ORIGINAL PAPER
Fatigue and Quality of Life after Pulmonary Rehabilitation Program
 
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1
Department of Psychology, University of Central Lancashire, UK
2
Faculty of Human Movement and Quality of Life, Department of Nursing, University of Peloponnese, Sparta, Greece
3
First Department of Respiratory Medicine, National and Kapodistrian University of Athens, Sotiria General Chest Hospital, Athens, Greece
4
Department of Nursing, Technological Educational Institute of Crete, Heraklion, Crete, Greece
5
Department of Nursing, Alexander Technological Educational Institute of Thessaloniki, Thessaloniki, Greece
6
College for Humanistic Sciences, Athens, Greece
7
Ministry of Health, Athens, Greece
CORRESPONDING AUTHOR
Victoria Alikari   

Efstathiou & Stamatikis Valioti and Plateon, Sparta, 23100, Greece
 
Pneumon 2019;32(3):72–80
 
KEYWORDS
ABSTRACT
Background:
Fatigue and poor quality of life can play an important role in chronic obstructive disease and treatment outcomes. The aim of this study was to examine the levels of fatigue and quality of life (QoL) among chronic obstructive pulmonary disease patients before and after a pulmonary rehabilitation program.

Methods:
In this experimental study, 31 chronic obstructive pulmonary disease patients at a large hospital of Athens were randomly followed a pulmonary rehabilitation program and completed two questionnaires pre- and post-intervention: the Fatigue Assessment Scale designed for measuring fatigue and the Missoula-Vitas Quality of Life Index-15 designed for measuring QoL. Statistical analysis of the data was performed via the Statistical Program SPSS version 19.0. The statistical significance was set up at 0.05.

Results:
The results showed decreased levels of fatigue after the completion of the Pulmonary Rehabilitation Program compared to pre-intervention. Moreover, although QoL did not seem to change after the intervention, however the dimension “Transcendent” seemed to be increased for the majority of the participants. After the participation in the rehabilitation program a statistically significant and negative correlation was observed between mental fatigue and total score of quality of life (r= -0.436, p=0.014 <0.05) as well as between physical fatigue and the dimensions of “Interpersonal” (r= -0.470 p=0.008), “Well-Being” (r= -0.615, p=0.000), “Transcendent” (r= -0.636, p=0.000) and total score of QoL (r= -0.543, p=0.002).

Conclusions:
A pulmonary rehabilitation program seems to be a successful and innovative clinical prevention program leading to a lower level of fatigue for those patients who suffer from chronic obstructive pulmonary disease. Pneumon 2019, 32(3):72-80.

ABBREVIATIONS
COPD: Chronic Pulmonary Obstructive Disease, FAS: Fatigue Assessment Scale, MVQoLI-15: Missoula Vitas Quality of Life Index, PRP: Pulmonary Rehabilitation Program
ACKNOWLEDGEMENTS
The authors would like to acknowledge patients who participated in this study.
CONFLICTS OF INTEREST
The authors declare that they have no conflict of interest.
FUNDING
This research received no specific grant from any funding agency in the public, commercial, or not-forprofit sectors.
ETHICAL APPROVAL AND INFORMED CONSENT
Ethical approval was granted by the Scientific Council of General Hospital of Athens “Sotiria”. All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.Informed consent was obtained from all individual participants included in the study.
 
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