Environmental Awareness for Patients with COPD Undergoing Pulmonary Rehabilitation: Is It of Added Value?
authors Souto-Miranda, S; Goncalves, AC; Valente, C; Freitas, C; Sousa, ACA; Marques, A
nationality International
journal INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
author keywords COPD; pulmonary rehabilitation; education; environment; air pollution
keywords AIR-POLLUTANTS; RESPIRATORY HEALTH; EXACERBATIONS; POLLUTION; DISEASE
abstract Chronic obstructive pulmonary disease (COPD) is impacted by exposure to environmental contaminants. Improving health literacy on this topic might help to optimize health outcomes. We aimed to design and deliver a health-education session about the impact of environmental contaminants on respiratory symptoms and explore participants' perceptions on such session. Patients with COPD were recruited from a pulmonary rehabilitation (PR) program. Two focus groups were first conducted to explore knowledge amongst the group. Then, the session was designed and delivered, and three focus groups were conducted to obtain feedback from participants. Data were analyzed thematically by two independent researchers. Thirty-one patients (71 +/- 8 years old, FEV1 = 47.6 +/- 16.8% predicted; 74.2% male) were included. Prior to the session, participants recognized the importance of this topic and described avoidance strategies to deal with symptom triggering due to air pollution. After the session, participants had their knowledge validated, kept some avoidance strategies, but also adapted some unavoidable activities of daily living. Patients with COPD value education on this topic, and PR offers a friendly environment to discuss prevention and management strategies. Contents of the session are provided to help deliver these sessions. Future studies could investigate the effectiveness of this intervention on self-management and exacerbations of COPD.
publisher MDPI
isbn 1660-4601
year published 2020
volume 17
issue 21
digital object identifier (doi) 10.3390/ijerph17217968
web of science category Environmental Sciences; Public, Environmental & Occupational Health
subject category Environmental Sciences & Ecology; Public, Environmental & Occupational Health
unique article identifier WOS:000589167300001
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journal analysis (jcr 2019):
journal impact factor 2.849
5 year journal impact factor 3.127
category normalized journal impact factor percentile 70.748
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