Abstract:
OBJECTIVE:The purpose of this study is to produce insight in the explanations for declining pulmonary rehabilitation given by patients with chronic obstructive pulmonary disease. SETTING:The participants were recruited from a hospital in Denmark, among patients hospitalized due to an exacerbation of chronic obstructive pulmonary disease and among stable patients attending an outpatient clinic. PARTICIPANTS:Patients who decline participation in offered pulmonary rehabilitation, who speak Danish, who are able to give informed consent and to participate in a 1-hour interview. METHOD:The research question was answered through interviews with 19 patients. DATA ANALYSIS:The interviews were recorded and transcribed verbatim. The transcripts were analyzed using inductive content analysis. The transcripts were condensed; categories were developed providing different types of explanations for declining pulmonary rehabilitation. Each category was named using a content characteristic word. RESULTS:This study shows that some patients do not remember or recall that they have been offered pulmonary rehabilitation during hospitalization. Especially the oldest patients perceive themselves to be too frail from chronic obstructive pulmonary disease, comorbidity or multimorbidity. The male patients tend to find pulmonary rehabilitation irrelevant because they do not consider themselves ill. Furthermore, the study shows that pulmonary rehabilitation is perceived to be time-consuming and conflicting with daily activities. CONCLUSIONS:Patients decline pulmonary rehabilitation because the intervention does not fit their perception of health and because they find that participation in the program may collide with priorities and daily activities.
journal_name
Clin Rehabiljournal_title
Clinical rehabilitationauthors
Mathar H,Fastholm P,Lange P,Larsen NSdoi
10.1177/0269215517708821subject
Has Abstractpub_date
2017-12-01 00:00:00pages
1674-1683issue
12eissn
0269-2155issn
1477-0873journal_volume
31pub_type
杂志文章abstract::The total extent of sickness in the population has increased while disease has decreased. Being sick is a role that offers the patient many advantages both directly, in terms of being absolved from undertaking many daily activities if necessary, and indirectly, through additional financial and other resources that may...
journal_title:Clinical rehabilitation
pub_type: 社论
doi:10.1177/0269215507077799
更新日期:2007-04-01 00:00:00
abstract:OBJECTIVE:To determine effects of Whole Body Vibration Exercise (WBVE) associated with quadriceps resistance exercises (QRE) versus QRE only on pain, physical function, biomarkers in serum and urine, activities of daily living (ADL), and quality of life in patients with knee osteoarthitis (OA). DESIGN:Randomized-contr...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215515607970
更新日期:2016-11-01 00:00:00
abstract:OBJECTIVE:To systemically review the psychometric properties and clinical utility (feasibility) of tools to measure fatigue in neurological conditions. DATA SOURCES:AMED, CINAHL, MEDLINE, Science Direct and Web of Knowledge were searched for studies of the psychometric properties of fatigue measures in adults with cen...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215514521043
更新日期:2014-08-01 00:00:00
abstract:OBJECTIVE:The objective was to investigate the effect of increased intensity of rehabilitation therapy provided to brain-injured subjects on the rate at which independence was regained and the duration of hospital admission. DESIGN:A two-centre, prospective, controlled study with random allocation to groups. SETTING:...
journal_title:Clinical rehabilitation
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.1191/026921501680425225
更新日期:2001-10-01 00:00:00
abstract:OBJECTIVE::To compare the effects of diacutaneous fibrolysis with sham in patients with mild to moderate carpal tunnel syndrome. DESIGN::Double-blind (patient and evaluator) randomized controlled trial. SETTING::Miguel Servet University Hospital, Zaragoza, Spain. SUBJECTS::A total of 52 patients (72 wrists) with car...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215518787316
更新日期:2018-12-01 00:00:00
abstract:OBJECTIVE:To identify predictors of long-term pain and disability in knee osteoarthritis. DESIGN:A longitudinal cohort study of five years. SETTING:Primary care providers. SUBJECTS:In all, 108 patients (mean age = 63.6 years, standard deviation (SD) = 7.2 years) with knee pain (⩾40 mm on a 100 mm visual analogue sca...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215519900533
更新日期:2020-03-01 00:00:00
abstract:OBJECTIVE:To systematically review the available evidence for the effectiveness of sensory re-education to improve the sensibility of the hand in patients with a peripheral nerve injury of the upper limb. DATA SOURCES:Studies were identified by an electronic search in the databases MEDLINE, Cumulative Index to Nursing...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,评审
doi:10.1177/0269215507074395
更新日期:2007-06-01 00:00:00
abstract::This series of articles for rehabilitation in practice aims to cover a knowledge element of the rehabilitation medicine curriculum. Nevertheless they are intended to be of interest to a multidisciplinary audience. The competency addressed in this article is 'The trainee consistently demonstrates a knowledge of the pat...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215509353254
更新日期:2010-04-01 00:00:00
abstract:OBJECTIVE:To determine whether symptoms of urinary incontinence is reduced by pelvic floor muscle training, to determine whether urinary incontinence can be totally eliminated by strengthening the pelvic floor muscle to grade 5 on the Oxford scale. DESIGN:Prospective randomized controlled clinical trial. SETTING:Outp...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215514546768
更新日期:2015-06-01 00:00:00
abstract:OBJECTIVE:To investigate the effect of early cycling training on balance and motor abilities of stroke patients in their subacute stage. DESIGN:Randomized clinical trial. SETTING:Inpatient rehabilitation. SUBJECTS:Twenty-four patients who had had a first stroke were randomly assigned to a cycling training group (N=1...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1191/0269215505cr960oa
更新日期:2006-05-01 00:00:00
abstract:OBJECTIVE:To test the measurement properties (reliability, interpretability, and validity) of the Life-Space Assessment questionnaire for older adults with chronic obstructive pulmonary disease. DESIGN:Clinimetric study. SETTING:Pneumology service, ambulatory care, São Paulo, SP, Brazil. PARTICIPANTS:Consecutive sam...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215518780488
更新日期:2018-10-01 00:00:00
abstract:OBJECTIVE:To review peer-reviewed literature relating to postoperative physiotherapy for degenerative cervical myelopathy (DCM), to determine efficacy in improving clinical outcome and recovery. DATA SOURCES:MEDLINE, EMBASE, CENTRAL, PEDro, ISRCTN registry, WHO ICTRP and Clinicaltrials.gov . References and citations o...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215518766229
更新日期:2018-09-01 00:00:00
abstract:OBJECTIVE:The present study aimed to assess the effectiveness of oral citalopram, compared with fluoxetine and a placebo, in patients with post-stroke motor disabilities. DESIGN:A randomized double-blind placebo-controlled clinical trial was conducted between January 2015 and January 2016. SETTING:The neurology depar...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215518777791
更新日期:2018-08-01 00:00:00
abstract:OBJECTIVE:To evaluate the effects of visual cues combined with treadmill training on gait performance in patients with Parkinson's disease and to compare the strategy with pure treadmill training. DESIGN:Pilot, exploratory, non-blinded, randomized controlled trial. SETTING:University Hospital of Munich, Germany. SUB...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215515588836
更新日期:2016-05-01 00:00:00
abstract:OBJECTIVE:To study the course of apraxia and daily life functioning (ADL) in left hemisphere stroke patients with apraxia. DESIGN:Prospective cohort study. SETTING:Rehabilitation centres and nursing homes. SUBJECTS:One hundred and eight left hemisphere stroke patients with apraxia, hospitalized in rehabilitation cen...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215506071257
更新日期:2006-12-01 00:00:00
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journal_title:Clinical rehabilitation
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1191/0269215500cr338oa
更新日期:2000-08-01 00:00:00
abstract:OBJECTIVE:To investigate the feasibility, acceptability, and safety of a supervised video game exercise program administered via Dance Dance Revolution in individuals with Huntington's disease. DESIGN:A cross-over, controlled, single-blinded, six-week trial. SETTING:Home-based. PARTICIPANTS:Eighteen ambulatory indiv...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215513487235
更新日期:2013-11-01 00:00:00
abstract:OBJECTIVE:To compare the efficacy of three-dimensional (3D) Schroth exercises in patients with adolescent idiopathic scoliosis. DESIGN:A randomised-controlled study. SETTING:An outpatient exercise-unit and in a home setting. SUBJECTS:Fifty-one patients with adolescent idiopathic scoliosis. INTERVENTIONS:Forty-five ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215515575745
更新日期:2016-02-01 00:00:00
abstract:OBJECTIVE:To compare spinal manipulation, back school and individual physiotherapy in the treatment of chronic low back pain. DESIGN:Randomized trial, 12-month follow-up. SETTING:Outpatient rehabilitation department. PARTICIPANTS:210 patients with chronic, non-specific low back pain, 140/210 women, age 59 +/- 14 yea...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215509342328
更新日期:2010-01-01 00:00:00
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journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215508096174
更新日期:2009-02-01 00:00:00
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journal_title:Clinical rehabilitation
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1177/0269215512464503
更新日期:2013-06-01 00:00:00
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journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215509334835
更新日期:2009-08-01 00:00:00
abstract:OBJECTIVES:To estimate the point prevalence of pressure sores in a community sample of spinal cord injured patients who were followed up by a spinal injuries unit and to evaluate whether self-management strategies were associated with decreased risk of pressure sores. SETTING:A regional spinal injuries unit, UK. DESI...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/0269215503cr692oa
更新日期:2003-12-01 00:00:00
abstract:OBJECTIVE:The aim of this review was to systematically assess and meta-analyze the effectiveness of yoga in relieving chronic neck pain. METHODS:PubMed/MEDLINE, the Cochrane Library, Scopus, and IndMED were screened through January 2017 for randomized controlled trials assessing neck pain intensity and/or neck pain-re...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,meta分析
doi:10.1177/0269215517698735
更新日期:2017-11-01 00:00:00
abstract:OBJECTIVE:To describe the experience of physical activity maintenance in patients with rheumatoid arthritis. DESIGN:A qualitative salutogenic-oriented interview study. SETTING:A rheumatology outpatient clinic. SUBJECTS:A purposive sample of 16 physically active patients (mean age 50, range 37-67) diagnosed with rheu...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215513501526
更新日期:2014-03-01 00:00:00
abstract:OBJECTIVE:To establish the feasibility of a randomized, placebo-controlled trial to investigate the effect of a specific immunotherapy bacterial lysate OM-89 (Uro-Vaxom®) in reducing the frequency of urinary tract infections in people with neurogenic bladder dysfunction. DESIGN:A parallel-group, double-blind, randomiz...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215520946065
更新日期:2020-12-01 00:00:00
abstract:OBJECTIVE:To explore whether goal-setting for rehabilitation with acute stroke survivors is patient-centred and identify factors which influence the adoption of patient-centredness in goal-setting practice. SETTING:Acute stroke unit in a large teaching hospital in England. PARTICIPANTS:Patients with stroke who had no...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215515584167
更新日期:2016-05-01 00:00:00
abstract:OBJECTIVE:To analyze the clinical significance of postoperative back muscle exercises after percutaneous vertebroplasty for spinal osteoporotic compression fracture patients. DESIGN:Clinical randomized controlled trials of parallel group nonpharmacologic study. SETTING:Patients practised back muscle exercises in the ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
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更新日期:2012-06-01 00:00:00
abstract:OBJECTIVE:To assess whether intraarticular corticosteroids improve the outcome of a comprehensive home exercise programme in patients with adhesive capsulitis. SETTING:The study was undertaken in the Physical Therapy and Rehabilitation Department of a Ministry of Health hospital in Turkey. SUBJECTS:Eighty patients wi...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215508086179
更新日期:2008-06-01 00:00:00
abstract:OBJECTIVE:A pilot study to compare the effectiveness of an individual therapy program with the effects of a general physical therapy program. DESIGN:A randomized, single-blind cross-over design. PARTICIPANTS:Ten ambulant children with bilateral spastic cerebral palsy, age four to nine years. INTERVENTION:Participant...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215514544984
更新日期:2014-10-01 00:00:00