Development of Pulmonary Rehabilitation Program in Patients with Chronic Obstructive Pulmonary Disease, Wapipathum Hospital - การพัฒนากระบวนการฟื้นฟูสมรรถภาพปอด ในผู้ป่วยปอดอุดกั้นเรื้อรัง โรงพยาบาลวาปีปทุม

บทคัดย่อ

             Chronic obstructive pulmonary disease is an important health problem because of the chronic symptoms of dyspnea and suffering resulting in reduced quality of life. Pulmonary rehabilitation could improve dyspnea, increased strength and endurance of respiratory system. The objective of this study was to examine effects of pulmonary rehabilitation program on exercise endurance, quality of life, and satisfaction of exercise in 152 patients with chronic obstructive pulmonary disease, 112 male and 40 female, average aged 68.7 years. All of patients received the 20-30 minutes of pulmonary rehabilitation program per session, daily for 8 weeks. This program consisted of health education on the state of the disease, severity, self-care and respiratory training included deep breathing exercise, pursed lip breathing, effective cough training, chest mobilization exercise combined with using elastic band. Before and after received pulmonary rehabilitation program, all patients completed 6 minute walk test (6 MWT), quality of life included dyspnea assessment by using Modifiled Medical Research Council (MMRC) and daily activity assessment by using COPD assessment test (CAT) score, and satisfaction assessment of chest mobilization exercise combine with elastic band. It was found that 6 MWT was significantly increased (p<0.001), MMRC was significantly decreased (p<0.001), CAT score was significantly decreased (p<0.001), and the score of satisfaction of chest mobilization exercise combined with elastic band was at 89.5 percent. The author concluded that pulmonary rehabilitation program could decrease dyspnea, increased exercise endurance, improved quality of life in patients with chronic obstructive pulmonary disease; and the patients had highest score level of satisfaction of chest mobilization exercise combined with elastic band.

Key words: pulmonary rehabilitation program, chronic obstructive pulmonary disease