{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T11:58:52Z","timestamp":1785499132626,"version":"3.56.0"},"reference-count":41,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T00:00:00Z","timestamp":1783987200000},"content-version":"vor","delay-in-days":13,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing in Critical Care"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Chronic obstructive pulmonary disease (COPD) is associated with persistent airflow limitation, reduced exercise tolerance, dyspnoea, impaired quality of life and recurrent hospitalizations. Pulmonary rehabilitation is a key component of COPD management, but the specific contribution of pulmonary rehabilitation nursing has not been comprehensively synthesized.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>This meta\u2010analysis evaluated effects of pulmonary rehabilitation nursing on pulmonary function, exercise capacity, health\u2010related quality\u2010of\u2010life and hospital admissions in patients with COPD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Systematic review and meta\u2010analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Electronic databases were searched to identify studies evaluating pulmonary rehabilitation nursing in adults with COPD. Outcomes included forced expiratory volume in 1\u2009s (FEV\n                      <jats:sub>1<\/jats:sub>\n                      ), forced vital capacity (FVC), FEV\n                      <jats:sub>1<\/jats:sub>\n                      \/FVC ratio, 6\u2010min walk distance (6MWD), modified Medical Research Council (mMRC) dyspnoea scale, Borg scale, St George's Respiratory Questionnaire (SGRQ), COPD Assessment Test (CAT) and hospital admissions\/readmissions. Random effects meta\u2010analysis was performed using standardized mean differences (SMD), weighted mean differences (WMD) and risk ratios (RR) with 95% confidence intervals (CI).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Nineteen studies involving 1472 participants were included. Pulmonary rehabilitation nursing significantly improved FEV\n                      <jats:sub>1<\/jats:sub>\n                      (SMD\u2009=\u20090.41, 95% CI, 0.11\u20130.71), FEV\n                      <jats:sub>1<\/jats:sub>\n                      \/FVC (SMD\u2009=\u20090.57, 95% CI, 0.08\u20131.06), 6MWD (SMD\u2009=\u20090.56, 95% CI, 0.32\u20130.80), mMRC (SMD\u2009=\u2009\u22120.81, 95% CI, \u22121.23 to \u22120.40), Borg scale (SMD\u2009=\u2009\u22120.20, 95% CI, \u22120.39 to \u22120.02), SGRQ (WMD\u2009=\u2009\u221210.73, 95% CI, \u221215.80 to \u22125.65) and CAT (WMD\u2009=\u2009\u22123.75, 95% CI, \u22127.26 to \u22120.24). Improvement in FVC was not significant, and hospital admissions showed non\u2010significant reduction (RR\u2009=\u20090.56, 95% CI, 0.28\u20131.10).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Pulmonary rehabilitation nursing was associated with improvements in exercise capacity, dyspnoea and health\u2010related quality of life in patients with COPD, with additional benefits observed for selected pulmonary function measures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Relevance to Clinical Practice<\/jats:title>\n                    <jats:p>Nursing roles should be explicitly integrated and reported within pulmonary rehabilitation pathways, particularly in patient education, symptom monitoring, inhaler technique reinforcement, adherence support, self\u2010management counselling and follow\u2010up care because nursing\u2010inclusive rehabilitation models are associated with clinically meaningful improvements in exercise capacity, dyspnoea and quality\u2010of\u2010life.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/nicc.70579","type":"journal-article","created":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T08:17:02Z","timestamp":1784017022000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Effects of Pulmonary Rehabilitation Nursing on Pulmonary Function and Exercise Capacity in Patients With\n                    <scp>COPD<\/scp>\n                    : A Meta\u2010Analysis"],"prefix":"10.1111","volume":"31","author":[{"given":"Shumin","family":"Wang","sequence":"first","affiliation":[{"name":"Department of Respiratory and Critical Care Medicine Shandong Provincial Third Hospital, Shandong University  Jinan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tingting","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Respiratory and Critical Care Medicine Shandong Provincial Third Hospital, Shandong University  Jinan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-5287-6285","authenticated-orcid":false,"given":"Yan","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Respiratory and Critical Care Medicine Shandong Provincial Third Hospital, Shandong University  Jinan China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,14]]},"reference":[{"key":"e_1_2_12_2_1","volume-title":"StatPearls","author":"Agarwal A. 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