The Korean Journal of Rehabilitation Nursing (재활간호학회지)

Korean Academic Society of Rehabilitation Nursing (한국재활간호학회)
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A Systematic Review of Home based Pulmonary Rehabilitation in COPD Patients: Randomized Controlled Trials

만성폐쇄성폐질환자의 가정호흡재활 프로그램 효과에 대한 체계적 고찰: 무작위시험설계

  • Ahn, Min Hee (Department of Nursing, Chonnam National University) ;
  • Choi, Ja Yun (College of Nursing, Chonnam National University, Chonnam Research Institute of Nursing Science) ;
  • Kim, Yun Hee (Department of Nurisng, Mokpo National University)
  • 안민희 (전남대학교 대학원 간호학과) ;
  • 최자윤 (전남대학교 간호대학.전남대학교 간호과학연구소) ;
  • 김윤희 (국립목포대학교 간호학과)
  • Received : 2016.09.07
  • Accepted : 2016.10.06
  • Published : 2016.12.31
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Abstract

Purpose: The purpose of this study was to review systematically the effects of home based pulmonary rehabilitation in chronic obstructive pulmonary disease (COPD) patients using qualitative synthesis. Methods: Studies designed randomized controlled trials were identified to extract data and to assess the quality of studies in 8 domestic and 3 foreign search engines, and hand search reference reviews. Results: A total of 9 studies met the inclusion criteria. Overall, the methodological quality of the studies ranged from average to poor. Home based pulmonary rehabilitation consisted of exercise, education, and psychosocial interventions. Several exercises such as aerobic, strength, respiratory muscle training, and flexibility were used in home based pulmonary rehabilitation for COPD patients. Upper muscle exercise and walking were the most frequently used exercises. The most common topics for education were 'knowledge of the illness' and 'drug management'. Walking distance test (WDT) and quality of life (QoL) were the most frequently measured as the dependent variables to evaluate rehabilitation outcomes, followed by pulmonary function test (PFT) and dyspnea. WDT was the most effective outcome, followed by dyspnea, QoL and PFT. Conclusion: This study informed about the details of scientific and effective home based rehabilitation programs in COPD patients for future researchers and clinicians. These findings can help expand the recognition and accessibility of home based rehabilitation in COPD patients.

Keywords

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