Fysioterapeuten (Aug 2019)
A better life with COPD - experiences from a low-threshold model for pulmonary rehabilitation
Abstract
Purpose: Describe the experiences of an interprofessional low-threshold model for pulmonary rehabilitation in the municipal health service, seen from COPD patients and health providers’ perspective. Design and method: Qualitative design with focus group interviews. Material: 20 patients, 10 women and 10 men, average age 71. Results: There is a need for more knowledge about COPD in the municipal health service. Follow- up and referral routines from the GPs’ are insufficient. The project has helped to develop patient expertise through enhanced experience of control and self-management, as well as given the patients more tools to deal with their symptoms. New experiences with the body have changed the patients’ attitudes toward their disease and contributed to a better everyday life and a brighter outlook. However, it is still a challenge for many to continue to exercise on their own. The implementation has not posed major challenges. Conclusion: Interprofessional, low-threshold rehabilitation organized by the municipal health service show promising results, both with regard to feasibility and benefits for participants. The program has improved the participants’ performance in everyday activities. The solidarity with peers and the knowledge and attitudes of the professionals have contributed to the feeling of ease and security. It’s challenging for people with COPD to maintain the benefits without follow-up.
