Bebout D E, Hodgkin J E, Zorn E G, Yee A R, Sammer E A
Respir Care. 1983 Nov;28(11):1468-73.
Pulmonary rehabilitation programs have resulted in improvements in quality of life, capacity for carrying out daily activities, and physical conditioning, as well as reduced hospitalization and cost of care. In our retrospective study, we reviewed the data of 75 patients who had participated in Loma Linda University Medical Center's pulmonary rehabilitation program--in order to determine its effect on survival, progression of disease, and quality of life for a selected group of patients with chronic obstructive pulmonary disease (COPD). A multidisciplinary rehabilitation team evaluated each patient and developed for him a plan of care that included a 2-week inpatient education program. The cumulative survival rate of our group computed by the life table methods was 86.5% at 5 years of rehabilitation, and 64% at 10 years. The mean FEV1 at the beginning of the program was 1.53 1 and the mean FVC was 2.87 1; the mean change in FEV1 was - 45 ml/yr, and in FVC, - 70 ml/yr. By use of a questionnaire, we also found that most of our responding patients felt that their quality of life had improved. Our findings compare favorably with other published data and suggest that it is possible to improve the survival of patients with COPD by early diagnosis, comprehensive treatment, continuing medical care, and home visitation.
肺康复计划已使生活质量、日常活动能力和身体状况得到改善，同时减少了住院次数和护理费用。在我们的回顾性研究中，我们回顾了75名参加洛马林达大学医学中心肺康复计划的患者的数据，以确定该计划对一组选定的慢性阻塞性肺疾病（COPD）患者的生存、疾病进展和生活质量的影响。一个多学科康复团队对每位患者进行了评估，并为其制定了护理计划，其中包括一个为期两周的住院教育计划。通过生命表法计算，我们组在康复5年时的累积生存率为86.5%，10年时为64%。该计划开始时FEV1的平均值为1.53升，FVC的平均值为2.87升；FEV1的平均变化为每年-45毫升，FVC的平均变化为每年-70毫升。通过问卷调查，我们还发现大多数回复的患者感觉他们的生活质量有所提高。我们的研究结果与其他已发表的数据相比具有优势，表明通过早期诊断、综合治疗、持续医疗护理和家访可以提高COPD患者的生存率。
