Oh Eui-Geum
Department of Adult Health Nursing, College of Nursing, Yonsei University and Research Institute of Home Health Care and Hospice, 134 Shinchon-Dong, Seodaemun-Gu, Seoul, South Korea.
Int J Nurs Stud. 2003 Nov;40(8):873-9. doi: 10.1016/s0020-7489(03)00071-3.
The purpose of this study was to examine the effects of a home-based pulmonary rehabilitation program on lung function, dyspnea, exercise tolerance, and quality of life in 23 Koreans with moderate to severe chronic lung disease. The outcome measures were forced expiratory volume in 1s (FEV1, % predicted), Borg score, 6 min walking distance (6MWD), and chronic respiratory disease questionnaire (CRDQ). Experimental group (n=15) performed the 8-week home-based pulmonary rehabilitation program, composed of inspiratory muscle training, upper and lower extremity exercise, relaxation, and telephone visit. Patients in control group (n=8) were only given educational advice. The experimental group showed a lower level of exertional dyspnea, more exercise tolerance, and greater improvement in health-related quality of life than the control group (p<0.05). Lung function was not statistically different. This study yielded evidence for the beneficial effects of home-based pulmonary rehabilitation program.
本研究旨在探讨居家肺康复计划对23名中重度慢性肺病韩国患者的肺功能、呼吸困难、运动耐力和生活质量的影响。结局指标为第1秒用力呼气量（FEV1，预测值百分比）、博格评分、6分钟步行距离（6MWD）和慢性呼吸道疾病问卷（CRDQ）。实验组（n = 15）进行为期8周的居家肺康复计划，包括吸气肌训练、上下肢运动、放松训练和电话随访。对照组（n = 8）的患者仅接受教育建议。与对照组相比，实验组的运动性呼吸困难程度更低、运动耐力更强，且健康相关生活质量改善更大（p<0.05）。肺功能无统计学差异。本研究为居家肺康复计划的有益效果提供了证据。
