Abstract
There is limited information relating to the characteristics of existing pulmonaryrehabilitation programmes, or to the delivery of ongoing exercise and support groupsfor patients with respiratory disease. The Northern Ireland Strategic Frameworkrecommends a significant service re-organisation and re-design of pulmonaryrehabilitation, however, the feasibility of implementing these recommendations isunclear.This regional audit aimed to provide information relating to the current practiceof pulmonary rehabilitation and ongoing exercise and support groups for patientswith respiratory disease in Northern Ireland, and explore potential strategies tofacilitate implementation of the recommendations in the Northern Ireland StrategicFramework in relation to pulmonary rehabilitation. It also aimed to develop aNorthern Ireland Pulmonary Rehabilitation Audit Tool to monitor the progress ofthe implementation of the Northern Ireland Strategic Framework.Methods included questionnaire surveys of current providers of pulmonaryrehabilitation, providers of ongoing exercise and support groups for patients withrespiratory disease, a workshop with the steering group and the development ofand piloting of the Northern Ireland Pulmonary Rehabilitation Audit Tool.Findings relating to the current status of pulmonary rehabilitation in NorthernIreland up to January 2007 are reported. The results show that there appears tobe a pathway through the short term pulmonary rehabilitation programme (6-8weeks) but the pathway relating to follow-up, provision of ongoing exercise andnetworks for social support is less clear and less consistently followed. Strategiesto facilitate the implementation of the recommendations outlined in the NorthernIreland Strategic Framework in relation to pulmonary rehabilitation have beenidentified, and the Northern Ireland Pulmonary Rehabilitation Audit Tool has beendeveloped which could be used to facilitate a cohesive regional approach to usingIn conclusion a number of recommendations have been made on the basis of thisaudit. These need to be taken forward by the Regional Respiratory Forum. As theywill take significant resources and time to implement the Regional RespiratoryForum will need to prioritise action.
Original language | English |
---|---|
Publisher | Unknown Publisher |
Publication status | Published (in print/issue) - 1 Jan 2008 |
Bibliographical note
Reference text: 1. A healthier future: A strategic framework for Respiratory Conditions March2006. Department of Health.
2. Office of Health Economics (OHE) 2002 Compendium of Health
Statistics, 14th Edition 2002 London: OHE.
3. British Thoracic Society 2006 The Burden of Lung Disease: A Statistics
Report from the British Thoracic Society.
4.Lacasse Y, Goldstein R, Lasserson TJ, Martin S. Pulmonary
rehabilitation for chronic obstructive pulmonary disease. Cochrane
Database of Systematic Reviews 2006, Issue 4. Art. No.: CD003793.
DOI: 10.1002/14651858.CD003793. pub2.
5. ATS/ERS Statement on Pulmonary Rehabilitation 2006. American Journal
of Respiratory and Critical Care Medicine 2006 173: 1390-1413.
6. Chronic Obstructive Pulmonary Disease: National clinical guideline
for management of chronic obstructive pulmonary disease in adults
in primary and secondary care (National Institute of Clinical Excellence
NICE). Thorax 2004; 59(Suppl): 1-232.
Pulmonary Rehabilitation. British Thoracic Society Standards of Care
Subcommittee on Pulmonary Rehabilitation. Thorax 2001; 56: 827-834.
8. O’Neill B, McKevitt AM, Rafferty S, Bradley J, Johnston D, Bradbury I,
Mac Mahon J. A comparison of twice versus once weekly supervision
during pulmonary rehabilitation in Chronic Obstructive Pulmonary
Disease. Archives of Physical Medicine and Rehabilitation 2007; 88(2):
167-172.
9. Puente-Maestu L, Sanz ML, Sanz P, Cubillo JM, Mayol J, Casaburi
R. Comparison of effects of supervised versus self-monitored training
programmes in patients with chronic obstructive pulmonary disease.
European Respiratory Journal 2000; 15: 517-525.
10. Wedzicha JA, Bestall JC, Garrod R, Garnham R, Paul EA, Jones PW.
Randomised controlled trial of pulmonary rehabilitation in severe chronic
obstructive pulmonary disease patients, stratified with the MRC dyspnoea
scale. European Respiratory Journal 1998; 12: 363-9.
11 . Vallet Comparison of two training programmes in chronic airway limitation
patients: standardized versus individualized protocol. European
Respiratory Journal 1997; 10:114-122.
12. Wijkstra PJ, TenVergert EM, van Altena R, Otten V, Kraan J, Postma
DS, Koeter GH. Long term benefits of rehabilitation at home on quality
of life and exercise tolerance in patients with chronic obstructive
pulmonary disease. Thorax 1995; 824-828.