Journal of Korean Academy of Nursing

Original Articles

The Study on the Effects of a Respiratory Rehabilitation Program for COPD Patients: Ae Kyung Kim; Journal of Korean Academy of Nursing 2001;31(2):257-267. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2001.31.2.257

It is known that a pulmonary rehabilitation program improves dyspnea and exercise tolerence in patients with chronic obstructive pulmonary disease. However, it is also known that although it does not improve pulmonary function. This study was performed to evaluate the effect of a 4 week pulmonary rehabilitation on pulmonary function, gas exchange, and exercise tolerance in patients with chronic obstructive pulmonary disease. The pulmonary rehabilitation programs included breathing exercises, such as pursed-lip breathing and diaphragmatic breathing, upper-limb exercises, and inspiratory muscle training. These activities were performed for 4 weeks in twenty one patients with chronic obstructive pulmonary disease. Pre and post-rehabilitation pulmonary function and exercise capacities were compared after the 4 week period. Results are as follows: 1) Before the rehabilitation, the predicted value of FVC and FEV1 of the patients were 70.3+/-16.7% and 41.1+/-11.9% respectively. These pulmonary functions did not change after pulmonary rehabilitation. 2) Aloility of walking a 6 minute distance (325.29+/-122.24 vs 363.03+/-120.01 p=.01) and dyspnea (p=.00) were significantly improved after rehabilitation. Thus showing that pulmonary rehabilitation for 4 weeks can improve exercise performance and dyspnea in patients with chronic obstructive pulmonary disease.

Citations

Citations to this article as recorded by

An intelligent case-based knowledge management system for quality improvement in nursing homes
King Lun Tommy Choy, Kai Yuet Paul Siu, To Sum George Ho, C.H. Wu, Hoi Yan Lam, Valerie Tang, Yung Po Tsang
VINE Journal of Information and Knowledge Management Systems.2018; 48(1): 103. CrossRef
The effect of the inspiratory muscle training on functional ability in stroke patients
Nam-Jin Jung, Sang-Su Na, Seung-Kyu Kim, Gak Hwangbo
Journal of Physical Therapy Science.2017; 29(11): 1954. CrossRef
The Efficacy of Pulmonary Rehabilitation Using a Mechanical In-Exsufflator and Feedback Respiratory Training for Cervical Cord Injury Patients
Yeonseop Lee, Jinsang Kim, Yusin Jin
Journal of Physical Therapy Science.2012; 24(1): 89. CrossRef
The effects of home-based pulmonary rehabilitation in patients with chronic lung disease
Eui-Geum Oh
International Journal of Nursing Studies.2003; 40(8): 873. CrossRef

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Meta-analysis on the Effectiveness of Pulmonary Rehabilitation Program on Exercise Capacity/Tolerance and General Health Status: Hyun Soo Oh; Journal of Korean Academy of Nursing 2003;33(6):743-752. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2003.33.6.743

Abstract PDF

Purpose

This study was conducted to combine the effects of pulmonary rehabilitation program (PRP) on exercise capacity/tolerance and general health status of COPD patients based on the primary research results examined the effects of PRP.

Method

Seventeen studies were selected by the sampling criteria established to include the studies that reported enough statistics necessary to conduct meta-analysis.

Result

According to the study results, the most effective indicators for exercise capacity/tolerance were exercise time (such as cycling time or treadmill walking time) and ground walking distance within given time (6 minutes or 12 minutes), whereas effects on such indicators as VE and VO2 were not statistically significant. PRP induced significant effect on patients' general health status, frequently measured by physical, psycho-emotional, and holistic indicators, the enhancement on psycho-emotional dimension resulted from PRP was more prominent than those of the other dimensions. From the results, it was noted that the place where PRP was given and the contents of PRP exercised their influence on the outcome variables. Which body part was trained was also one of the important factors that influence on the patients' perception of dyspnea during exercise as well as on exercise capacity/tolerance.

Conclusion

PRP including exercise training significantly improved the exercise capacity and general health status of COPD patients.

Citations

Citations to this article as recorded by

A Systematic Review of Home based Pulmonary Rehabilitation in COPD Patients: Randomized Controlled Trials
Min Hee Ahn, Ja Yun Choi, Yun Hee Kim
The Korean Journal of Rehabilitation Nursing.2016; 19(2): 82. CrossRef
Effectiveness of a Brief Self-Care Support Intervention for Pulmonary Rehabilitation Among the Elderly Patients with Chronic Obstructive Pulmonary Disease in Korea
Hee-Young Song, Suk Joong Yong, Hea Kung Hur
Rehabilitation Nursing.2014; 39(3): 147. CrossRef

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