Volume 24 Issue 1
Jan.  2026
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ZHOU Chuanlin, HUANG Haizhu, DENG Ning, LIU Rui, KONG Jinliang. Clinical practice protocol for home-based pulmonary rehabilitation in patients with stable chronic obstructive pulmonary disease[J]. Chinese Journal of General Practice, 2026, 24(1): 20-26. doi: 10.16766/j.cnki.issn.1674-4152.004321
Citation: ZHOU Chuanlin, HUANG Haizhu, DENG Ning, LIU Rui, KONG Jinliang. Clinical practice protocol for home-based pulmonary rehabilitation in patients with stable chronic obstructive pulmonary disease[J]. Chinese Journal of General Practice, 2026, 24(1): 20-26. doi: 10.16766/j.cnki.issn.1674-4152.004321
shu

Clinical practice protocol for home-based pulmonary rehabilitation in patients with stable chronic obstructive pulmonary disease

doi: 10.16766/j.cnki.issn.1674-4152.004321
  • 1.

    Department of Respiratory and Critical Care Medicine, the First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi 530021, China

Funds:

 桂科AB21196010

  • Received Date: 2025-06-12
    Available Online: 2026-04-01
    Abstract
  • Chronic obstructive pulmonary disease (COPD) is one of the major chronic diseases that poses a serious threat to population health in China. In 2024, it was incorporated into the National Basic Public Health Service Program as the third targeted chronic disease, following hypertension and type 2 diabetes. Pulmonary rehabilitation (also known as respiratory rehabilitation) is recognized as a core component of rehabilitation for patients with chronic respiratory diseases and represents a cornerstone of non-pharmacological treatment for COPD patients. However, the widespread implementation of traditional center-based pulmonary rehabilitation is limited by multiple barriers, including time constraints, geographical distance, transportation difficulties, and financial cost, resulting in suboptimal participation and adherence. The home-based pulmonary rehabilitation model, with its advantages of convenience and accessibility, has emerged as an effective solution to overcome these difficulties. This article aims to systematically outline a clinical protocol for home-based pulmonary rehabilitation in patients with stable COPD. It comprehensively discusses key aspects, including definition, target population, optimal timing and duration of intervention, assessment methods, exercise and breathing prescriptions, safety monitoring, precautions, as well as a summary of future prospective. The goal is to provide clear and practical guidance for healthcare professionals across different levels of medical institutions, ultimately supporting comprehensive disease management aimed at symptom relief, delayed disease progression, and improved quality of life in patients with COPD.

     

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