Satisfaction and adherence of COPD patients to a conventional training associated with functional exercises and to a conventional training isolated: A …

I Grigoletto, FF de Lima, DA Eto… - Patient preference …, 2022 - Taylor & Francis
I Grigoletto, FF de Lima, DA Eto, NNV Suzuki, JS Uzeloto, EMC Ramos
Patient preference and adherence, 2022Taylor & Francis
Purpose To verify, through quali-quantitative analysis, the satisfaction and adherence of
patients with Chronic Obstructive Pulmonary Disease (COPD) to the insertion of functional
circuit training into conventional training. Patients and Methods 23 patients with COPD from
a randomized clinical trial were invited to participate in a quali-quantitative analysis after the
training finalization, divided into FTG (Functional Training Group) and CTG (Conventional
Training Group). A total of 21 patients participated [(FTG: n= 10; 65.80±7.31 years; …
Purpose
To verify, through quali-quantitative analysis, the satisfaction and adherence of patients with Chronic Obstructive Pulmonary Disease (COPD) to the insertion of functional circuit training into conventional training.
Patients and Methods
23 patients with COPD from a randomized clinical trial were invited to participate in a quali-quantitative analysis after the training finalization, divided into FTG (Functional Training Group) and CTG (Conventional Training Group). A total of 21 patients participated [(FTG: n=10; 65.80±7.31 years; FEV1/FVC: 56.44±12.67%) and CTG (n=11; 70.36±7.02 years; FEV1/FVC: 55.89±8.20)]. For the qualitative evaluation, focus groups were performed, using a previously developed script. Adherence was verified by the presence in the training sessions that were prescribed, and the quantitative analysis was performed using questionnaires with multiple-choice questions (evaluation of the aspects that can interfere in a training). The participants were asked to define a grade between zero and ten regarding the aspects of the training (satisfaction).
Results
In both groups, there was similar adherence (p=0.965) and satisfaction (p=0.341). The qualitative analysis identified seven themes and 17 codes, representing factors related to satisfaction and negative aspects, as follows: factors associated with satisfaction: self-efficacy management, physical and psychosocial improvement, interpersonal relationships, and proposed exercises. Negative aspects: pains, comorbidities, beliefs, and personal demotivation. In the quantitative analysis, was verified that an increase in the symptoms, the distance between home and training center, and personal problems were not factors that interfered in the adherence of the participants (p<0.05).
Conclusion
Similar satisfaction and adherence of patients with COPD were observed in the FTG and CTG and patients from FTG reported higher fatigue.
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