College of Nursing, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan.
J Clin Nurs. 2012 Oct;21(19-20):2870-8. doi: 10.1111/j.1365-2702.2012.04124.x. Epub 2012 Jun 2.
To assess the effects of respiratory training on lung function, activity tolerance and quality of life in patients with chronic obstructive pulmonary disease.
For patients with chronic obstructive pulmonary disease, pulmonary rehabilitation can increase activity tolerance and improve their psychological state by relieving dyspnoea and promoting their quality of life.
A randomised clinical trial was conducted in a local hospital.
Patients with chronic obstructive pulmonary disease were randomly assigned to intervention (n=20) and control groups (n=20). Spirometry, six-minute walking distance and quality of life were used to assess the efficacy of respiratory training programme.
Significant improvement in lung function, including forced vital capacity (p=0.037), forced expiratory volume in one-second (p=0.006) and per cent predicted forced expiratory volume in one-second (p=0.008) in the intervention group. Regarding efficacy of the training programme for patients with chronic obstructive pulmonary disease, in forced expiratory volume in one-second (p=0.024) and per cent predicted forced expiratory volume in one-second (p=0.035), six-minute walking distance significantly increased. In addition, there were significant improvements for symptoms (p=0.018), impact (p<0.001) and total quality of life scores (p<0.001), as well as significantly decreased body mass, airflow obstruction, dyspnoea and exercise capacity index (p=0.004) in the intervention group.
A respiratory training programme for patients with chronic obstructive pulmonary disease was found to relieve dyspnoea, maintain lung function, increase activity tolerance and improve quality of life.
Respiratory training programme can be used as a routine rehabilitation protocol for patients with chronic obstructive pulmonary disease and can be used by nurses as a reference to monitor chronic obstructive pulmonary disease patients' health status.
评估呼吸训练对慢性阻塞性肺疾病患者肺功能、活动耐力和生活质量的影响。
对于慢性阻塞性肺疾病患者，肺康复可以通过缓解呼吸困难和提高生活质量来增加活动耐力和改善心理状态。
在当地医院进行了一项随机临床试验。
将慢性阻塞性肺疾病患者随机分为干预组（n=20）和对照组（n=20）。使用肺活量计、六分钟步行距离和生活质量评估呼吸训练计划的疗效。
干预组肺功能显著改善，包括用力肺活量（p=0.037）、一秒用力呼气容积（p=0.006）和一秒用力呼气容积预计值百分比（p=0.008）。对于慢性阻塞性肺疾病患者训练计划的疗效，在一秒用力呼气容积（p=0.024）和一秒用力呼气容积预计值百分比（p=0.035）方面，六分钟步行距离显著增加。此外，干预组症状（p=0.018）、影响（p<0.001）和总生活质量评分（p<0.001）显著改善，体重、气流阻塞、呼吸困难和运动能力指数显著降低（p=0.004）。
对于慢性阻塞性肺疾病患者，呼吸训练计划可缓解呼吸困难，维持肺功能，提高活动耐力，改善生活质量。
呼吸训练计划可作为慢性阻塞性肺疾病患者常规康复方案，护士可作为监测慢性阻塞性肺疾病患者健康状况的参考。
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