The Effects Of Home-based Pulmonary Rehabilitation Program In COPD

Objective: This research through the evaluation by the effect of aerobic exercise, resistance training, breathing training, and pulmonary rehabilitation program and other methods in the treatment of chronic obstructive pulmonary disease(COPD),in order to establish a set of simple, effective and good compliance home-based pulmonary rehabilitation programs and evaluation system, to improve the health status of the patients and reduce the burden of family and society greatly。Methods: With the help of family and relatives of patients,the assisted breathing training was undergone. We prospectively collected 60 COPD patients,who were divided into two groups according to the principle of randomed and controlled, there were 30 cases in each group. Afrter 6months, the effects on patients with COPD pulmonary rehabilitation training were evaluated. includig clinical manifestations, medical history, symptoms, signs, 6 minutes walking test, laboratory examination, activities of daily life ability scale, Beck Depression and self rating questionnaire, state-trait anxiety inventory, the St George’s respiratory disease volume table( comprises a first part and the second part), medical observation of acute exacerbation and clinical examination with questionnaire investigation etc. In this study,SPSS20.0 software was adopted for statistical analysis. Quantitative data were compared by T test, while qualitative data were compared by the chi square test,and P < 0.05 was statistically significant.Results:(1) During the 6-month follow-up, we found that through the daily routine respiratory exercise in experimental group,the FEV1 / FVC, FEV1% increased significantly than that of the control group, the difference between the two groups was statistical significant(P < 0.05);(2)The scores of tests improved significantly including 6 minutes walk test, activities of daily life ability scale, Beck Depression self rating questionnaire, state-trait anxiety inventory, the St George’s respiratory disease table(including the first part and the second part)(P < 0.05);Conclusion: Pulmonary rehabilitation training improved the pulmonary function of patients with COPD,which had a good effect.Daily routine respiratory exercise can effectively improve the pulmonary function of patients with COPD. By the training,the activities of daily living ability improved markedly, depression and anxiety was significantly reduced,the quality of life in COPD patients was improved.