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Effectiveness of pulmonary rehabilitation in elderly patients with COPD: A systematic review and meta‐analysis of randomized controlled trials
Author(s) -
Li Weitong,
Pu Yalou,
Meng Aifeng,
Zhi Xiaoxu,
Xu Guihua
Publication year - 2019
Publication title -
international journal of nursing practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.62
H-Index - 55
eISSN - 1440-172X
pISSN - 1322-7114
DOI - 10.1111/ijn.12745
Subject(s) - medicine , pulmonary rehabilitation , cinahl , copd , meta analysis , cochrane library , rehabilitation , physical therapy , pulmonary disease , randomized controlled trial , medline , systematic review , psychological intervention , nursing , political science , law
Aim The review aimed to evaluate the effects of pulmonary rehabilitation in elderly patients with chronic obstructive pulmonary disease (COPD). Background With an increase in published reports on pulmonary rehabilitation, there is a need for a meta‐analysis to measure the effects of pulmonary rehabilitation in elderly COPD patients. Design A systematic review and meta‐analysis. Data Sources The Cochrane library (Issue 4, 2018), Web of Science (1975 to April 2018), Embase (1974 to April 2018), Pubmed (1966 to April 2018), CINAHL (1982 to April 2018), JBI (The Joanna Briggs Institute) (1996 to April 2018), CNKI (China National Knowledge Infrastructure) (1979 to April 2018), CBM (SinoMed) (1982 to April 2018), and Wanfang Data (1900 to April 2018) were searched. Review Methods Six outcome indicators were utilized for the effects of pulmonary rehabilitation. Two reviewers selected trials, evaluated the quality, and extracted data. Meta‐analysis was performed by using the RevMan 5.3 software. Results Eight studies recruited 414 elderly patients. Pulmonary rehabilitation resulted in significantly improved exercise capacity and quality of life in elderly people but with no influence on oxygen saturation compared with the control group. Conclusion There is a need to provide more detailed pulmonary rehabilitation programs for elderly patients with COPD.