Barriers and Facilitators to Pulmonary Rehabilitation Adherence in Patients With Acute Exacerbation of Chronic Obstructive Pulmonary Disease: A Mixed Methods Systematic Review

Key Points

• To identify factors that affect adherence to pulmonary rehabilitation in patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD).
• Conducted a mixed methods systematic review
• Analyzed qualitative and quantitative data on PR adherence
• Examined psychological barriers and motivational factors
• Evaluated the role of family and health care professionals in support
• Identified multiple interconnected factors affecting PR adherence in AECOPD.
• Found that individualized PR plans could enhance adherence.
• Highlighted the importance of psychological support and motivation.
• Suggested that involving family members improves long-term patient outcomes.

Abstract