Elçi Alev, Börekçi Sermin, Ovayolu Nimet, Elbek Osman
Malatya Government Hospital, School of Medicine, University of Gaziantep, Gaziantep, Turkey.
Respirology. 2008 Sep;13(5):703-7. doi: 10.1111/j.1440-1843.2008.01327.x.
Pulmonary rehabilitation is known to have beneficial effects in COPD patients. This study aimed to assess the applicability and efficacy of a pulmonary rehabilitation programme in a community hospital lacking specialist pulmonary rehabilitation services.
This randomized, controlled, prospective study included a total of 78 patients. Questionnaires were used to collect data on sociodemographic characteristics, respiratory function tests, the Modified Medical Research Council dyspnoea scale, 6MWD, the Short Form-36 (SF-36) quality of life scale, the Hospital Anxiety and Depression Scale (HADS) and the St George's Respiratory Questionnaire (SGRQ). The experimental group underwent a pulmonary rehabilitation programme while the control group did not participate. The first, second and third month measurements for all parameters were compared between the two groups.
No significant differences in pulmonary function tests or dyspnoea scale (P > 0.05) were observed between the two groups. Significant differences were observed in the 6MWD measurements at the third month (P < 0.05), as well as in the SF-36 quality of life scale, SGRQ and HADS measurements at the second and third months (P < 0.01).
Short-term pulmonary rehabilitation had a positive impact on exercise capacity and quality of life of patients with COPD, irrespective of FEV(1). This study demonstrated the efficacy of a pulmonary rehabilitation programme in a secondary care hospital not staffed by a specialist pulmonary rehabilitation group.
众所周知，肺康复对慢性阻塞性肺疾病（COPD）患者有有益影响。本研究旨在评估在缺乏专业肺康复服务的社区医院中肺康复计划的适用性和疗效。
这项随机、对照、前瞻性研究共纳入78例患者。采用问卷调查收集社会人口学特征、呼吸功能测试、改良医学研究委员会呼吸困难量表、6分钟步行距离（6MWD）、简短健康调查问卷36项（SF-36）生活质量量表、医院焦虑抑郁量表（HADS）以及圣乔治呼吸问卷（SGRQ）的数据。实验组接受肺康复计划，而对照组不参与。比较两组在所有参数的第1、2和3个月的测量值。
两组在肺功能测试或呼吸困难量表方面未观察到显著差异（P>0.05）。在第3个月的6MWD测量值方面观察到显著差异（P<0.05），在第2和第3个月的SF-36生活质量量表、SGRQ和HADS测量值方面也观察到显著差异（P<0.0L）。
短期肺康复对COPD患者的运动能力和生活质量有积极影响，无论其第1秒用力呼气容积（FEV₁）如何。本研究证明了在没有专业肺康复团队的二级护理医院中肺康复计划的疗效。
