Universidade Federal de Minas Gerais (UFMG), Rehabilitation Sciences Post Graduation Program, Belo Horizonte, MG, Brazil.
Universidade Federal de Minas Gerais (UFMG), Department of Occupational Therapy, Belo Horizonte, MG, Brazil.
Braz J Phys Ther. 2018 May-Jun;22(3):215-221. doi: 10.1016/j.bjpt.2017.12.003. Epub 2017 Dec 8.
Advanced lung disease is a chronic non-neoplastic disease that compromises activities of daily living. Treatment includes pulmonary rehabilitation and inspiratory muscle training. Studies have shown the effectiveness of inspiratory muscle training in lung disease patients, but literature is scarce on the patients' perceptions about this topic.
To explore the perceptions of patients with advanced lung disease about inspiratory muscle training.
Qualitative study. Interviews were conducted using a semi-structured questionnaire regarding topics on the participation of patients in inspiratory muscle training and on daily activities performed before and after training. Interviews were transcribed and analyzed according to thematic content analysis.
Ten patients (eight women and 2 men, ranging in age from 27 to 89 years) with inspiratory muscle weakness (maximal inspiratory pressure=44±13.9cmHO) were included. Five patients were diagnosed with Chronic Obstructive Pulmonary Disease, two with bronchiectasis and three with pulmonary fibrosis. All patients completed at least 80% of the total training sessions. The reports were grouped into four thematic categories: (1) impact of inspiratory muscle training on breathlessness (e.g., "I wasn't feeling as tired as I previously felt."); (2) change in daily activities (e.g., "I needed to go to the supermarket, I felt less tired doing it."); (3) improved mobility (e.g., "I could not stand for long periods […] walking, for example […] Now I stand more, I have more capability."); and (4) increased communication (e.g., "More power, right? Even in speaking […] When I could, I felt my voice coming out better.").
There were improvements in breathlessness, daily activities, mobility, and communication, which positively affected the psychological and social aspects of the patients.
晚期肺病是一种慢性非肿瘤性疾病，会影响日常生活活动。治疗包括肺康复和吸气肌训练。研究表明吸气肌训练对肺病患者有效，但关于患者对此主题的看法的文献却很少。
探讨晚期肺病患者对吸气肌训练的看法。
定性研究。使用半结构化问卷进行访谈，主题涉及患者参与吸气肌训练以及训练前后日常活动的情况。访谈内容转录并根据主题内容分析进行分析。
纳入 10 名吸气肌无力的患者（8 名女性和 2 名男性，年龄 27 至 89 岁）（最大吸气压力=44±13.9cmH2O）。5 名患者被诊断为慢性阻塞性肺疾病，2 名患有支气管扩张症，3 名患有肺纤维化。所有患者都完成了至少 80%的总训练课程。报告分为四个主题类别：（1）吸气肌训练对呼吸困难的影响（例如，“我没有以前那么累了。”）；（2）日常活动的变化（例如，“我需要去超市，做这件事感觉不那么累了。”）；（3）改善的活动能力（例如，“我不能长时间站立 […]. 例如 […]. 现在我站得更多了，我有更多的能力。”）；（4）增加的沟通能力（例如，“更有力量，对吧？甚至在说话时 […]. 当我可以时，我感觉我的声音更好了。”）。
呼吸困难、日常活动、活动能力和沟通能力均有所改善，这对患者的心理和社会方面产生了积极影响。
