The Breath project (Project Number: 2022-1-PL01-KA220-HED-000089283) has been Co-funded by the European Union. Views and opinions expressed are however those of the author or authors only and do not necessarily reflect those of the European Union or the Foundation for the Development of the Education System. Neither the European Union nor the entity providing the grant can be held responsible for them.

Eligible COPD patients and access to pulmonary rehabilitation in a Portuguese region

Liliana Silva, Joana Faia, Patrício Costa, Lara Lemos, Ângela Mota, Mariana Santos, Miguel Padilha

Thematic Area
Organization of national health service, Rehabilitation paths
Summary
Background: Poor access to pulmonary rehabilitation (PR) of COPD patients due to lack of specialized centres and professionals is a concerning reality in Portugal and worldwide (Santos A.C. et al., 2018). PR’s positive effects on controlling the disease and improving the patient’s health condition, emphasize the importance of improving access to PR (GOLD, 2021). This study, conducted in a region of the North of Portugal aimed to assess the number of patients that meet the criteria for PR, envisioning the development of new PR offers.
Method: We conducted an observational analytical and cross-sectional study using a random sample, with a 95% confidence interval and a margin of error of 5%. This region clinical records show a total of 2,818 COPD patients. Data were accessed through electronic health records following all ethical research standards.
Results: We analysed the electronic health records of 339 COPD patients. The data revealed a significant number of COPD patients who needed but had no access to PR.
Conclusion: This study emphasized the need to develop new solutions that increase COPD patients’ accessibility to PR in different health contexts. Rehabilitation and respiratory nurses play a key role in addressing this vital issue.
Relevance
The study addressed accessibility to respiratory rehabilitation programs for people with COPD. However, there are many patients who still do not have access to this type of program.
Keywords
COPD - management; COPD; Nursing care