patients with advanced COPD are defined according to the diagnostic criteria for severe (GOLD 3) and very severe (GOLD 4)
pulmonologist assess need pulmonary rehabilitation, but not accept any rehabilitation exercise program.
pulmonologist assessment the patients with a stable state.
awareness, has the ability to read, write, and communication.
willing to communicate by phone, and can operate smart phones.
You may not be if
COPD AE requiring corticosteroids, antibiotics, emergency room visit or hospitalization within the past 3 month.
diagnosed mentally or cognitive disorder, such as dementia or unable to cooperate.
severe hip, knee disease, can not perform exercise, or with neuromuscular dysfunction, such as limb hemiplegia, no independent walking function or other deterioration due to bone and joint disease.
combined with severe heart disease, such as AMI, severe arrhythmia or heart failure.
