Meek Paula M, Lareau Suzanne C
College of Nursing, University of New Mexico, Albuquerque, NM 87131-5688, USA.
J Rehabil Res Dev. 2003 Sep-Oct;40(5 Suppl 2):13-24. doi: 10.1682/jrrd.2003.10.0013.
Dyspnea and fatigue, the two most common symptoms experienced by patients with chronic obstructive pulmonary disease, are believed to result in decreased activity levels and poor quality of life. The primary measurable benefits of pulmonary rehabilitation to date have been a decrease in symptoms (mainly dyspnea and fatigue) and an increase in exercise endurance. The precise means by which pulmonary rehabilitation improves these, symptoms is not clear. The use of standardized questionnaires to measure the changes associated with pulmonary rehabilitation is important if we are to understand the magnitude of improvement with the intervention and determine those who will benefit. This article reviews the mechanisms believed to contribute to these symptoms and the methods available for their measurement.
呼吸困难和疲劳是慢性阻塞性肺疾病患者最常见的两种症状，据信会导致活动水平下降和生活质量不佳。迄今为止，肺康复的主要可测量益处是症状减轻（主要是呼吸困难和疲劳）以及运动耐力增加。肺康复改善这些症状的确切方式尚不清楚。如果我们要了解干预措施带来的改善程度并确定哪些人将从中受益，那么使用标准化问卷来衡量与肺康复相关的变化就很重要。本文综述了被认为导致这些症状的机制以及可用于测量这些症状的方法。
