Akinci Ayse Cil, Olgun Nermin
Kirklareli University, Health College, Turkey.
Rehabil Nurs. 2011 Jul-Aug;36(4):159-65. doi: 10.1002/j.2048-7940.2011.tb00084.x.
The goal of this study was to determine the effectiveness of nurse-led, home-based pulmonary rehabilitation in patients with stage 3 or 4 chronic obstructive pulmonary disease (COPD), according to the Global Initiative for COPD (GOLD) staging system. The study consisted of 32 patients--a nurse-led, home-based pulmonary rehabilitation group (16) and a control group (16). In the rehabilitation program, patients received education about their diseases and performed breathing exercises and lower- and upper-extremity aerobic exercises at their homes during the 3-month period of the study. There was meaningful improvement in the rehabilitation group in terms of pulmonary function tests (FEV1 % predicted value), artery blood gases (PaCO2), quality of life, dyspnea, and functional capacity. On the other hand, no meaningful change was observed in the control group. The study showed that the nurse-led, home-based pulmonary rehabilitation program had positive effects on the patients with COPD.
根据慢性阻塞性肺疾病全球倡议（GOLD）分期系统，本研究的目的是确定由护士主导的居家肺康复对3期或4期慢性阻塞性肺疾病（COPD）患者的有效性。该研究包括32名患者——一个由护士主导的居家肺康复组（16名）和一个对照组（16名）。在康复计划中，患者在研究的3个月期间接受了疾病教育，并在家中进行呼吸练习以及下肢和上肢有氧运动。康复组在肺功能测试（FEV1预测值百分比）、动脉血气（PaCO2）、生活质量、呼吸困难和功能能力方面有显著改善。另一方面，对照组未观察到有意义的变化。该研究表明，由护士主导的居家肺康复计划对COPD患者有积极影响。
