Moriyama Michiko, Takeshita Yae, Haruta Yoshinori, Hattori Noboru, Ezenwaka Chidum E
Institute of Biomedical & Health Sciences, Hiroshima University, Hiroshima, Japan.
Rehabil Nurs. 2015 Jan-Feb;40(1):40-51. doi: 10.1002/rnj.119. Epub 2013 Aug 6.
This study was to examine the effectiveness of a nurse-led 6-month comprehensive pulmonary rehabilitation program for stage IV chronic obstructive pulmonary disease patients receiving home oxygen therapy.
A controlled clinical study was performed.
Face-to-face and telephone interviews were conducted with the intervention group, whereas conventional education was given to the control group.
Fifteen participants were analyzed in each group. There were no improvements in physiological outcomes; however, the severity of dyspnea, social activity, and walking distance significantly improved in the intervention group, and consequently quality of life was improved. Three patients in the intervention group received treatment for cold-like-symptoms but did not require hospitalization. However, five patients in the control group received treatment for cold-like-symptoms and two required hospitalization.
The findings demonstrate that our program contributes to patients' learning of self-management skills and significantly improves dyspnea, social activity level, walking distance, and overall quality of life.
本研究旨在探讨由护士主导的为期6个月的综合肺康复计划对接受家庭氧疗的IV期慢性阻塞性肺疾病患者的有效性。
进行了一项对照临床研究。
对干预组进行面对面和电话访谈，而对照组则接受常规教育。
每组分析了15名参与者。生理指标没有改善；然而，干预组的呼吸困难严重程度、社交活动和步行距离显著改善，因此生活质量得到提高。干预组有3名患者接受了感冒样症状治疗，但无需住院。然而，对照组有5名患者接受了感冒样症状治疗，2名患者需要住院。
研究结果表明，我们的计划有助于患者学习自我管理技能，并显著改善呼吸困难、社交活动水平、步行距离和整体生活质量。
