Integrating Home-Based Exercise Training with a Hospital at Home Service for Patients Hospitalised with Acute Exacerbations of COPD: Developing the Model Using Accelerated Experience-Based Co-Design

机译：将家庭锻炼培训与家庭服务的医院纳入住院治疗的患者：使用加速体验的共同设计开发模型

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摘要

Hospital at home (HaH) schemes allow early discharge of patients hospitalised with an acute exacerbation of chronic obstructive pulmonary disease (AECOPD). Traditional outpatient pulmonary rehabilitation (PR) following an AECOPD has an established evidence-base, but there are issues with low referral, uptake and completion. One commonly cited barrier to PR post-hospitalisation relates to poor accessibility. To address this, the aim of this project was to enrol service users (patients with COPD and informal carers) and healthcare professionals to co-design a model of care that integrates home-based exercise training within a HaH scheme for patients discharged from hospital following AECOPD.

机译：Home（HAH）的医院（HAH）计划允许早期排放住院患者，慢性阻塞性肺病（AECOPD）急性加剧。在AECOPD之后的传统门诊肺康复（PR）有一个既定的证据基础，但有较低的推荐，摄取和完成存在问题。一个普遍引用的PR后院后的屏障涉及差的可达性。为了解决这一项目，该项目的目的是注册服务用户（COPD和非正式护理人员的患者）和医疗保健专业人员，共同设计一项关注模式，该模型将基于家庭的运动培训整合在HAH计划中，为从医院出发的患者AECOPD。

著录项

期刊名称 International Journal of Chronic Obstructive Pulmonary Disease
作者
Ruth E Barker; Lisa J Brighton; Matthew Maddocks; Claire M Nolan; Suhani Patel; Jessica A Walsh; Oliver Polgar; Jenni Wenneberg; Samantha S C Kon; Jadwiga A Wedzicha; William D C Man; Morag Farquhar;
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年(卷),期 2021(-1),-1
年度 2021
页码 -1
总页数 15
原文格式 PDF
正文语种
中图分类呼吸生理学;
关键词
COPD; exacerbations; rehabilitation; exercise training; integrated care; co-design;

机译：COPD;加剧;康复;运动培训;综合护理;共同设计;

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专利

1. Comparison of hospital outcomes and resource use in acute COPD COPD exacerbation patients managed by teaching versus nonteaching services in a community hospital [J] . Abusaada Khalid, Alsaleh Leen, Herrera Victor, Journal of evaluation in clinical practice . 2017,第3期

机译：急性Copd Copd Exacterbation患者在社区医院教学中管理的医院结果和资源用途比较
2. Resistance training preserves skeletal muscle function in patients with COPD who are hospitalised with an acute exacerbation. [J] . Saey D, Ribeiro F Journal of physiotherapy . 2011,第3期

机译：抵抗训练可保留因急性加重而住院的COPD患者的骨骼肌功能。
3. Resistance training preserves skeletal muscle function in patients with COPD who are hospitalised with an acute exacerbation [J] . Didier Saey, Fernanda Ribeiro Journal of physiotherapy . 2011,第3期

机译：抵抗训练可以保护因急性加重而住院的COPD患者的骨骼肌功能
4. The patternof patients with frequent acute exacerbations of chronic obstructive pulmonary disease (AECOPD) [C] . Grzetic-Romcevic T., Sonc S., Devcic B. World Congress on Immunopathology Respiratory Allergy . 2012

机译：慢性阻塞性肺疾病频繁急性加剧的患者模式（COPD）
5. Translating evidence-based guidelines into advanced clinical practice: Developing a best practice model for in-hospital management of COPD exacerbations. [D] . Harrell, Nancy L. 2016

机译：将基于证据的指南转化为先进的临床实践：为住院治疗COPD急性发作建立最佳实践模型。
6. Developing a theory-informed complex intervention to improve nurse–patient therapeutic engagement employing Experience-based Co-design and the Behaviour Change Wheel: an acute mental health ward case study [O] . Sarah McAllister, Alan Simpson, Vicki Tsianakas, 2021

机译：制定理论知识的复杂干预以改善雇用基于经验的共同设计和行为变化轮的护士治疗订婚：急性心理健康病房案例研究
7. Respiratory support in COPD patients after acute exacerbation with monitoring the quality of support (Rescue2-monitor): an open-label, prospective randomized, controlled, superiority clinical trial comparing hospital- versus home-based acute non-invasive ventilation for patients with hypercapnic chronic obstructive pulmonary disease [O] . 2020

机译：COPD患者急性加剧后的呼吸障碍，监测支持质量（Rescue2-Monitor）：开放式，前瞻性随机，控制，优势临床试验，比较医院 - 与高速慢性患者患者的医院 - 与家庭急性无侵入性通风阻塞性肺疾病

Integrating Home-Based Exercise Training with a Hospital at Home Service for Patients Hospitalised with Acute Exacerbations of COPD: Developing the Model Using Accelerated Experience-Based Co-Design

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