Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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Development of the Home-Based Pulmonary Rehabilitation Program for Patients with Chronic Lung Disease

만성 폐질환 환자에서 재택 호흡재활치료방법 개발 연구

  • Yoon, Seong-Ho (Division of Pulmonary and Critical Medicine, Asan Medical Center, Univ. of Ulsan College Medicine) ;
  • Na, Joo-Ok (Division of Pulmonary and Critical Medicine, Asan Medical Center, Univ. of Ulsan College Medicine) ;
  • JeGal, Yang-Jin (Division of Pulmonary and Critical Medicine, Asan Medical Center, Univ. of Ulsan College Medicine) ;
  • Kim, Myung-Wha (Department of Internal Medicine and Health Promotion Center Asan Medical Center, Univ. of Ulsan College Medicine) ;
  • Kim, Eung-Suk (Department of Internal Medicine and Health Promotion Center Asan Medical Center, Univ. of Ulsan College Medicine) ;
  • Shim, Tae-Sun (Division of Pulmonary and Critical Medicine, Asan Medical Center, Univ. of Ulsan College Medicine) ;
  • Lim, Chae-Man (Division of Pulmonary and Critical Medicine, Asan Medical Center, Univ. of Ulsan College Medicine) ;
  • Lee, Sang-Do (Division of Pulmonary and Critical Medicine, Asan Medical Center, Univ. of Ulsan College Medicine) ;
  • Koh, Youn-Suck (Division of Pulmonary and Critical Medicine, Asan Medical Center, Univ. of Ulsan College Medicine) ;
  • Kim, Woo-Sung (Division of Pulmonary and Critical Medicine, Asan Medical Center, Univ. of Ulsan College Medicine) ;
  • Kim, Won-Dong (Division of Pulmonary and Critical Medicine, Asan Medical Center, Univ. of Ulsan College Medicine) ;
  • Kim, Dong-Soon (Division of Pulmonary and Critical Medicine, Asan Medical Center, Univ. of Ulsan College Medicine)
  • 윤성호 (울산대학교 의과대학 서울아산병원 내과학교실) ;
  • 나주옥 (울산대학교 의과대학 서울아산병원 내과학교실) ;
  • 제갈양진 (울산대학교 의과대학 서울아산병원 내과학교실) ;
  • 김명화 (울산대학교 의과대학 서울아산병원 내과학교실, 운동의학과) ;
  • 김응석 (울산대학교 의과대학 서울아산병원 내과학교실, 운동의학과) ;
  • 심태선 (울산대학교 의과대학 서울아산병원 내과학교실) ;
  • 임채만 (울산대학교 의과대학 서울아산병원 내과학교실) ;
  • 이상도 (울산대학교 의과대학 서울아산병원 내과학교실) ;
  • 고윤석 (울산대학교 의과대학 서울아산병원 내과학교실) ;
  • 김우성 (울산대학교 의과대학 서울아산병원 내과학교실) ;
  • 김원동 (울산대학교 의과대학 서울아산병원 내과학교실) ;
  • 김동순 (울산대학교 의과대학 서울아산병원 내과학교실)
  • Published : 2002.06.30
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Abstract

Background : Even though it is well known that pulmonary rehabilitation (PR) improves exercise capacity, and the quality of life, in patients with chronic lung diseases, not many patients can attend hospital based intensive PR in Korea. The purpose of this study was to develop a method for a home-based PR program, and study its effectiveness. Materials and Methods : Twenty patients with chronic lung diseases were randomly divided into two groups : a home PR group comprising of 10 male patients, with a mean age of 70 years, and a control group comprising of 10 male patients, with a mean age of 65 years. We developed exercise programs, depending on the exercise capacity of each patient, which were easy to do at home. The PR program consisted of a 12 week period of enforced aerobic (mostly walking) and muscle strengthening exercises, as prescribed by the exercise specialist, in accordance with the functional capacity of the patient. In addition to the education, nutritional and psychiatric consultation was undertaken, and respiratory muscle training arranged. Patients visited hospital every 2 weeks for evaluation and exercise prescription. Results : All patients finished the 12 week course of therapy. Following the home PR, the endurance times and work capacity of the upper and lower extremities were significantly increased in the treatment group in comparison to the controls. The six minute working (Eds note:should) 'working' read "walking"?) distance was increased from $465{\pm}60m$ to $508{\pm}37m$ and the maximal inspiratory pressure from $72.8{\pm}27.2cmH_2O$ to $91.4{\pm}30.9cmH_2O$. The quality of life, as assessed by St Georges Respiratory Questionnaire (SGRQ), was also improved following PR. (Eds note:do you have figures for before and after, and a reference for the SGRQ?i.e. for the main paper.) Conclusion : The home PR program we developed seemed to be applicable, and effective, to most of the patients with chronic lung diseases in this study.

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