Objectives: This study aimed to evaluate the effectiveness of a
multidisciplinary pulmonary rehabilitation program at Ewha Womans University
Mokdong Hospital, Korea that was designed to augment respiratory function,
promote patient recovery, and improve discharge outcomes.
Methods: This study was conducted as part of quality improvement
activities from March to August 2023. A multidisciplinary pulmonary
rehabilitation team was established, comprising specialists in rehabilitation
medicine, pulmonology, and thoracic surgery, as well as physical and
occupational therapists, and the nutrition team. We developed a comprehensive
rehabilitation program that included stretching, strengthening exercises,
aerobic training, and respiratory retraining, supplemented by individualized
treatments such as bedside and ambulatory physical therapy. Evaluations before
and after rehabilitation were performed using the Modified Medical Research
Council Dyspnea Scale and the Chronic Obstructive Pulmonary Disease Assessment
Test. The primary indicators of success were an increase of over 10% in
pulmonary rehabilitation consultations and an improvement in discharge-to-home
rates.
Results: The total number of pulmonary rehabilitation cases rose by
79.16%, from 24 to 43, while consultations saw a 21.15% increase, from 52 to 63.
Of the 63 pulmonary rehabilitation cases, 32 (50.8%) were transferred to other
hospitals, 25 (39.7%) were discharged home, and 6 (9.5%) remained
hospitalized.
Conclusion: The study demonstrated the effectiveness of a
multidisciplinary pulmonary rehabilitation approach in improving program
participation and achieving meaningful discharge outcomes. These findings
underscore the potential for expanding multidisciplinary efforts and highlight
the need for further studies to increase discharge-to-home rates and evaluate
the long-term impacts of such programs.