Ouksel H, Gautier V, Bajon D, Barel P, Veale D, Tardif C, Prefaut C, Pison C
Service de Pneumologie, Centre Hospitalier et Universitaire d'Angers, AIR Anjou.
Rev Mal Respir. 2004 Sep;21(4 Pt 1):727-35. doi: 10.1016/s0761-8425(04)71414-x.
Pulmonary rehabilitation is an established part of the management of chronic obstructive airway disease. For longer-term effects, extending rehabilitation into domiciliary care settings may be necessary. There are few studies evaluating precisely this modality of management in a home setting.
This review analyses the current literature on home based rehabilitation. The benefits of pulmonary rehabilitation, the practical aspects of its application, and its advantages and limitations are detailed. The few data on economic aspects of home rehabilitation are also discussed.
Home-based pulmonary rehabilitation is effective with positive short-term effects on quality of life, breathlessness and effort tolerance. Its practical application needs to be defined.
Home-based pulmonary rehabilitation appears to be an effective intervention in patients with COPD but more studies are necessary to evaluate it fully.
肺康复是慢性阻塞性气道疾病管理的既定组成部分。为获得长期效果，可能有必要将康复扩展到居家护理环境中。很少有研究精确评估这种居家管理模式。
本综述分析了当前关于居家康复的文献。详细阐述了肺康复的益处、应用的实际情况及其优缺点。还讨论了关于居家康复经济方面的少量数据。
居家肺康复是有效的，对生活质量、呼吸困难和运动耐力有积极的短期影响。其实际应用需要明确。
居家肺康复似乎是慢性阻塞性肺疾病患者的一种有效干预措施，但需要更多研究来全面评估它。
