{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T00:42:06Z","timestamp":1792629726401,"version":"4.5.0"},"reference-count":42,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,12,5]],"date-time":"2025-12-05T00:00:00Z","timestamp":1764892800000},"content-version":"vor","delay-in-days":4,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100000544","name":"British Association for Psychopharmacology","doi-asserted-by":"publisher","award":["GAP\u20102024\u2010536"],"award-info":[{"award-number":["GAP\u20102024\u2010536"]}],"id":[{"id":"10.13039\/501100000544","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J of Nursing Practice"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>This study aims to evaluate whether an 8\u2010week, nurse\u2010led, home\u2010based pulmonary rehabilitation programme improves walking capacity, anxiety and sleep quality in adults with chronic obstructive pulmonary disease.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This was a single\u2010centre, open\u2010label, parallel\u2010group randomized controlled trial with assessments at baseline and week 8. Ninety adults with stable COPD (GOLD II\u2013III) were enrolled and randomized 1:1 (fixed\u2010block size\u2009=\u20092; SNOSE concealment); 84 completed week\u20108 assessments and were analysed (home\u2010based rehabilitation,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200943; standard care,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200941). Participants' mean age was 67.71\u2009years; 73.8% were male; mean baseline FEV\n                      <jats:sub>1<\/jats:sub>\n                      was 55% predicted. The 8\u2010week intervention comprised home\u2010based breathing and full\u2010body resistance exercises (3\u20135\u00d7\/week, 25\u201330\u2009min), initiated with a tele\u2010monitored session to ensure correct technique and supported by weekly nurse\u2010led calls, alongside structured nurse\u2010delivered education. Prespecified primary outcomes were 6\u2010min walk distance, anxiety (STAI) and sleep quality (PSQI); secondary outcomes were cardiopulmonary signs, dyspnoea and spirometric indices.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      At week 8, the intervention improved walking capacity versus control (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Anxiety decreased on STAI\u2010I\/II (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), and overall sleep quality improved on PSQI (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.001), with benefits on Subjective Sleep Quality and Daytime Dysfunction (both\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001); effects on Sleep Disturbances and Sleep Medication were smaller. Dyspnoea (Borg) also improved (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Secondary outcomes were consistent, and no intervention\u2010related adverse events occurred.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Nurse\u2010led, home\u2010based 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>ClinicalTrials.gov identifier: NCT06862713<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ijn.70085","type":"journal-article","created":{"date-parts":[[2025,12,6]],"date-time":"2025-12-06T06:19:32Z","timestamp":1765001972000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Effects of Home\u2010Based Pulmonary Rehabilitation on Walking, Anxiety and Sleep in Patients With Chronic Obstructive Pulmonary Disease: A Randomized Controlled Trial"],"prefix":"10.1111","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9063-2778","authenticated-orcid":false,"given":"Sabahat","family":"Co\u015fkun","sequence":"first","affiliation":[{"name":"Faculty of Health Sciences Bilecik \u015eeyh Edebali University  Bilecik T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4611-6661","authenticated-orcid":false,"given":"Neriman\u00a0Y\u00fckselt\u00fcrk","family":"\u015eim\u015fek","sequence":"additional","affiliation":[{"name":"Department of Nursing, Faculty of Nursing Ankara University  Ankara T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9079-1701","authenticated-orcid":false,"given":"Yakup","family":"Arslan","sequence":"additional","affiliation":[{"name":"Department of Pulmonology G\u00fclhane Education and Research Hospital, University of Health Sciences  Ankara T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,12,5]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.7189\/jogh.11.15003"},{"key":"e_1_2_12_3_1","first-page":"107","article-title":"The Validity and Reliability of the Pittsburgh Sleep Quality Index","volume":"7","author":"A\u011farg\u00fcn M. 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