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McCarroll, Michele L. "Exercise and airway clearing devices in pulmonary rehabilitation programs for patients with chronic obstructive pulmonary disease". Connect to this title online, 2005. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=osu1115832526.
Pełny tekst źródłaTitle from first page of PDF file. Document formatted into pages; contains x, 86 p.; also includes graphics (some col.). Includes bibliographical references (p. 78-86). Available online via OhioLINK's ETD Center.
Cheung, Walden A. "Selecting quality indicators for pulmonary rehabilitation programs in Canada : a modified RAND Appropriateness Method study". Thesis, University of British Columbia, 2017. http://hdl.handle.net/2429/62807.
Pełny tekst źródłaMedicine, Faculty of
Graduate
Murphy, Maria Clare, i res cand@acu edu au. "A Comparison of the Stanford Model Chronic Disease Self Management Program with Pulmonary Rehabilitation on Health Outcomes for People with Chronic Obstructive Pulmonary Disease in the Northern and Western Suburbs of Melbourne". Australian Catholic University. School of Nursing, 2007. http://dlibrary.acu.edu.au/digitaltheses/public/adt-acuvp165.22072008.
Pełny tekst źródłaLemons, Paul M. "Development of a pulmonary rehabilitation program : a biopsychosocial approach /". Master's thesis, This resource online, 1990. http://scholar.lib.vt.edu/theses/available/etd-01202010-020100/.
Pełny tekst źródłaVettorazzi, Suzana de Fatima. "Implantação e resultados de um programa de reabilitação pulmonar em uma instituição de ensino superior". reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2006. http://hdl.handle.net/10183/10740.
Pełny tekst źródłaChronic obstructive pulmonary disease (COPD) is characterized by partially reversible airway obstruction. Pulmonary rehabilitation is one of the therapeutic interventions indicated for the treatment of COPD, and consists of a multidisciplinary treatment strategy whose purpose is to improve quality of life and to reintegrate patients into society. Objective: To describe the process and cost of implementing a university extension program for pulmonary rehabilitation, as well as the causes of patient dropout and the results achieved. Material and methods: After a multidisciplinary group was formed at Centro Universitário Feevale and a partnership was established with the Municipal Department of Health of Novo Hamburgo, patients with COPD were referred to the pulmonary rehabilitation program (PRP). They were examined by a pulmonologist, a physical therapist, a nutritionist, a psychologist and a physical education specialist. After evaluations, groups of up to 16 patients were formed and had 3 weekly meetings for 4 months. During meetings, patients participated in physical exercise training, nutritional counseling, educational meetings and psychological support groups. We evaluated patient data, costs of program implementation and causes of patient dropout. Also, the results obtained after PRP were measured by the 6-minute walk test, work calculated as the product of distance x body weight, and the St George respiratory questionnaire to assess quality of life. Descriptive statistics was used to analyze results, and the Student t test, to compare means. Results: PRP was implemented as a university extension program at a total cost of R$ 64,224.60. One hundred thirty-four patients referred by health stations in Novo Hamburgo and neighboring cities were evaluated; 38 (28.4%) of these patients were excluded and 7 (5.2%) died before they completed the initial evaluation. The other 89 (66.5%) patients with moderate to severe COPD were included in PRP. Mean patient age was 63.5±9.9, 62 (69%) were men, mean body mass index (BMI) was 23.5±5.3 kg/m2, and mean forced expiratory volume in one second (FEV1) was 1.16 L (42.8±23.4% of predict value). Forty (44.9%) patients dropped out, most of them due to socioeconomic problems, and 49 (55.1%) completed the rehabilitation program. Data for the analysis before and after PRP were available for 37 patients, who formed the group for analysis of PRP results. The 6-minute walk test showed a significant increase of 34.12 m in distance(367.15±101.93 m vs. 401.27±95.55 m; p <0.001). A significant improvement of 2.65 km.kg-1 (24.36±9.62 km.kg-1 vs. 27.01±10.0 km.kg-1) was observed in distance x body weight product, and total scores of the St. George questionnaire showed a reduction of 11% (46 vs. 35; p<0.001), which indicated a significant improvement in quality of life. Conclusion: PRP was implemented as a university extension program at a relatively low cost when considering its extent and benefits. Social condition was the main cause of patient dropout, but those that completed PRP had a significant improvement in their capacity for physical exercise and in quality of life.
Cross, Jane. "Participant narratives on the impact of a pulmonary rehabilitation programme". Thesis, University of East Anglia, 2005. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.426262.
Pełny tekst źródłaMoussalle, Luciane Dalcanale. "Análise do dano de DNA em sangue periférico como medida de desfecho de um programa de reabilitação pulmonar". reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2007. http://hdl.handle.net/10183/13557.
Pełny tekst źródłaPulmonary rehabilitation is a treatment supported by level A evidence, and its outcomes are measured by the improvement in physical exercise capacity and quality of life. The objective of this study is to investigate if pulmonary rehabilitation reduces DNA damage in peripheral blood of patients with chronic obstructive pulmonary disease. DNA damage in peripheral blood lymphocytes was used as an outcome measure in 13 of 39 patients with chronic obstructive pulmonary disease who underwent a 4-month pulmonary rehabilitation program. All patients underwent the 6- minute walk test and answered the Saint George’s respiratory questionnaire to assess quality of life. Blood was collected from 13 patients before and after pulmonary rehabilitation program to analyze DNA damage using the micronucleus technique. After pulmonary rehabilitation program, there was a significant increase in 6- minute walk distance and improvement in all the Saint George’s respiratory questionnaire domains. The evaluation of genetic damage revealed a statistically significant decrease (p = 0.014) of micronucleus frequency. No significant differences were found in the analysis of nucleoplasmic bridges or nuclear buds. The decrease of micronucleus frequency demonstrated that PRP not only improved quality of life and performance in work capacity exercises, but also reduced DNA damage.
Earley, Denise. "Education in pulmonary rehabilitation : the development snd evaluation of the Understanding COPD questionnaire and the Living Well with COPD programme for pulmonary rehabilitation". Thesis, University of Ulster, 2011. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.535152.
Pełny tekst źródłaJacoby, Barry Matthew. "A comprehensive pulmonary rehabilitation program: Its effect on the psychological and social concomitants of chronic obstructive pulmonary disease". Diss., The University of Arizona, 1992. http://hdl.handle.net/10150/185879.
Pełny tekst źródłaCanterle, Dáversom Bordin. "Efeitos do treinamento de força para os membros inferiores em pacientes com DPOC que participaram de um programa de reabilitação pulmonar". reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2007. http://hdl.handle.net/10183/14703.
Pełny tekst źródła“Chronic Obstructive Pulmonary Diseases” is a systemic, preventable and treatable disease characterized by the decrease of the aerial flow not totally reversible, leading to exercise intolerance, interfering in daily activities and reducing the patients’ quality of life. Pulmonary rehabilitation is a multidisciplinary approach of treatment that aims to improve the patients’ quality of life, increasing exercise tolerance, decreasing the symptoms of tiredness and breathing difficulties. Controlled and randomized studies have already proved the effectiveness of leg resistance training. However, there are still doubts as to whether concomitant strength and resistance efforts can change the results. Objective: To establish whether resistance and strength training is superior to leg resistance training, in a pulmonary rehabilitation program. Patients and methods: After the medical evaluation in order to confirm the diagnosis of the disease, 27 patients were randomly divided into two groups: group 1 patients (G1) (13) were submitted only to leg resistance while, group 2 patients (G2) (14) trained concomitant resistance and strength tests. The variations analyzed before and after the training were achieved through the following tests: 6-min walk test, maximum load test, work walking, Saint George quality of life questionnaire, effort perception by the Borg scale, and thigh and calf measurement. Results: In the walking test there was increase in the distance covered after the grouping program [G1 (pre-distance: 343,38±136,11m vs. post-distance: 396,81±96,46; p=0,048)], and [G2 (pre-distance: 367,28±125,11 vs. post-distance: 392,84±118,16, p=0,160)]. The following results were obtained in the maximum load test: (knee pre-stretching: 32±13kg vs. post7 weight: 38±14kg; p=0,016); (knee pre-bending: 5,85±2,0kg vs. post: 7,7±3,1kg; p=0,007); (right sole pre-bending: 20,75±4,78 repetitions vs. post:21,58±7,22 repetitions; p=0,73), (left sole pre-bending:21,67±5,48 repetition vs. post:20,92±7,36 repetitions; p=0,74) and G2 (knee pre-stretching: 33,43±16kg vs. post-weight: 44±16,40kg; p=0,0001); (knee pre-bending: 5,23±3,19kg vs. post: 7,92±3,75kg; p=0,0001); (right sole pre-bending: 20,17±5,82 repetitions vs. post: 29,33±11,59 repetitions; p=0,001); (left sole pre-bending: 20,45±6,34 repetitions vs. post: 30,91±10,48 repetitions; p=0,0001). No statistically significant differences were observed in the walking exercise in both groups. Although an improvement was observed in the quality of life represented by the total decrease of 21,77% in G1 and 22,54% in G2, it does not demonstrate any statistically significant difference between the two groups. The breathing difficulty perception through the Borg scale does not show significant reduction in both groups [G1 (pre-Borg: 4,27±2,71 vs. post: 2,88±1,98; p=0,091)] e [G2 (pre-Borg: 4,86±3,30 vs. post: 3,79±2,63; p=0,24)]. When the results between the groups (G1 and G2) were compared after the program, statistically significant difference in the maximum load test was observed only in the right and left sole bending movement, expressively greater in the left one. (G1 Δ: - 0,75 repetitions vs. G2 Δ: 10,46 repetitions, p=0,001). In the other variations studied, no statistically significant difference was observed. Conclusion: Both groups studied had an improved their quality of life and their strength in the stretching and bending knee movements after the pulmonary rehabilitation program. Nevertheless, concomitant strength and resistance training did not seem superior to the isolated leg resistance training.
Bayliss, Daniel John. "Evaluation of outcomes of a six-month exercise maintenance pulmonary rehabilitation program in patients with chronic obstructive pulmonary disease". Virtual Press, 1999. http://liblink.bsu.edu/uhtbin/catkey/1137788.
Pełny tekst źródłaSchool of Physical Education
De, Grass Donna. "The effect of a community based pulmonary rehabilitation programme on the quality of life of patients with pulmonary tuberculosis". Master's thesis, University of Cape Town, 2011. http://hdl.handle.net/11427/10339.
Pełny tekst źródłaHorton, E. "A home based self-management rehabilitation programme for chronic obstructive pulmonary disease : is it a feasible alternative to conventional rehabilitation?" Thesis, Coventry University, 2014. http://curve.coventry.ac.uk/open/items/158c7062-2633-4535-92c9-d8862d9b531d/1.
Pełny tekst źródłaFontoura, Fabrício Farias da. "Impacto de um programa de reabilitação pulmonar sobre a qualidade de vida relacionada à saúde e a capacidade funcional em indivíduos portadores de fibrose pulmonar idiopática". reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2013. http://hdl.handle.net/10183/142897.
Pełny tekst źródłaIntroduction: Idiopathic pulmonary fibrosis (IPF) is a chronic lung disease with severe symptoms of progressive dyspnea, resulting in decreased exercise capacity, negatively impacting the health-related quality of life (HRQL). Pulmonary rehabilitation (PR) improves functional capacity (FC) with reduction in symptoms, but in advanced IPF, its effects and magnitudes are unknown. Objective: To evaluate the impact of PR and in HRQL and in FC of patients with IPF. Methods: Coorte study with a retrospective review of data from 56 medical records of patients on lung transplant list diagnosed with IPF according to the American Toracic Society 2011 consensus, submitted to 12 weeks (36 sessions) of outpatient RP between January 2008 and October 2012. The FC and the HRQL were assessed through a six-minute walk test (6MWT) and the 36-item short-form survey (SF36) respectively before and immediately after PR. Results: Twenty-seven patients were included in the study, 16 (61%) male with a mean age of 53 ± 13 years. Eighteen patients (68%) had histologic diagnosis by lung biopsy compatible with usual interstitial pneumonia (UIP), with median time from diagnosis of 3 ± 1.7 years. Regarding the classification of the dyspnea in the modified Medical Research Council (mMRC) scale, 59% of patients were classified between 3-4. There was a significant increase in the distance covered from 393 ± 88 meters to 453 ± 90 meters (p <0.001). The baseline medians of dyspnea had a significant decrease (p = 0.01) in the mMRC scale from 2 (CI 95%: 1-4) to 1 (CI 95%: 1-4) and the median decreased from 5 (Min/Max: 1-10) to 3 (Min/Max :0-10) in the Borg dyspnea index at the end of the 6MWT. Although the patients walked greater distances, they had less fatigue in the legs, with a median decrease from 2 (Min/Max: 0-10) to 1 (Min/Max: 0-9) (p = 0.02). There was an increase in 5 of the 8 domains, but only the functional capacity was significant: from 26 (CI95%: 19-33) to 37 (CI95%: 27-48) (p <0.05), while the remaining areas were not statistically significant. Conclusion: We observed increases of FC in these patients, with decreased symptoms of dyspnea and fatigue; which were not reflected in clinical improvement in HRQL of patients with IPF on lung transplant list after a PR program.
De, Klerk Danelle Ria. "An adapted rehabilitation programme for a cross section of South African chronic obstructive pulmonary disease patients". Thesis, Link to the online version, 2008. http://hdl.handle.net/10019/776.
Pełny tekst źródłaZakrisson, Ann-Britt. "Management of patients with chronic obstructive pulmonary disease in primary health care : a study of a nurse-led multidisciplinary programme of pulmonary rehabilitation". Doctoral thesis, Örebro universitet, Hälsoakademin, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-15732.
Pełny tekst źródłaAdekunle, Ademola Olusegun. "Factors affecting the uptake of pulmonary rehabilitation and the effectiveness of a video based home exercise programme in patients with chronic obstructive pulmonary disease". Thesis, University of Hertfordshire, 2016. http://hdl.handle.net/2299/17183.
Pełny tekst źródłaFarias, Catharinne Ang?lica Carvalho de. "Custos e benef?cios de um programa de exerc?cio aer?bios na doen?a pulmonar obstrutiva cr?nica: ensaio clin?co aleat?rio controlado". Universidade Federal do Rio Grande do Norte, 2012. http://repositorio.ufrn.br:8080/jspui/handle/123456789/16730.
Pełny tekst źródłaPulmonary Rehabilitation, especially due to aerobic exercise, positive impact in reducing morbidity/mortality of patients with COPD, however the economic impact with costs of implementing simple programs of aerobic exercise are scarce. This is a blind randomized clinical trials, which aimed to evaluate the costs and benefits of a simple program of aerobic exercise in individuals with COPD, considering the financial costs of the Public Health System and its secondary endpoints. We evaluated lung function, the distance walked during six minutes of walking, the respiratory and peripheral muscle strength, quality of life related to health (QLRH), body composition and level of activity of daily living (ADL) before and after eight weeks of an aerobic exercise program consisting of educational guidance for both groups, control and intervention and supervised walks to the intervention group. The health costs generated in both groups were calculated following table Brazilian Public Health System. The sample consisted of forty patients, two being excluded in the initial phase of desaturation during the walk test six minutes. Were randomized into control and intervention group thirty-eight patients, three were excluded from the control group and one was excluded from the intervention group. At the end, thirty-four COPD comprised the sample, 16 in the control group and 18 in the intervention group (FEV1: 50.9 ? 14% pred and FEV1: 56 ? 0.5% pred, respectively). After for intervention, the intervention group showed improvement in meters walked, the sensation of dyspnea and fatigue at work, BODE index (p <0.01) in QLRH, ADL level (p <0.001) as well as increased strength lower limbs (p <0.05). The final cost of the program for the intervention group was R $ 148.75, including: assessments, hiking supervised by a physiotherapist and reassessments. No patient had exacerbation of IG, while 2 patients in the CG exacerbated, generating an average individual cost of R $ 689.15. The aerobic exercises in the form of walking showed significant clinical benefits and economic feasibility of its implementation, due to low cost and easy accessibility for patients, allowing them to add their daily practice of aerobic exercises
A Reabilita??o Pulmonar, especialmente devido aos exerc?cios aer?bios, impacta positivamente na redu??o da morbidade/mortalidade do paciente com DPOC, entretanto o impacto econ?mico com custos de da implementa??o de programas simples de exerc?cios aerobios s?o escassos. Trata-se de um ensaio cl?nico aleat?rio controlado cego, que objetivou avaliar os custos e os benef?cios de um programa simples de exerc?cios aer?bios em indiv?duos com DPOC, considerando os custos financeiros do Sistema P?blico de Sa?de e seus desfechos secund?rios. Foram avaliadas a fun??o pulmonar, a dist?ncia percorrida no teste da caminhada dos 6 minutos, a for?a muscular respirat?ria e perif?rica, a qualidade de vida relacionada ? sa?de (QVRS), a composi??o corporal e o n?vel de atividade de vida di?ria (AVD) antes e ap?s oito semanas de um programa de exerc?cios aer?bicos composto por de orienta??es educacionais para ambos os grupos, controle e interven??o e caminhadas supervisionadas para o grupo interven??o. Os custos sanit?rios gerados em ambos os grupos foram calculados seguindo tabela do Sistema de Sa?de P?blico Brasileiro. A amostra foi composta por quarenta pacientes, sendo dois exclu?dos na fase inicial por dessatura??o durante o teste de caminhada de seis minutos. Foram aleatorizados em grupo controle e grupo interven??o trinta e oito pacientes, sendo que tr?s foram exclu?dos do grupo controle e um foi exclu?do do grupo interven??o. Ao final, trinta e quatro DPOC compuseram a amostra, 16 no grupo controle e 18 no grupo interven??o (VEF1: 50.9 ? 14 %pred e VEF1: 56 ? 0.5 %pred, respectivamente). Ap?s para interven??o, o grupo interven??o apresentou melhora nos metros caminhados, na sensa??o de dispneia e fadiga, no trabalho realizado, ?ndice de BODE (p<0.01), na QVRS, no n?vel de AVD (p<0.001) al?m de incremento da for?a dos membros inferiores (p<0.05). O custo final do programa para o grupo interven??o foi de R$ 148.75, incluindo: avalia??es, caminhadas supervisionadas por um fisioterapeuta e as reavalia??es. Nenhum paciente do GI apresentou exacerba??o, enquanto no GC 2 pacientes exacerbaram, gerando um custo individual m?dio de R$ 689.15. Os exerc?cios aer?bios na modalidade de caminhadas demonstraram significantes benef?cios cl?nicos e a viabilidade econ?mica de sua implementa??o, devido ao baixo custo e de f?cil acessibilidade para os pacientes, permitindo que estes possam adicionar as suas atividades di?rias a pr?tica de exerc?cios aer?bios
Godoy, Rossane Frizzo de. "Repercussão tardia de um programa de reabilitação pulmonar sobre os índices de ansiedade, depressão, qualidade de vida e desempenho físico em portadores de doença pulmonar obstrutiva crônica". reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2008. http://hdl.handle.net/10183/14674.
Pełny tekst źródłaStudy Objectives: to verify the long-term outcome of a pulmonary rehabilitation program on the levels of anxiety, depression and quality of life, as well, the six-minute walking test performance of 30 COPD patients (mean±SD, 60.8±10 years; 70% male). Design: the participants under went a 12-week treatment program: 24 session of physical exercises, 24 sessions of physiotherapy, 12 psychological sessions and three educational sessions. All patients were evaluated at baseline (pretest), at completion of the rehabilitation program (post-test), and two years later (current test) through four instruments: Beck Anxiety Inventory, Beck Depression Inventory, The St. George’s Respiratory Questionnaire and the Six- Minute Walk Test. Results: the comparison between pre and post-test demonstrated significant statistical improvements, including reduced anxiety (pre: 10.7±6.3; post: 5.5±4.4; p=0.0005) and depression (pre: 11.7±6.8; post: 6±5.8; p=0.001), increase endurance (pre: 428.6±75; post: 474.9±86.3; p=0.03), and better quality of life (pre: 51±15.9; post: 34.7±15.1; p=0.0001). There were no statistic differences when the results of the post-test were analyzed against the data of the current test. Anxiety (post: 5.5±4.4; current: 7.3±4.8; p=0.127), depression (post: 6±5.8; current: 7.8±5.7; p=0.228), endurance (post: 474.9±86.3; current: 451±74.2; p= 0.254) and quality of life (post: 34.7±15.1; current: 40±13.3; p=0.157). Conclusions: COPD patients are able to maintain the psychological and physical improvements acquired during a pulmonary rehabilitation program for two years.
Hunt, Angela Jane. "The effectiveness of outpatient and home based pulmonary rehabilitation programmes in patients with obstructive and restrictive ventilatory disorders". Thesis, Imperial College London, 2004. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.408851.
Pełny tekst źródłaWright, Karen 1962. "Knowledge, exercise of self-care agency, and recidivism levels after completing a pulmonary education program". Thesis, The University of Arizona, 1990. http://hdl.handle.net/10150/558144.
Pełny tekst źródłaRodrigues, Flávia Carsten Duarte Pirath. "Benefícios clínicos e econômicos de um programa de reabilitação pulmonar com ênfase no exercício físico em pacientes com doença pulmonar obstrutiva crônica". Universidade do Estado de Santa Catarina, 2011. http://tede.udesc.br/handle/handle/503.
Pełny tekst źródłaCoordenação de Aperfeiçoamento de Pessoal de Nível Superior
Chronic obstructive pulmonary disease (COPD) is one of the main causes of morbidity and mortality worldwide with a substantial and increasing societal burden especially on underdeveloped countries. The present current study aimed at assessing the clinical and economic benefits of a pulmonary rehabilitation (PR) program with emphasis on physical exercise in COPD patients. Thirty patients with stable moderate to severe COPD were randomly assigned to two groups. The experimental group (EG) (mean age 69,53 ± 9,12, FEV1 % 36,1 ± 11,4) took part in a 8-week exercise program (3 times a week) and the control group (CG) (mean age 68,53 ± 9,43, FEV1 % 40,13 ± 14,33) was instructed to practice home physical activity without supervision. Changes in physiological measurements of six-minute walk test (6MWT) and pulmonary function, as well as changes in clinical variables as the BODE prognosis index, the St. George s Respiratory Questionnaire (SGRQ) and dyspnea using de BORG scale were examined. Admission rate due to disease exacerbations was measured over 4 months following PR initiation to calculate the direct health costs of COPD and the admission rate between EG and CG groups. Data analysis showed an improvement in physiological and clinical variables after PR in the EG. There was an increase in 6MWT walking distance (310±115 vs 403±63 m, p<0.01), in decrease SGRQ total score (54±14 vs 41±18, p=0,005) and in the BODE index (6,7±2,2 vs 3,7±2, p<0,01 ). Conversely, in the CG, there was a decrease in 6MWT walking distance (364±118 vs 332±141, p=0,02) after the following time. The EG showed a lower BODE prognosis index after the PR program than the CG (3,7±2 vs 5,5±2,5, p=0,03). The admission rate was higher for the CG than for the EG (6 vs 2). The mean for direct health costs in the CG was higher than the mean for the EG (R$ 2.439,5 ± 3.092,7 vs R$ 1.389,20 ± 2.146 p = 0,2891 ).Total costs for the CG were also significantly higher than the total costs for the EG (R$ 20.837,70 vs 36.593,10; p<0,01). PR reduced hospital admission with a 67,5% relative risk reduction (RRR) and a 27% absolute risk reduction (ARR), and a 3,7 number needed to treat (NNT) in 4 months following time. No adverse effects due to intervention were reported. In sum, the findings suggest clinical benefits with lower costs and a decrease on the number of hospital admissions after a PR program with emphasis on physical exercise in COPD patients.
A doença pulmonar obstrutiva crônica (DPOC) é uma das principais causas de morbidade e mortalidade no mundo com um crescente e substancial encargo social principalmente sobre os países em desenvolvimento. O presente estudo objetivou avaliar os benefícios clínicos e econômicos de um programa de reabilitação pulmonar (RP) com ênfase no exercício físico em pacientes com DPOC. Trinta pacientes com DPOC estável moderada a grave foram randomizados em dois grupos. O grupo experimental (GE) (media idade 69,53 ± 9,12, VEF1 % 36,1 ± 11,4) participou de um programa de exercícios com duração de 8 semanas (3 vezes por semana) e o grupo controle (GC) (média idade 68,53 ± 9,43, VEF1 % 40,13 ± 14,33) foi orientado a realizar atividade física em domicílio sem supervisão. Foram avaliados as alterações nas variáveis fisiológicas como a distância percdorrida no teste de caminhada de 6 minutos (TC6m) e função pulmonar, assim como as alterações nas variáveis clínicas como o índice prognóstico de BODE e o questionário de qualidade de vida St. George s Respiratory Questionnaire (SGRQ). As internações hospitalares em decorrência das exacerbações da doença foram aferidas no período de 4 meses após o início do programa de RP a fim de calcular o custo sanitário direto da doença e a taxa de internação entre os grupos. A análise de dados mostrou uma melhora significativa em variáveis clínicas e fisiológicas após a RP no GE. Houve um aumento na distancia percorrida no TC6m (310±115 vs 403±63 m, p<0.01), diminuição no índice de BODE (6,7±2,2 vs 3,7±2, p<0,01 ) e nos escores do questionário de qualidade de vida St. George s Respiratory Questionnaire ((54±14 vs 41±18, p=0,005). No GC, houve uma redução na distância caminhada no TC6m (364±118 vs 332±141, p=0,02) após o período de seguimento. O GE mostrou um menor índice prognóstico de BODE após o programa de RP quando comparado com o GC (3,7±2 vs 5,5±2,5, p=0,03). Houve uma maior taxa de internação no GC em comparação ao GE (6 vs 2). A média de custo do GC foi maior em relação ao GE (R$ 2.439,5 ± 3.092,7 vs R$ 1.389,20 ± 2.146 ; p = 0,2891) O custo total no GC também foi significativamente maior em relação ao GE (R$ 20.837,70 vs 36.593,10 ; p<0,01). A RP reduziu a admissão hospitalar com uma redução relativa de risco (RRR) de 67,5% e uma redução absoluta de risco (RRA) de 27% e um número necessário para tratar 3,7 (number need to treat - NNT) nos 4 meses de seguimento. Não houve relato de efeito adverso da intervenção. Em resumo, os resultados sugerem benefícios clínicos com menores custos e diminuição do número de admissões hospitalares após um programa de RP com ênfase no exercício físico em pacientes com DPOC.
Scortegagna, Daiane. "Análise da capacidade pulmonar, capacidade funcional e qualidade de vida em pacientes com Fibrose Cística trinta meses após o transplante pulmonar seguido de um programa de reabilitação cardiopulmonar". reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2013. http://hdl.handle.net/10183/80070.
Pełny tekst źródłaIntroduction: Cystic Fibrosis, also known as mucoviscidosis, is a chronic autosomal recessive genetic disorder with systemic manifestations, lung transplantation being one of the alternatives for treatment when the disease is in its terminal phase. Objective: Evaluate the lung function, physical conditions and the quality of life of the cystic fibrosis patient after 30 months from the lung transplantation following a rehabilitation program of cardiopulmonary therapy. Methodology: The study of the ambispective cohort, involved eight patients with cystic fibrosis (5 women and 3 men aged 27 ± 4.6 years) for the period from December 2006 to December 2010, two patients died during the study. Analysis was made of the Six Minutes Walk Test (6MWT), lung function and the SF-36 questionnaire for the pre-transplant, immediately post- transplant, post cardiopulmonary rehabilitation and 30 months after the transplant. Results: The waiting list was 883±571 days, hospitalization time totalled 30.14 ±12.6 days. The patients showed, on average, a pretransplant VEF1 25.1% and CVF 38.4%, immediately posttransplant VEF1 66.6% and CVF 54.6%, post cardiopulmonary rehabilitation VEF1 60.8% and CVF 65.2% end 30 months post-transplant VEF1 66.6% and CVF 67.2%. In the TC6M, the average distance done before the transplant was 488 meters, immediately post-transplant it was 510 meters, post cardiopulmonary rehabilitation it was 603 meters and 30 months after transplant it was 462 meters. The quality of life of the patients showed improvement from the moment of leaving the hospital and after rehabilitation but did deteriorate in some domains after 30 months from the transplant. Conclusion: The lung transplantation continues to be a high risk procedure, however it still is a therapeutic strategy available to patients with cystic fibrosis at the advance stage of the disease. The findings of the study suggest there is a positive trend in the short term functional capacity and quality of life in the medium term however perish decrease, while increasing lung function has improved in the short and medium term. Although it would require further study with a higher number of patients to affirm with confidence the benefit for the long term of lung transplants for this population.
Oliveira, Julio Cesar Mendes de. "Estudo do sono em pacientes com DPOC submetidos a um programa de reabilitação pulmonar domiciliar". Universidade Nove de Julho, 2016. http://bibliotecatede.uninove.br/handle/tede/1901.
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Introduction: Currently, chronic obstructive pulmonary disease (COPD) is considered an important cause of morbidity and mortality, and the twelfth most prevalent disease in the world, thus representing a serious public health problem. It is common for patients with COPD to have poor sleep quality. As causes of this poor quality of sleep we highlight nocturnal cough, dyspnea, use of medications such as theophylline and recurrent hypoxemia. The term overlap syndrome is used when we have COPD associated with obstructive sleep apnea (OSA). Overlap syndrome, with a prevalence of 9.5-28%, results in marked hypoxemia during sleep with a greater tendency to hypercapnia, pulmonary hypertension and cor pulmonale, giving these patients a worse prognosis. Objectives: To verify the prevalence of overlap syndrome and to analyze the physiological sleep variables and the quality of life of patients with COPD undergoing a home pulmonary rehabilitation program (PRPD). The study will be conducted in a private clinic, located in the city of Cascavel in the interior of the state of Paraná (PR). Patients will be submitted to clinical evaluation, pulmonary function tests (plethysmography), polysomnography and will respond to quality of life questionnaires, excessive daytime sleepiness and risk for OSA before and after participation in PRPD. Results: The main cause related to the development of COPD was current or previous smoking (83.3% of cases). The most frequent symptom reported was dyspnea (88.8%), followed by productive cough (66.6%) and bronchial secretion (40.0%). By evaluating the clinical history of the cases, a significant number of comorbidities were identified, in addition to COPD, and cardiovascular and neurological diseases were more prevalent. The prevalence of OSA with AHI greater than 5 events was 59.3% (70 patients) and AHI> 15 was 26.2% (31 patients). Conclusion: According to the preliminary data, it was possible to delineate the profile of COPD patients associated with a high prevalence of OSA, with characteristics of an elderly population with multiple comorbidities, suggesting a sleep quality lower than desired.
Introdução: Atualmente, a doença pulmonar obstrutiva crônica (DPOC) é considerada uma importante causa de morbidade e mortalidade, sendo a décima segunda enfermidade mais prevalente no mundo, representando assim um sério problema de saúde pública. É comum pacientes com DPOC apresentarem uma má qualidade do sono. Como causas desta má qualidade do sono destacamos a tosse noturna, dispneia, uso de medicações, como a teofilina e hipoxemia recorrente. O termo overlap syndrome é empregado quando temos a DPOC associada a apneia obstrutiva do sono (AOS). A síndrome da overlap, com uma prevalência entre 9,5-28%, resulta em acentuada hipoxemia durante o sono com maior tendência a hipercapnia, hipertensão pulmonar e cor pulmonale, conferindo a esses pacientes um pior prognóstico. Objetivos: Verificar a prevalência da síndrome de overlap e analisar as variáveis fisiológicas do sono e a qualidade de vida de pacientes com DPOC submetidos a programa de reabilitação pulmonar domiciliar (PRPD). O estudo será realizado em uma clínica privada, localizada na Cidade de Cascavel no interior do estado do Paraná (PR). Os pacientes serão submetidos a avaliação clínica, provas de função pulmonar (pletismografia), polissonografia e responderão a questionários de qualidade de vida, sonolência excessiva diurna e risco para AOS antes e após a participação no PRPD. Resultados: A principal causa relacionada ao desenvolvimento da DPOC foi o tabagismo atual ou prévio (83,3% dos casos). O sintoma mais frequente relatado foi a dispneia (88,8%), seguida de tosse produtiva (66,6%) e secreção brônquica (40,0%). Avaliando-se o histórico clínico dos casos identificou-se, além da DPOC, um número significativo de comorbidades, sendo as cardiovasculares e neurológicas mais prevalentes. A prevalência de AOS com um IAH maior de cinco eventos foi 59,3% (70 pacientes) e IAH > 15 foi de 26,2% (31 pacientes). Conclusão: De acordo com os dados preliminares, pôde-se delinear o perfil de pacientes com DPOC associado a uma alta prevalência de AOS, com características de uma população idosa, com múltiplas comorbidades, sugerindo uma qualidade de sono inferior à desejada.
Araujo, Mariana Sponholz. "Avaliação do impacto de um programa de reabilitação pulmonar na capacidade de exercício em portadoras de linfangioleiomiomatose". Universidade de São Paulo, 2015. http://www.teses.usp.br/teses/disponiveis/5/5150/tde-24082015-113343/.
Pełny tekst źródłaIntroduction: Lymphangioleiomyomatosis (LAM) is a low-grade neoplasm, which is frequently associated with reduced exercise capacity, secondary to multiple factors including gas exchange impairment, ventilatory limitation and dynamic hyperinflation (DH). Pulmonary rehabilitation (PR) has proven benefits in many chronic pulmonary diseases but it was not evaluated in LAM. Objectives: To evaluate the impact of a PR program in women with LAM, when compared to a control group, in the following parameters: exercise capacity (primary outcome), DH, dyspnea, daily physical activity, quality of life, anxiety and depression, lung function and muscle strength. Methods: A non-randomized controlled clinical trial that included 21 LAM patients in the PR group and 19 in the control group. The PR program lasted 3 months, comprising 24 sessions of 1 hour (30 minutes of aerobic exercise and 30 minutes of muscle strength training). The initial evaluation included a maximum incremental cardiopulmonary exercise test (CPET). The following variables were assessed before and after PR or observation (control group): exercise capacity using the tolerable limit duration (Tlim) in constant work rate (CWR) exercise testing; walking distance and oxygen desaturation (six-minute walk test, 6MWT), dyspnea (Modified Medical Research Council Dyspnea Scale -mMRC; Basal Dyspnea Index - BDI, and Transitional Dyspnea Index -TDI); daily physical activity (pedometer); health-related quality of life (St George\'s Respiratory Questionnaire, SGRQ); anxiety and depression (Hospital Anxiety and Depression Scale, HADS); pulmonary function tests (PFT) and muscle strength (one-repetition maximum, 1RM). Results: There was no difference in baseline characteristics between the PR and control groups related to age (45 ± 11 vs. 40 ± 9 years, p = 0.12), FEV1 (74 ± 30 vs. 70 ± 27% pred, p = 0.67), DLCO (67 ± 33 vs. 64 ± 30% pred, p = 0.79), maximum work rate (77 ± 33 vs. 76 ± 35 W, p = 0.93) and peak O2 (17 ± 5 vs. 16 ± 4 ml/ kg/ min; p = 0.52) in incremental CPET. The PR group had a significant improvement when compared to the control group in (expressed in median [interquartile range]): Tlim (169 s [2 - 303 s] vs. -33 s [-129 - 39 s], p = 0.001) and O2 (11% [2 - 26%] vs. -2% [-7 - 5% pred], p = 0.001) in CWR exercice testing, mMRC (0 [-1 - 0] vs. 0 [0 - 1], p< 0.001), ( TDI (3 [2 - 3] vs.0 [-2 - 0], p< 0.001), daily steps (752 [-694 - 1814] vs. -138 [-830 - 208], p= 0.02), SGRQ (-8 [-16 - 2] vs. 2 [-4 - 5], p = 0.002), walking distance in 6MWT (median 59 m [13 - 81] vs. 20 [-12 - 30], p = 0.002) and 1 RM for all muscle groups trained (ex. quadriceps 39% [20 - 70%] vs. 4% [0 - 17%], p <0.001). There was a trend towards improvement in depression symptoms and total HADS. DH, desaturation during exercise, anxiety symptoms and PFT did not improve after PR. There was a moderate correlation between increased Tlim and variations of mMRC, peak O2 in CWR exercise testing, Borg dyspnea isotime and Borg leg discomfort isotime. Conclusions: PR is associated with improvements in exercise capacity, dyspnea, daily physical activity, health-related quality of life and muscle strength in patients with LAM. The main mechanism suggested is peripheral muscles adaptation
Yamaguti, Wellington Pereira dos Santos. "Efeitos de um programa de exercícios diafragmáticos de curta duração na mecânica respiratória e capacidade funcional de pacientes com DPOC: ensaio clínico controlado e aleatorizado". Universidade de São Paulo, 2011. http://www.teses.usp.br/teses/disponiveis/5/5160/tde-02082011-143720/.
Pełny tekst źródłaBackground: Impairment of diaphragm mechanics and enhanced activity of the chest wall muscles are associated with increased dyspnea in COPD patients. Diaphragmatic breathing (DB) has been suggested to improve abdominal motion but only during voluntarily DB, and no controlled studies have investigated the naturally adopted change in abdominal motion. The aim of this study was to investigate the effects of a diaphragmatic breathing training program (DBTP) on thoracoabdominal motion, diaphragmatic mobility and functional capacity in COPD patients. Methods: Thirty subjects (FEV1 42+/-13% predicted) were randomly allocated to either training (TG) or control group (CG). TG completed a 4-week supervised DBTP (3 individualized weekly sessions). Effectiveness was assessed by amplitude of the rib cage to abdominal motion ratio (RC/ABD ratio; primary outcome) and diaphragmatic mobility (secondary outcome). The RC/ABD ratio was measured using respiratory inductive plethysmography during voluntarily DB and natural breathing (NB). Diaphragmatic mobility was measured by ultrasonography. A 6-minute walk test (6MWT) and health-related quality of life (HRQoL) were also evaluated. Results: Only COPD patients from the TG demonstrated an improvement in diaphragmatic mobility (18.8%) and a reduction of the RC/ABD ratio during both NB (26.1%) and voluntarily DB (28.3%), suggesting that the abdominal motion improved in both conditions. An improvement in the 6MWT and in HRQoL was also observed in the TG. No differences were found in the CG for any measured outcome. Conclusions: We concluded that DBTP for COPD patients induced increased diaphragm recruitment during natural breathing resulting in an improvement in functional capacity
Linhares, Sâmia Geórgia Dantas. "Capacidade funcional de exercício e função pulmonar em pacientes submetidos a um programa de reabilitação precoce após técnica de Nuss: um estudo controlado randomizado". Universidade de São Paulo, 2016. http://www.teses.usp.br/teses/disponiveis/5/5156/tde-22082016-164433/.
Pełny tekst źródłaPectus excavatum is the most common congenital chest wall deformity and its treatment is essentially surgical. Surgical treatments and postoperative bed rest lead to metabolic, musculoskeletal, cardiovascular and respiratory alterations, with the possibility of prolonging the time required for postoperative patient recovery, increasing hospitalization time and health expenditure. Early rehabilitation after surgeries, which involves physical and breathing exercises, reduces these adverse effects and ensure better postoperative recovery, with increased independence of patients, greater psychological well-being and better functional outcomes. The objective of this study was to assess whether patients undergoing early rehabilitation after Pectus excavatum repair using the Nuss procedure have better functional exercise capacity and lung function on hospital discharge day compared with patients undergoing conventional care. Patients were randomly allocated into two groups: the early rehabilitation group (ERG) which started rehabilitation after surgery and the group of conventional care (CG) which received routine care of the institution. The lung function was assessed by simple spirometry and the functional exercise capacity by the 6-minute walk test (6MWT) were performed before surgery (preoperative) and in hospital discharge day (postoperative). Forty patients were evaluated, 20 in each group. All patients presented a significant reduction in FVC, FEV1 and PEF in the postoperative lung function test and there was no statistically significant difference between groups. All patients showed significant reduction in postoperative distance walked in 6MWT compared with the preoperative distance (p < 0.005). There was statistically significant different in functional exercise capacity between the ERG and CG in the postoperative evaluation (506.26 ± 66.54 vs 431.11 ± 75.61, p=0.02) and the difference between distance walked in the preoperative and postoperative period was significantly lower in the ERC compared to the CG (76.57 ± 49.41 vs 166.82 ± 70.13, p < 0.001). We conclude that patients undergoing early rehabilitation after Nuss procedure presented better postoperative functional exercise capacity in hospital discharge day compared to patients in the conventional group, with no difference in lung function between groups
Miranda, Sara Palos Souto de. "Contributions for the development of a core outcome set to evaluate pulmonary rehabilitation programs in people with COPD". Master's thesis, 2018. http://hdl.handle.net/10773/24329.
Pełny tekst źródłaEnquadramento: A doença pulmonar obstrutiva crónica (DPOC) é atualmente a quarta principal causa de morbilidade e mortalidade no mundo. A reabilitação respiratória (RR) é uma intervenção fundamental para a gestão da DPOC mas de acesso escasso. Apesar do “potencial” de melhoria do doente ser comumente utilizado como critério de acesso à RR, esta melhoria é altamente dependente das medidas que são utilizadas na RR. Atualmente, não existe um consenso relativamente ao conjunto mínimo de domínios (Core Outcome Set – COS) que devem ser avaliados nos programas de RR de pessoas com DPOC. Um COS tem o potencial de melhorar a consistência na literatura e diminuir o risco de viés nos resultados reportados, ao incluir domínios considerados relevantes para os diferentes intervenientes na RR. Objetivo: Explorar os domínios da RR valorizados por doentes, cuidadores informais (CI) e profissionais de saúde (PS). Métodos: Realizaram-se entrevistas semiestruturadas a 12 doentes com DPOC (83.3%♂, 70.8±5.2 anos, 50.7±17.5 VEMSpp, 27.2±3.9 IMC), 11 CI (18.2%♂, 68.4±7.9 anos, 5.3±7.0 anos a cuidar) e 10 os (20%♂, 40.7±14.3 anos, 6.7±9.7 anos de experiência). Os dados foram analisados através da análise qualitativa ao conteúdo e posteriormente através da análise temática, através do software NVivo. Resultados: Este estudo gerou 44 domínios a serem avaliados na RR. Cinco temas, relevantes para todas as partes interessadas, foram gerados pela análise: ter uma mente sã num corpo são, eu (não) consigo, sentir-se realizado, saber mais para fazer melhor e evitar médicos e despesas. Apesar das perspetivas terem sido maioritariamente consensuais entre os participantes, alguns domínios (i.e., função pulmonar) foram valorizados apenas pelos PS. Para os doentes e CI, a RR foi principalmente valorizada pelo seu impacto na vida diária e papel na comunidade. Apesar de alguns participantes não reconhecerem benefícios da RR em domínios-chave da literatura, como a tolerância ao esforço, todos os participantes reconheceram pelo menos um benefício da RR. Conclusão: Este estudo identificou um conjunto de domínios considerados relevantes para a RR de pessoas com DPOC, pelos diferentes intervenientes desta intervenção, que não são consensuais. Estes resultados poderão contribuir para o desenvolvimento futuro de um COS para programas de RR em pessoas com DPOC
Mestrado em Fisioterapia
Rodrigues, Maria de Fátima. "A doença pulmonar obstrutiva crónica e o exercício: impacto da doença no declínio funcional e importância do treino de exercício nos benefícios para a saúde". Doctoral thesis, 2016. http://hdl.handle.net/10362/17362.
Pełny tekst źródłaGuo, Shing-Shan, i 郭幸姍. "Participating Experience of Combined Biofeedback Training with Pulmonary Rehabilitation Exercise Program in Patients with Chronic Obstructive Pulmonary Disease". Thesis, 2015. http://ndltd.ncl.edu.tw/handle/75541317699744534040.
Pełny tekst źródła國防醫學院
護理研究所
103
Background: The effectiveness of pulmonary rehabilitation in patients with Chronic Obstructive Pulmonary Disease(COPD)has been proven, but its benefits would be faded away if regular exercise cannot be maintained after the training program. Biofeedback improving patients’ self-efficacy in exercise has been found in contemporary studies, but the truly thoughts and experiences related to biofeedback in patients with COPD are still lacking. Aims: To understand COPD patients’ self-awareness on the psychological and physiological changes, the regular exercise maintaining, and their psychological and physiological wellbeing after completing biofeedback combined with pulmonary rehabilitation exercise training. Methods: From February 20, 2014 to December 30, 2014, 12 patients with COPD who completed the 4-week training program of combined biofeedback with pulmonary rehabilitation exercise in a medical center in the northern Taiwan were interviewed. Subjects were received two interviews at the time of right after the training program and 6 months after the training. The information were collected by in-depth interviews with the semi-structured interviews guide and transcripts were analyzed by the method of Graneheim & Lundman’s content analysis. Results: In the present study, six themes described subjects’ thoughts and experiences related to biofeedback combined with pulmonary rehabilitation exercise at the time after the training were identified in the transcripts of : the motivation of engaging the training program, special experiences come with the training program, positive progressing in health status, initiating the healthy behaviors, expanding exercise benefits, the additional effects of biofeedback training. In addition, five themes were identified from the interview transcripts of 6 months after the training in these subjects: maintaining the positive physiological and psychological impacts from training program, further improving in healthy life behaviors, motivating to maintain the exercise effects, perceived the factors to maintain the regular exercise, perceived barriers to maintain the regular exercise. Conclusion: After received the biofeedback combined with pulmonary rehabilitation exercise training, patients with COPD experienced the improvement of their physiological conditions, and willing to execute healthy behaviors. In addition, patients perceived benefits from biofeedback and able to self-practice the breathing exercise at home. At 6 months after training, our subjects had realized their own positive changes, established their own way to maintain the regular exercise, and identified the factors against them from the regular exercise. The results of this study can be a reference for health care provider in taking care of patients with COPD, involving an efficient intervention and providing a better quality of care accordingly.
"Effectiveness of pulmonary rehabilitation program in residential home: a prospective controlled clinical trial". 2000. http://library.cuhk.edu.hk/record=b5890444.
Pełny tekst źródłaThesis (M.Phil.)--Chinese University of Hong Kong, 2000.
Includes bibliographical references (leaves 125-138).
Abstracts in English and Chinese; questionnaires also in Chinese.
Acknowledgement --- p.iii
Declaration --- p.iv
List of Tables --- p.v
List of Figures --- p.viii
Abstract --- p.ix
Abbreviation --- p.xiv
Chapter Chapter One --- Introduction / Background --- p.1
Chapter 1.1 --- Definition
Chapter 1.2 --- Disease Prevalence
Chapter 1.3 --- Associated Disability
Chapter 1.4 --- Treatment-effectiveness
Chapter 1.5 --- Rehabilitation
Chapter Chapter Two --- Hong Kong Situation --- p.56
Chapter 2.1 --- What is known --- Hong Kong elderly population database
Chapter 2.2 --- Service provision for the elderly in Hong Kong
Chapter Chapter Three --- Methodology --- p.68
Chapter 3.1 --- Aims
Chapter 3.2 --- Subject and methodology
Chapter Chapter Four --- Results --- p.93
Chapter 4.1 --- Results at baseline
Chapter 4.2 --- "Trend with time (0,12,48 weeks) between the exercise group and the control group"
Chapter 4.3 --- Results at first follow up (12 weeks)
Chapter 4.4 --- Results at second follow up (48 weeks)
Chapter 4.5 --- Results from baseline to second follow up within the exercise group or within the control group
Chapter Chapter Five --- Discussion --- p.113
Chapter 5.1 --- Short-term efficacy of pulmonary program
Chapter 5.2 --- Long-term efficacy of pulmonary program
Chapter 5.3 --- The characteristics of pulmonary program
Chapter Chapter Six --- Conclusion --- p.124
Reference --- p.125
Appendix The Questionnaire Used in Interviews --- p.139
HSIAO, WEI-LING, i 蕭偉伶. "Testing Efficacy of A Pulmonary Rehabilitation Program for Post-operative Oxygenation and Pulmonary Complications Following Lung Cancer Resection Surgery". Thesis, 2016. http://ndltd.ncl.edu.tw/handle/99022044616889328900.
Pełny tekst źródła國立臺北護理健康大學
護理研究所
104
Background: Lobectomy of lungs is the primary treatment for non-small cell lung cancer. Pulmonary rehabilitation enhancing lung expansion and ventilation may help to improve oxygenation and reduce postoperative lung complications. Aim: The study was to test the efficacy of a pulmonary rehabilitation intervention on oxygenation, pulmonary complications in lung cancer patients with lung resection surgery.Methods: 90 lung cancer patients scheduled for a lung resection surgery were recruited and randomized to the control or intervention group. The intervention group practiced pulmonary rehabilitation exercise in home for 5 days before the surgery and post-operative pulmonary rehabilitation while in the hospital. Data on six minute walk distance and level of fatigue were collected at the baseline and before discharge. Descriptive analyses were used to describe patients’ demographics, disease variables, and outcome variables. The Chi-square, T-test, and GEE were used to test the efficacy of the study interventions. Results: Two groups were similar at baseline. The result of GEE showed signification group, time, and group by time interaction effects on S/F ratio, indicating the intervention group had better oxygenation with a β value of 34.13 (Wald X2 = 8.32, p = 0.04) compared with the control group. There was only one patient in the intervention group reported clinical significant postoperative lung complications (X2 = 8.389, p = 0.004 ) than what was reported in the control group. The average duration of chest drainage in the intervention group was 2.00 days (t =-2.324 , p = 0.022).Conclusion: The study results were provided evidence of the pulmonary rehabilitation intervention for improved oxygenation, reduced postoperative pulmonary complications in lung cancer with lung resection patients.
Jong, Shwu-Yuan, i 鍾淑媛. "The Effect of a Pulmonary Rehabilitation programon Pulmonary Function, Exercise Capacity, and Quality of Lifein Post-Lobectomy Patients". Thesis, 2003. http://ndltd.ncl.edu.tw/handle/20011520394915960737.
Pełny tekst źródła國立台北護理學院
護理研究所
91
The purposes of this study were to explore the effect of modified abdominal breathing (MAB) training followed by Tai-Chi-Qui-Gong (TCQG) exercise training on pulmonary function, exercise capacity, and quality of life in patients after lobectomy. The quasi-experimental design was utilized in this study. Purposive sampling method was adopted to include forty subjects from a chest surgical ward of a medical center in Taipei city. The all signed the informed consent and were participated voluntarily. Subjects were randomly assigned into experimental group and the control group, twenty patients each. Subjects in the experimental group received a class on modified abdominal breathing and 10 motions of TCQG two days before surgery. They were coached to conduct MAB immediately after removed endotracheal tube in the recovery room. After returning to the general ward, they practiced 10 motions of TCQG exercise on the first day after lobectomy. The control group received standard post-lobectomy care which did not include MAB and exercise. All of two groups were measured pulmonary function and the distance of six minutes'' walk two days prior to the operation, one week after operation, and one month after operation, besides, the questionnaire of quality of life was measured also in the two days before operation and one month after operation. The data were analyzed with SPSS Windows 10.0 statistical software. The major statistical procedures applied in data management included: independent-T test , repeated-measures ANOVA and Pearson Correlation test. The p value level of <0.05 was used as the significant level. The results indicated that: subjects in the experimental group had significant improvement in their tidal volume and 6 minutes walking distance (6MWD) post lobectomy, while subjects in the control group did not. The 6MWD of the subjects in the experimental group resume to the preoperative status at the end of first week, and was even better one month after. The quality of life of the subjects in the experimental group was significantly better than it was in the control group postoperatively. Age was the major factor determining the postoperative recovery of pulmonary functions and physical capability. Physical capability had essential impact of the perceive quality of life. The finding indicated that modified abdominal breathing training followed by Tai-Chi-Qui-Gong exercise training was effective in improving pulmonary function, exercise capacity, and quality of life of the patient post lobectomy. This rehabilitation training is worth of adoption by nurses and doctors in taking care of patients receiving lobectomy surgery.
Cohen, Diana. "A trial to assess the clinical effects of an exercise retraining programme on patients with chronic obstructive pulmonary disease". Thesis, 1994. http://hdl.handle.net/10539/22851.
Pełny tekst źródłaA study was undertaken to ascertain whether a low intensity, long term home walking exercise programme could produce physiological changes in patients with chronic obstructive pulmonary disease (COPD). Subjective psychological effects of such a programme were also evaluated. (Abbreviation abstract)
AC2017