ABSTRACT Aim This study aims to evaluate whether an 8‐week, nurse‐led, home‐based pulmonary rehabilitation programme improves walking capacity, anxiety and sleep quality in adults with chronic obstructive pulmonary disease. Methods This was a single‐centre, open‐label, parallel‐group randomized controlled trial with assessments at baseline and week 8. Ninety adults with stable COPD (GOLD II–III) were enrolled and randomized 1:1 (fixed‐block size = 2; SNOSE concealment); 84 completed week‐8 assessments and were analysed (home‐based rehabilitation, n = 43; standard care, n = 41). Participants' mean age was 67.71 years; 73.8% were male; mean baseline FEV 1 was 55% predicted. The 8‐week intervention comprised home‐based breathing and full‐body resistance exercises (3–5×/week, 25–30 min), initiated with a tele‐monitored session to ensure correct technique and supported by weekly nurse‐led calls, alongside structured nurse‐delivered education. Prespecified primary outcomes were 6‐min walk distance, anxiety (STAI) and sleep quality (PSQI); secondary outcomes were cardiopulmonary signs, dyspnoea and spirometric indices. Results At week 8, the intervention improved walking capacity versus control ( p < 0.001). Anxiety decreased on STAI‐I/II ( p < 0.001), and overall sleep quality improved on PSQI ( p = 0.001), with benefits on Subjective Sleep Quality and Daytime Dysfunction (both p < 0.001); effects on Sleep Disturbances and Sleep Medication were smaller. Dyspnoea (Borg) also improved ( p < 0.001). Secondary outcomes were consistent, and no intervention‐related adverse events occurred. Conclusion Nurse‐led, home‐based pulmonary rehabilitation is a feasible and safe approach that improves functional capacity as well as psychological and sleep outcomes in adults with chronic obstructive pulmonary disease. Trial Registration ClinicalTrials.gov identifier: NCT06862713
Coşkun et al. (Mon,) studied this question.
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