Browse > Article

Effects of an Inpatient Pulmonary Rehabilitation Program on Dyspnea, Exercise Capacity, and Health Related Quality of Life for Patients with Chronic Lung Disease  

Lee, Chang-Kwan (Samsung Medical Center)
Publication Information
Journal of Korean Academy of Nursing / v.37, no.3, 2007 , pp. 343-352 More about this Journal
Abstract
Purpose: The purpose of this study was to examine the effects of an inpatient pulmonary rehabilitation program on dyspnea, exercise capacity, and health related quality of life in inpatients with chronic lung disease. Method: This quasi experimental study was designed with a nonequivalent control group pre-post test time series. Twenty three patients were assigned to the experimental group and nineteen to the control group. The inpatient pulmonary rehabilitation program was composed of upper and lower extremity exercise, breathing retraining, inspiratory muscle training, education, relaxation and telephone contacts. This program consisted of 4 sessions with inpatients and 4 weeks at home after discharge. The control group was given a home based pulmonary rehabilitation program at the time of discharge. The outcomes were measured by the Borg score, 6MWD and the Chronic Respiratory Disease Questionnaire(CRQ). Results: There was a statistically significant difference in dyspnea between the experimental group and control group, but not among time sequence, or interaction between groups and time sequence. Also significant improvements in exercise capacity and health related quality of life were found only in the experimental group. Conclusions: An Inpatient pulmonary rehabilitation program may be a useful intervention to reduce dyspnea, and increase exercise capacity and health related quality of life for chronic lung disease patients.
Keywords
Pulmonary rehabilitation program; Chronic lung disease; Dyspnea; Exercise capacity; Health related qualify of life;
Citations & Related Records
Times Cited By KSCI : 2  (Citation Analysis)
연도 인용수 순위
1 Eakin, E., Sassi-Dambron, D, Ries, A., Kaplan, R. (1995). Reliability and validityof dyspnea measures in patients with obstructive lung disease. Int J Behav Med, 2, 118-34   DOI
2 Finnerty, J. P., Keeping, I., Bullough, I., & Jones, J. (2001). The effectiveness of outpatient pulmonary rehabilitation in chronic lung disease. Chest, 119, 1705-1710   DOI   ScienceOn
3 Kim, H. S. (2002). Effects of pulmonary rehabilitation program on respiratory symptom relieve in patients with chronic obstructive lung disease. Unpublished master's thesis, Chonbuk National University, Geonju
4 Miyahara, N., Eda, R., Takeyama, H., Kunichika, N., Moriayama, M., Aoe, K., Kohara, H., Chikamori, K., Maeda, T., & Harada, Mine (2000). Effects of short-term pulmonary rehabilitation on exercise capacity and quality of life in pati ents with chronic obstructive pulmonary disease. Acta Med Okayama, 54(4), 179-184   PUBMED
5 Silverman, M., Barry, J., Hellersrein, H., Janos, J., & Kelsen, S. (1988). Variability of the perceived sense of effoet in breathing during exercise in patients with chronic obstructive pulmonary disease. Am Rev Respir Dis, 137, 206-209   DOI   PUBMED   ScienceOn
6 Anderson, K. L. (1995). The effect of chronic obstructive pulmonary disease on quality of life. Res Nurs Health, 18, 547-556   DOI   ScienceOn
7 Burki, N. (1980). Dyspnea. In Williams, M. H. (ed.). Clinics in Chest Medicine, 1(1), 47-55   PUBMED
8 Borg, G. A. V. (1982). Psycho-physical bases of perceived exertion. Med Sci Sports Exerc, 14, 377-381   PUBMED
9 Clini, Enrico., Foglio, Katia., Bianchi, Luca., Porta, Roberto., Vitacca, Michele., Ambrosino, Nicolino (2001). In-hospital short-term training program for patients with chronic airway obstruction. Chest, 20(5), 1500-1505
10 Behnke, M., Taube, C., Kirsten, D., Lehnigh, B., Jores, R. A., & Magnussen, H. (2000). Home-based exercise is capable of preserving hospital-based improvements in severe chronic obstructive pulmonary disease. Respir Med, 94, 1184-1191   DOI   ScienceOn
11 Jung, H. K., Chang, J. H., & Cheon, S. H. (1995). Walking test for assessing lung function and exercise performance in patients with cardiopulmonary disease. Tuberculosis and Respiratory Disease, 43(6), 976-986
12 Wijkstra, P, J., TenVergert, E. M., Altena, R. Van., Otten, V., Postma, D. S., Kraan, J., & Koeter, G. H. (1994). Reliability and validity of the chronic respiratory questionnaire(CRQ). Thorax, 49, 465-467   DOI
13 Oh, E. G., Kim, S. H., Park, H.O., Bang, S., Y., & Lee, C. H. (2003). Effests of a short-term home-based pulmonary rehabilitation program in patients with chronic lung disease. J Korean Acad Nurs, 33(5), 570-579   DOI
14 Jaap, H., Strijbos, Dirkje, S., Postma, Altena, Richard van, Gimeno, Fernando, Koeter, Gerard, H. (1996). A comparison between an outpatient hospital-based pulmonary rehabilitation program and a home-care pulmonary rehabilitation program in patients with COPD. Chest, 109(2), 366-372   DOI   ScienceOn
15 Zugck, C., Kruger, S. D., Gerber, S. H., Haunstetter, K. H., Kubler, W., & Haass, M. (2000). Is the 6-minute walk test a reliable substitute for peak oxygen uptake in patients with dilated cardiomyopathy. Eur Heart J, 21, 540-549   DOI   ScienceOn
16 Casaburi, R., Porszasz, J., Burns, M. R., Carithers, E. R., Chang, R. S., & Cooper, C. B. (1997). Physiological benefits of exercise training in rehabilitation of patients with severe chonic obstructive pulmonary disease. Am J Respir Crit Care Med, 155(5), 1541-1545   DOI   PUBMED   ScienceOn
17 Oh, H. S. (2003). Meta-analysis on the effectiveness of pulmonary rehabilitation program on exercise capacity/ tolerance and general health status. J Korean Acad Nurs, 33(6), 743-752   DOI
18 Domingo-Salvancy, A., Larmarca, R., Ferrer, M., GarciaAymerich, J., Alonso, J., Felez, M., Khalaf, A., Marrades, R. M., Monso, E., Serra-Batlles, J., & Anto, J. M. (2002). Health-related quality of life and mortality in male patients with chronic obstructive pulmonary disease. Am J Respir Crit Care Med, 166, 680-685   DOI   ScienceOn
19 ACCP/AACVPR Pulmonary Rehabilitaion Guidelines Panel (1997). Pulmonary rehabilitaion joint ACCP/AACVPR evidence based guidelines. Chest, 112(5), 1363-1396   DOI   ScienceOn
20 Yoon, S. H., Na, J. Y., Jegal, M. W., Kim, E. S., Shim, T. S., Lim, C. M., Lee, S. D., Koh, Y. S., Kim, W. S., Kim, W. D., & Kim, D. S. (2002). Development of the home-based pulmonary rehabilitation program for patients with chronic lung disease. Tuberculosis and Respiratory Disease, 52(6), 597-607   DOI
21 Guyatt, G. H., Townsend, M., Keller, J., Singer, J., Nogradi, S. (1991). Measuring functional status in chronic lung disease: Conclusions from a random control trial. Respir Med, 85(Suppl B)
22 American Thoracic Society (2002). ATS statement: Guidelines for the six-minute walk test. Am J Respir Crit Care Med, 166, 111-117   DOI   PUBMED   ScienceOn
23 Kim, S. H. (2002). Effects of home-based pulmonary rehabilitation program for patients with chronic obstructive lung disease. Unpublished master's thesis, Yonsei University, Seoul
24 Global Initiative for Chronic Obstructive Lung Disease (2003). Retrived April 05, 2005, from: www.GOLDCOPD.com
25 Solway, Brooks, Lacasse, & Thomas (2001). A qualitative systematic overview of the measurement properties of functional walk tests used in the cardiorespiratory domain. Chest, 119(1), 256-270   DOI   ScienceOn
26 Chavannes, N., Vollenburg, J. J. H., Schayck, C. P. V., & Wouters, E. F. M. (2002). Effects of physical activity in mild to moderate COPD: A systematic review. Br J Gen Pract, July, 574-578   PUBMED
27 Belman, M. J. (1986). Exercise in chronic obstructive pulmonary. Clinic in Chest Medicine, 7(4), 585-597
28 Guyatt, G. H., Townsend, M., Berman, L. B., & Pugsley, S. O. (1987). Quality of life in patient with chronic airflow limitation. Br J Dis Chest, 81, 45-54   DOI   ScienceOn
29 Kirstein, D. K., Taube, C., Lehnigk, B., Jorres, A., & Magnussen, H. (1998). Exercise training improves recovery in patients with COPD after an acute exacerbation. Respir Med, 92, 1191-1198   DOI   ScienceOn
30 Oh, E. G., Kim, S. H., Kim, S. H., Park, H.O., & Lee, C. H. (2002). The analysis of research on the home-based pulmonary rehabilitation program. J Korean Acad Nurs, 14(3), 368-377