School of Physiotherapy and Exercise Science, Curtin University, Perth, Australia.
Eur Respir Rev. 2013 Sep 1;22(129):405-13. doi: 10.1183/09059180.00002913.
Comprehensive pulmonary rehabilitation is an important component in the clinical management of people with chronic obstructive pulmonary disease (COPD). Although supervised exercise training is considered the cornerstone of effective pulmonary rehabilitation, there are many other components that should be considered to manage the impairments and symptom burden, as well as the psychosocial and lifestyle changes imposed by COPD. These include approaches designed to: 1) facilitate smoking cessation; 2) optimise pharmacotherapy; 3) assist with early identification and treatment of acute exacerbations; 4) manage acute dyspnoea; 5) increase physical activity; 6) improve body composition; 7) promote mental health; 8) facilitate advance care planning; and 9) establish social support networks. This article will describe these approaches, which may be incorporated within pulmonary rehabilitation, to optimise effective chronic disease self-management.
综合肺康复是慢性阻塞性肺疾病（COPD）患者临床管理的重要组成部分。虽然监督运动训练被认为是有效的肺康复的基石，但还有许多其他的组成部分需要考虑，以管理损伤和症状负担，以及 COPD 带来的心理社会和生活方式的改变。这些方法包括：1）促进戒烟；2）优化药物治疗；3）协助早期识别和治疗急性加重；4）管理急性呼吸困难；5）增加身体活动；6）改善身体成分；7）促进心理健康；8）促进临终关怀计划；9）建立社会支持网络。本文将描述这些方法，这些方法可以纳入肺康复中，以优化有效的慢性病自我管理。
