呼吸康复后的长期预后。
Long-term outcome after respiratory rehabilitation.
作者信息
Guyatt G H, Berman L B, Townsend M
机构信息
Department of Medicine, McMaster University, Hamilton, Ont.
出版信息
CMAJ. 1987 Dec 15;137(12):1089-95.
To determine the long-term effect of respiratory rehabilitation, we followed up for 6 months after discharge 31 consecutive patients enrolled in a multidisciplinary inpatient rehabilitation program lasting 4 to 6 weeks. Of the 31, 24 showed improvement in quality of life (as measured with a previously validated questionnaire) and in functional exercise capacity (as measured with the 6-minute walk test) 2 weeks after discharge. The improvement was sustained for 6 months in 11 of the 24. Other investigators have found higher response rates than those that we report. The differences are likely due to our enrolment of consecutive patients, the length and completeness of follow-up, and the objective measurement of quality of life by an interviewer not associated with the rehabilitation program. Controlled trials of respiratory rehabilitation measuring both costs and benefits are warranted. In the meantime, strategies to maintain the initial improvement seen after rehabilitation should be developed and studied.
为了确定呼吸康复的长期效果，我们对连续31名参加了为期4至6周的多学科住院康复项目的患者进行了出院后6个月的随访。在这31名患者中，24名在出院后2周时生活质量（通过先前验证的问卷测量）和功能运动能力（通过6分钟步行试验测量）有所改善。在这24名患者中，11名患者的改善持续了6个月。其他研究者发现的反应率比我们报告的要高。这些差异可能是由于我们纳入的是连续患者、随访的时长和完整性，以及由与康复项目无关的访谈者对生活质量进行客观测量。有必要进行测量成本和效益的呼吸康复对照试验。与此同时，应该制定并研究维持康复后最初改善效果的策略。
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