CAJ | 학술논문

目的：探讨家庭肺康复对过渡期COPD患者肺功能和生活质量的影响。方法抽取2012年3月～2013年2月在本院呼吸内科经治疗后进入稳定期的慢性阻塞性肺疾病患者45例，给予量化的肺康复锻炼指导及健康教育6个月，并监督实施，定期随访。干预前后分别使用呼吸道疾病问卷修订版和脉指氧饱和度、心率、最大峰流速3项肺功能指标进行评估，以评价干预效果。结果 COPD患者在干预后生活质量得分（7.64±1.50）分；F=65.78及肺功能指标[脉指氧饱和度(96.92±1.23)%，F=627.32；心率(81.55±3.04)次／min，F=518.65；最大峰流速值(351.65±23.11) L/min，F=2134.92]，差异均具有统计学意义（P＜0.05）。结论家庭肺康复干预能降低患者的心率，增加脉指氧饱和度、心率、最大峰流速等值，提高患者的生活质量。
목적：탐토가정폐강복대과도기COPD환자폐공능화생활질량적영향。방법추취2012년3월～2013년2월재본원호흡내과경치료후진입은정기적만성조새성폐질병환자45례，급여양화적폐강복단련지도급건강교육6개월，병감독실시，정기수방。간예전후분별사용호흡도질병문권수정판화맥지양포화도、심솔、최대봉류속3항폐공능지표진행평고，이평개간예효과。결과 COPD환자재간예후생활질량득분（7.64±1.50）분；F=65.78급폐공능지표[맥지양포화도(96.92±1.23)%，F=627.32；심솔(81.55±3.04)차／min，F=518.65；최대봉류속치(351.65±23.11) L/min，F=2134.92]，차이균구유통계학의의（P＜0.05）。결론가정폐강복간예능강저환자적심솔，증가맥지양포화도、심솔、최대봉류속등치，제고환자적생활질량。
Objective To explore the effects of the home-based rehabilitation on the pulmonary function and quality of life in transi-tional patients with chronic obstructive pulmonary disease(COPD). Methods 45 out-patients were recruited and received home-based rehabilitation exercise training program and health guide. Results After 6 months home-based rehabilitation, the AQ20-R(7.64±1.50);F=65.78 and the pulmonary function[SpO2=(96.92±1.23)%,F=627.32;HR(81.55± 3.04) times/min,F=518.65;PEF(351.65± 23.11)L/min,F=2134.92] had significant change in COPD patients(P<0.05). Conclusion The home-based rehabilitation can significantly improve the patients' pulmonary function and quality of life.