂志文章
doi:10.4187/respcare.03126
更新日期:2015-04-01 00:00:00
abstract::Ventilator-associated pneumonia (VAP) is an acquired infection related primarily to the consequences of prolonged endotracheal intubation. It is considered the most important infectious challenge in the critical care setting. Preventable complications of hospital care are considered an important source of wasted healt...
journal_title:Respiratory care
pub_type: 杂志文章,评审
doi:10.4187/respcare.03774
更新日期:2015-10-01 00:00:00
abstract:BACKGROUND:Clinical preceptors in respiratory therapy (RT) are expected to possess effective teaching skills and qualities that signify their knowledge, expertise, and professionalism. Thus, it is important to determine which teaching characteristics are effective among RT clinical preceptors from the administrators' p...
journal_title:Respiratory care
pub_type: 杂志文章
doi:10.4187/respcare.06947
更新日期:2020-02-01 00:00:00
abstract:BACKGROUND:The rise in inspiratory flow is important during patient-triggered ventilation. Many ventilators incorporate a function to control the time to reach the targeted airway pressure (inspiratory rise time). However, it has not been clarified how inspiratory rise time affects inspiratory work load under various v...
journal_title:Respiratory care
pub_type: 杂志文章
doi:
更新日期:2010-07-01 00:00:00
abstract:BACKGROUND:We recently demonstrated in a randomized study the feasibility and effectiveness of telephone-based health coaching using motivational interviewing on decreasing hospital readmissions and improving quality of life at 6 and 12 months after hospital discharge. In this qualitative study, we sought to explore th...
journal_title:Respiratory care
pub_type: 杂志文章
doi:10.4187/respcare.05574
更新日期:2017-11-01 00:00:00
abstract:BACKGROUND:Esophageal balloon inflation volume may affect the accuracy of transpulmo-nary pressure estimates in adults, but the effect is unknown in pediatrics. Using a combination bench and human study, we sought to determine a range of optimal filling volumes for esophageal balloon catheters and to derive a technique...
journal_title:Respiratory care
pub_type: 杂志文章
doi:10.4187/respcare.05685
更新日期:2018-02-01 00:00:00
abstract:BACKGROUND:Nosocomial pneumonia is a difficult diagnosis to establish in the intensive care unit setting, due to the non-specific nature of the clinical and radiographic findings. Procalcitonin is a circulating biomarker that may become elevated in the presence of bacterial infection. METHODS:We conducted a prospectiv...
journal_title:Respiratory care
pub_type: 杂志文章
doi:10.4187/respcare.00979
更新日期:2011-04-01 00:00:00
abstract::Cough is an important component of airway clearance, particularly in individuals with intrinsic pulmonary disease, weakness of respiratory muscles, or central nervous system disease that impairs breathing. The use of assisted cough to enhance airway clearance in individuals with neuromuscular disease is essential to p...
journal_title:Respiratory care
pub_type: 杂志文章,评审
doi:
更新日期:2007-10-01 00:00:00
abstract::Increases in the utilization of respiratory therapy and the need to avoid its misuse have placed increasing management responsibilities on medical and technical supervisors of respiratory care services. To improve our managerial capabilities we designed a computerized respiratory care record system. Respiratory therap...
journal_title:Respiratory care
pub_type: 杂志文章
doi:
更新日期:1983-03-01 00:00:00
abstract::We present a case of unilateral airflow obstruction during forced exhalations. The patient presented with episodic dyspnea and wheezing, particularly when he lay in the right lateral decubitus position. Spirometry revealed symmetric, marked reductions in forced expiratory volume in the first second and forced vital ca...
journal_title:Respiratory care
pub_type: 杂志文章
doi:
更新日期:2002-06-01 00:00:00