Respiratory Function Exercise Research Articles

Correlation between depression and adherence to respiratory function exercise in elderly frail patients with tuberculosis: A cross-sectional survey

Correlation between depression and adherence to respiratory function exercise in elderly frail patients with tuberculosis: A cross-sectional survey

ASO Author Reflections: Is the VATS Technique Superior to Thoracotomy Techniques in Terms of Respiratory Muscle Function and Functional Exercise Capacity?

ASO Author Reflections: Is the VATS Technique Superior to Thoracotomy Techniques in Terms of Respiratory Muscle Function and Functional Exercise Capacity?

Cardiopulmonary exercise testing in people with minimally impaired multiple sclerosis.

Multiple sclerosis (MS) is a chronic demyelinating inflammatory disorder of the central nervous system that may affect respiratory system at the later stages of the disease. The aim of our study was to evaluate respiratory function and cardiopulmonary exercise testing in ambulatory without aid people with MS (pwMS), and to investigate quality of life parameters and fatigue in this population. 25 pwMS and 16 healthy controls were included in this study. Pulmonary function tests were performed and were followed by proper cardiopulmonary exercise testing with the use of treadmill. Quality of life assessment was done with SF-36 questionnaire. The mean age of the patient group was 38.4±8.2 years. Spirometric values were within normal limits, and so did lung diffusion capacity, while maximal voluntary ventilation was reduced. In cardiopulmonary exercise testing the patient group showed impairment compared to control group. The statistically significant lower parameters were V'O2 peak, V'CO2 peak, RER, V'O2/kg peak, V'CO2/kg peak, oxygen pulse peak and V'E/V'CO2 slope. Moreover, there was a negative and statistically significant correlation between CPET values and BMI and MFIS, while there was a positive and statistically significant correlation with quality of life, evaluated by SF-36. Our study showed that the main cardiopulmonary exercise testing parameters were affected in ambulatory pwMS, even without evidence of respiratory symptoms. Therefore, these people should be evaluated for pulmonary function compromise.

Effects of perioperative individualized nursing on elderly patients undergoing video‑assisted thoracoscopic lobectomy.

The aim of the present study was to compare the effects of individualized nursing on improving the satisfaction of elderly patients with lung cancer undergoing thoracoscopic lobectomy. A total of 72 elderly patients with lung cancer undergoing thoracoscopic lobectomy in the First Hospital of Qinhuangdao (Qinhuangdao, China) were randomly allocated to a control group (n=36) or an observation group (n=36). The patients in the control group received routine nursing, and the patients in the observation group received individualized nursing. The patients' compliance with respiratory function exercise, the complications after surgery, and nursing satisfaction were recorded. The patients' compliance with respiratory rehabilitation exercise and the patients' satisfaction in the observation group were significantly higher than that in the control group. The length of hospital postoperative stay, the time of drainage tube indwelling, and the incidence of postoperative complications in the observation group were significantly lower than in the control group. Thus, an individualized nursing model can accelerate the rehabilitation of elderly patients undergoing video-assisted thoracoscopic lobectomy and improve patient satisfaction.

Effect of Quality Control Circle Activity Nursing Combined with Respiratory Function Exercise Nursing on Patients with Esophageal Cancer.

Objective To explore the effect of quality control circle activity nursing combined with respiratory function exercise nursing on esophageal cancer patients' immune function and nutritional status. Methods The clinical case data of 119 esophageal cancer patients admitted to our hospital were selected as the research objects from May 2019 to July 2021. They were divided into the quality control circle activity care group (QCCAC) (9 cases dropped due to incomplete case data, n= 50) and respiratory function exercise care group (10 cases dropped due to incomplete case data, n=50) by the random number table method, the respiratory function exercise care group was treated with respiratory function exercise care, while the QCCAC group was treated with QCCAC. Changes in lung function, immune function, and nutritional status before and after nursing were compared in the two groups of patients. Results Before nursing, there was no significant difference in pulmonary function indexes, immune function indexes, and the level of nutritional status indicators between the two groups (P > 0.05). After nursing, the finger pulse oxygen saturation, vital capacity (VC), respiratory rate, forced vital capacity (FVC), deep inspiratory volume (IC), and maximum ventilation (MVV) of the QCCAC improved, and the QCCAC group was significantly higher than the respiratory function exercise care group (P < 0.05). After nursing, the QCCAC's CD3+, CD4+, IgG, IgM, and IgA levels increased, and the QCCAC group was significantly higher than the respiratory function exercise care group. The CD8+ level decreased, and the QCCAC was lower than the respiratory function exercise care group (P < 0.05). After continuous nursing, the QCCAC's D-lactic acid, DAO, FFMI, Hb, ALB, PA, and other nutritional evaluation indexes all increased, and the QCCAC was significantly higher than the respiratory function exercise care group (P < 0.05). Conclusion Quality control circle activity nursing combined with respiratory function exercise nursing can effectively improve the immune function, respiratory function, and nutritional status of esophageal cancer patients.

The effect of Acapella trainer on respiratory function of patients after thoracoscopic lung cancer surgery

AbstractObjectiveTo investigate the effect of Acapella training on respiratory function in patients undergoing video‐assisted thoracic surgery (VATS).MethodsA total of 60 patients undergoing VATS surgery for lung cancer in the department of thoracic Surgery of our hospital from August 2018 to February 2019 were selected as study subjects, and were divided into observation group (n = 30) and control group (n = 30) according to the random number table method. The control group received routine pulmonary rehabilitation exercise after surgery, and the patients in the observation group received postoperative respiratory function exercise with Acapella therapeutic apparatus on the basis of the control group. Respiratory function, including forced vital capacity (FVC), forced expiratory capacity in the first second (FEV1), peak expiratory flow (PEF), and length of hospital stay, were observed and compared between the two groups before and after using Acapell trainer.ResultsThere was no significant difference in FEV1, FVC, and PEF between the two groups before treatment with Acapella (P &gt;.05), the difference between the above indicators after treatment and before treatment was statistically significant (P &lt;.05); After Acapella treatment, FEV1, FVC, and PEF were significantly different between the two groups (P = .04, P = .047, P = .047).The postoperative hospital stay in the experimental group was shorter than that in the control group, and the difference was statistically significant (P = .028).ConclusionAcapella trainer can improve patients' respiratory function and shorten postoperative hospital stay.

Assessment of oxygenation after balloon pulmonary angioplasty for patients with inoperable chronic thromboembolic pulmonary hypertension

BackgroundThe efficacy of balloon pulmonary angioplasty (BPA) in patients with inoperable chronic thromboembolic pulmonary hypertension would be promising. However, some patients showed residual dyspnea or symptoms, despite normalized hemodynamics. We aimed to clarify the clinical impact of oxygenation parameters on BPA outcome. MethodNinety-nine consecutive patients who underwent BPA from September 2011 to December 2019 were enrolled. We evaluated hemodynamics with right heart catheterization, arterial blood gas examination, New York Heart Association functional class (NYHA-FC), respiratory function tests, nocturnal oximetry, and exercise capacity (6-min walk test and cardiopulmonary exercise testing) at baseline and after BPA. ResultNearly normal hemodynamics was achieved after BPA (mean pulmonary artery pressure (PAP): 37.5 ± 10.0 to 20.6 ± 4.9 mmHg, p < 0.01). Oxygenation slightly improved (partial pressure of arterial oxygen; 61.5 ± 12.3 to 67.7 ± 12.7 mmHg, p < 0.01). Exertional desaturation remained unchanged (−8.1 ± 4.8 to −7.8 ± 5.1, p = 0.59), and this was associated with residual symptom (NYHA-FC ≥ 2) after BPA (OR 0.591, 95% CI 0.416–0.840, p = 0.003) in multivariate regression analyses. Lower vital capacity (r2 = 0.03, p = 0.01), higher mean PAP (r2 = 0.08, p = 0.02), and higher minute ventilation/carbon dioxide production (VE/VCO2) slope (r2 = 0.18, p < 0.01), the marker of ventilatory inefficiency, were correlated with exertional desaturation after BPA in multivariate linear analyses. ConclusionAlthough hemodynamics nearly normalized, oxygenation did not. Moreover, exertional desaturation remained unchanged. This might cause residual symptom after BPA. Residual pulmonary hypertension suggesting incurable arteriopathy, and higher VE/VCO2 slope suggesting ventilation-perfusion mismatch might be related to exertional desaturation. Domiciliary oxygen therapy should be continued, if necessary.

Effectiveness of oral motor respiratory exercise and vocal intonation therapy on respiratory function and vocal quality in patients with spinal cord injury: a randomized controlled trial.

Singing, as a method of combining respiratory function exercise and vocal intonation therapy, provides a new direction for respiratory function exercise in patients with spinal cord injury. This randomized controlled trial investigated the effects of oral motor respiratory exercise and vocal intonation therapy on respiratory function and vocal quality in patients with spinal cord injury. Among 31 included patients with spinal cord injury, 18 completed the treatment. These 18 patients were randomly assigned to undergo music therapy (intervention group, 30 min/d, 5 times a week, for a total of 12 weeks; n = 9, 7 males and 2 females; 30.33 ± 11.74 years old) or normal respiratory training (control group, n = 9; 8 males and 1 female; 34.78 ± 11.13 years old). Both patient groups received routine treatment concurrently. Before and at 6 and 12 weeks after intervention, a standard respiratory function test, a voice test, the St. George's Respiratory Questionnaire, and a quality of life questionnaire were administered. The results showed that the inspiratory capacity, forced expiratory volume in 1 second, forced vital capacity, maximal mid-expiratory flow rate, sing-loud pressure level, and sustained note length were significantly increased in the intervention group compared with the control group. The St. George's Respiratory Questionnaire and quality of life results of patients in the intervention group were significantly superior to those in the control group. These findings suggest that oral motor respiratory exercise and vocal intonation therapy, as respiratory training methods in music therapy, are effective and valuable for improving respiratory dysfunction and vocal quality in patients with spinal cord injury. This study was approved by the Ethics Committee of China Rehabilitation Research Center (approval No. 2019-78-1) on May 27, 2019 and was registered with the Chinese Clinical Trial Registry (registration number: ChiCTR1900026922) on October 26, 2019.

Application of Single-hole Thoracoscopic Surgery Combined with ERAS Concept for Respiratory Function Exercise in Perioperative Period of Lung Cancer

背景和目的肺癌是当前国内和国外发病率和死亡率均排名前列的恶性肿瘤, 手术治疗为肺癌治疗的主要治疗方案。本研究旨在探讨快速康复外科(enhanced recovery after surgery, ERAS)理念的呼吸功能锻炼联合单孔胸腔镜手术对肺癌患者术后肺部并发症、术后疼痛、下床时间、拔管时间以及住院时间的影响。方法选择2017年10月-2019年10月在扬州大学附属医院和盐城市第一人民医院行胸腔镜肺癌手术的240例患者, 随机分为四组, 每组60例。A组患者采用单孔胸腔镜手术, 术前进行ERAS理念宣教和呼吸功能锻炼; B组采用常规3孔胸腔镜手术, 术前进行ERAS理念宣教和呼吸功能锻炼; C组采用常规3孔胸腔镜手术, 进行常规入院宣教和护理指导, 常规的呼吸功能锻炼, 无术前ERAS理念宣教; D组采用单孔胸腔镜手术, 进行常规入院宣教和护理指导以及常规的呼吸功能锻炼, 无术前ERAS理念宣教。记录四组患者术后肺部并发症的发生数量、术后疼痛、下次时间、拔管时间及住院时间。结果A组分别与B组、C组、D组三组比较, 肺部并发症发生率明显降低, 下床时间、拔管时间和住院时间明显缩短; 与B组、C组两组比较, 术后疼痛明显减轻; B组与C组比较, B组肺部并发症显著降低, 下床时间、拔管时间和住院时间明显缩短, 差异均有统计学意义(P < 0.05)。术后疼痛在A组和D组比较以及B组和C组比较中均未见明显差异(P > 0.05)。结论对于单孔胸腔镜肺癌手术患者, ERAS理念指导可有效降低肺部并发症的发生率和术后疼痛, 缩短下床时间、拔管时间以及住院时间。

Effects of nursing based on health belief model on respiratory function exercise compliance among lung cancer patients

Objective To explore the effects of nursing based on health belief model on respiratory function exercise compliance and respiratory function among lung cancer patients. Methods From September 2017 to August 2018, we selected 84 lung cancer patients planed surgery at the First Affiliated Hospital of Zhengzhou University as subjects by convenience sampling. All of patients were divided into two groups according to admission time, 40 cases in control group (from September 2017 to February 2018) and 44 in experimental group (from March to August 2018) . Control group carried out routine nursing and health education. On the basis of that, experimental group implemented nursing care based on health belief model. Respiratory function of patients between two groups after surgery was compared with the percentage of predicted value of forced expiratory volume in one second shared by forced vital capacity (FEV1%) and percentage of predicted value of forced vital capacity (FVC%) ; respiratory function exercise compliance after surgery was compared with the Breathing Exercise Compliance Questionnaire. Results One week after surgery, the scores of respiratory function exercise compliance of patients in experimental group and control group were (42.1±8.4) and (36.8±10.2) with a statistical difference (t=-2.609, P<0.05) ; the FEV1% and FVC% of patients in experimental group were (63.8±12.1) and (57.5±11.3) , higher than those in control group with statistical differences (t=-2.167, -2.617; P<0.05) . Conclusions Nursing based on health belief model can improve respiratory function exercise compliance and respiratory function among lung cancer patients, which is worthy of clinical popularization. Key words: Lung neoplasms; Respiratory function exercise; Compliance; Respiratory function; Health belief

Effects of a heat and moisture exchanger on respiratory function and symptoms post-cold air exercise.

PurposeExercise at temperatures below −15°C induces drying and cooling of lung airways which causes exercise‐induced bronchoconstriction (EIB) and respiratory symptoms, especially in winter sport athletes. The objective of this study was to evaluate whether a heat and moisture exchanger (HME) worn during intense cold air exercise improves lung function and reduces respiratory symptoms in healthy winter sport athletes.MethodsSeven active males and six active females (maximum oxygen uptake 61.9 ± 6.9 and 52.2 ± 5.3 mL/kg/min), all active or former winter sport athletes, completed running trials with and without HME in random order on 2 days in an environmental chamber (−20°C temperature, humidity 46.2%). Forced vital capacity (FVC), forced expiratory volume in 1 second (FEV1), forced expiratory flow at 25%‐75% (FEF25%‐75%), and FEF at 50% (FEF50%) were measured pre‐ and post‐exercise (3, 6, 10, 15, and 20 minutes). Respiratory symptoms were reported after exercise.ResultsSignificant interaction effects were observed for FEV1 and FEF25%‐75%. Mean decrease of FVC (−5.9%, P ≤ .001) and FEV1 (−4.2%, P = .003) was largest 3 minutes post‐exercise without HME. There was an increase of FEV1, FEF25%‐75%, and FEF50% post‐exercise compared to pre‐exercise with HME. More respiratory symptoms overall were reported without HME (P = .046).ConclusionIntense cold air exercise likely causes transient acute bronchoconstriction and symptoms of cough in individuals participating in winter sports. However, this study finds that the application of an HME during intense cold air exercise improves lung function and reduces prevalence of EIB‐associated symptoms compared to unprotected intense cold air exercise.

Risk factors of postoperative pulmonary complications in patients with lung cancer surgery and intervention measures

Objective To explore the risk factors of postoperative pulmonary complications (PPC) in patients with lung cancer surgery, and to formulate intervention countermeasures to prevent PPC and reduce the risk of PPC. Methods A total of 298 cases of lung cancer patients who underwent surgical treatment from January 2013 to November 2017 were selected.General data were collected, univariate analysis was used to screen the related factors of PPC occurrence, and statistically significant variables were included in the multivariate Logistic regression model to analyze the risk factors of PPC occurrence and formulate intervention countermeasures. Results PPC occurred in 49 of 298 lung cancer patients who underwent surgery, and the the incidence was 16.44%.Elderly patients, chronic obstructive pulmonary disease(COPD), smoking, pN stage of tumor, poor respiratory exercise compliance were all independent risk factors for PPC. Conclusion The occurrence of PPC in lung cancer surgery patients is related to the elderly, COPD, smoking, pN stage of tumor and respiratory function exercise, and poor compliance.Attention should be paid to these factors, and corresponding intervention strategies should be formulated to reduce the risk of PPC and improve the prognosis of patients. Key words: Lung cancer surgery; Pulmonary complications; Risk factors

Nursing intervention for respiratory function exercise in patients with silicosis complicated by stable chronic obstructive pulmonary disease

Objective: To investigate the clinical effect of nursing intervention for respiratory function exercise in patients with silicosis complicated by stable chronic obstructive pulmonary disease (COPD) . Methods: A total of 60 patients with silicosis complicated by stable COPD who were hospitalized in Department of Occupational Diseases, Laigang Hospital Affiliated to Taishan Medical College, from August 2017 to April 2018 were enrolled and randomly divided into control group and observation group, with 30 patients in each group. The patients in the control group were given routine treatment and respiratory function exercise, and those in the observation group were given nursing intervention in addition to the treatment in the control group. The two groups were compared in terms of pulmonary function, blood gas parameters, and six-minute walk distance before intervention and after 2 months of intervention. Results: After intervention, the observation group had significantly higher forced expiratory volume in 1 second (FEV(1)) , forced vital capacity (FVC) , arterial partial pressure of oxygen (PaO(2)) , and six-minute walk distance than the control group (P<0.05) , while there were no significant differences between the two groups in FEV(1)/FVC and partial pressure of carbon dioxide (P>0.05) . Conclusion: Nursing intervention can effectively improve FEV(1), FVC, PaO(2), and 6-minute walking distance in patients with silicosis complicated by stable COPD.

Effects of comprehensive pulmonary rehabilitation therapy on pulmonary functions and blood gas indexes of patients with severe pneumonia.

In this study we try to observe the effects of comprehensive pulmonary rehabilitation therapy on pulmonary functions and blood gas indexes of patients with severe pneumonia during mechanical ventilation. A total of 120 patients with severe pneumonia were selected and divided into the experimental group (n=60) and the control group (n=60) through a random number table. Conventional therapy for severe pneumonia was applied to patients in both groups, and the experimental group was additionally treated with comprehensive pulmonary rehabilitation therapy, including warming-up exercise before training, respiratory function exercise, respiratory muscle training, health education, psychological support and nutritional intervention. The pulmonary function indexes, blood gas indexes, Borg index scores and 6-min walk distance (6MWD) of the two groups of patients were evaluated before treatment and at 6 months after treatment, respectively. In the control group, there were statistically significant differences only in forced expiratory volume in 1 sec (FEV1), ratio of FEV1 to forced vital capacity (FEV1/FVC), partial pressure of O2 (PaO2), arterial partial pressure of carbon dioxide (PaCO2), Borg index and 6MWD after treatment compared with those before treatment (P<0.05); as for intra-group comparisons, there were no significant improvements in other indexes compared with those before treatment, and the differences were not statistically significant (P>0.05). In the experimental group, all the indexes after treatment were statistically different from those before treatment and those after treatment in the control group (P<0.05); with regard to comparisons of the indexes between the control group and the experimental group, the differences were significant (P<0.05). Comprehensive pulmonary rehabilitation therapy is conducive to improving the pulmonary functions and blood gas indexes of patients with severe pneumonia during mechanical ventilation.

Effect of early respiratory function exercise on pulmonary function in patients with non-small-cell lung cancer after operation

Objective To investigate the effect of early respiratory function exercise on pulmonary function in patients with non-small-cell lung cancer after operation. Methods From October 2016 to October 2017, 80 patients with non-small-cell lung cancer were selected as the research objects. The patients were divided into an experiment group and a control group with 40 cases in each group, in accordance with the random number table. The patients in the control group were given routine postoperative nursing, and the patients in the experimental group were given early respiratory function exercise on the basis of routine nursing. Pulmonary function, stress reaction and postoperative hospital stay were compared between the patients of two groups. Results There were significant differences in forced vital capacity, peak expiratory flow rate, adrenocorticotropic hormone and C reactive protein of patients in the two groups at 7 d after operation (P<0.01) . The postoperative hospital stay in the experimental group was shorter than that in the control group (P<0.01) . Conclusions Early respiratory function exercise can improve the pulmonary function in patients with non-small-cell lung cancer after operation, reduce the postoperative stress reaction and shorten the patient's hospital stay, which is worthy of clinical application. Key words: Carcinoma, non-small-cell lung; Rehabilitation; Pulmonary function; Early respiratory function exercise

Effect of preoperative respiratory exercise on pulmonary function and complications in elderly patients after abdominal operation

Objective To compare and analyze the effects of preoperative respiratory function exercise on postoperative pulmonary function and complications in elderly patients who undergoing abdominal surgery. Methods A total of 92 elderly patients who underwent abdominal surgery were recruited. They were randomly divided into observation group(46 cases) and control group(46 cases) according to the random number table method. The control group was treated with routine preoperative care methods, the observation group was given preoperative respiratory exercise on the basis of the control group. The pulmonary function tests were performed pre and post surgery. Then, the postoperative pulmonary complications, VC, FEV1, FVC, MVV and the average length of hospital stay of the two groups were recorded and compared. Results After operation, the levels of VC, FEV1, FVC and MVV in the control group were (2.48±0.71)L, (51.40±10.10)L, (1.79±0.17)L, (62.40±13.00)L/min, respectively, which in the observation group were (2.89±0.72)L, (63.20±9.60)L, (2.21±0.16)L and(73.30±12.70)L/min, respectively, the differences between the two groups were significant(t=2.750, 5.743, 12.202, 4.068, all P<0.05). The average hospitalization time in the observation group was (11.62±1.41)d, which was significantly shorter than (15.56±6.23)d in the control group(t=4.163, P<0.001). The incidence rate of pulmonary infection in the control group was 26.09%, which was significantly higher than 8.69% in the observation group(χ2=4.842, P<0.05). Conclusion The respiratory function training can effectively reduce the incidence of postoperative pulmonary complications in elderly patients with abdominal surgery, improve the patients’ postoperative pulmonary function, and shorten the patients’ hospital recovery time. Respiratory function exercise is a simple method, and is worthy of promotion in related fields. Key words: Breathing exercises; Respiratory function tests; Postoperative complications; Aged

Nursing experience of 6 patients with severe pneumonia caused by H7N9 avian influenza

Objective To summarize the nursing points of 6 patients with severe pneumonia caused by H7N9 avian influenza. Methods Six patients with pneumonia caused by H7N9 avian influenza in central Sichuan region were admitted from January to April 2017. Under the guidance of avian influenza expert group of Sichuan province, careful respiratory nursing for avian influenza patients were carried out, including mechanical ventilation, sputum suction, chest physiotherapy, the prevention of ventilator associated pneumonia and respiratory function exercise. Results Four patients of 6 patients were discharged from the hospital with the efforts of all medical staff, and 2 patients died unfortunately. Conclusions The severe pneumonia caused by avian influenza has a high death rate. Because respiratory nursing is one of most important treatments for avian influenza patients, this article summarized nursing points in this article as a reference for medical staff. Key words: Nursing care; Avian influenza; Severe pneumonia

Influence of periodical health education on self-care capability and living quality of patients with connective tissue diseases complicated with interstitial lung disease

Objective To explore the influence of periodical health education on self-care capability and living quality of patients with connective tissue diseases complicated with interstitial lung disease. Methods A total of 92 cases of patients with connective tissue diseases complicated with interstitial lung disease who were received and treated from January 2013 to October 2015 were selected as objects of study. The patients were divided into the observation group and the control group with 46 cases in each group according to the admission time. Both of the two groups were given conventional oxygen uptake therapy, non-steroidal anti infection therapy, expansion of blood vessels therapy and immune regulation therapy. The control group adopted usual care, while the observation group adopted periodical health education. The clinical efficacy, self-management ability, living quality and other indicators of the two groups were compared. Results The effective rate of observation group was 93.48% (43/46), and the effective rate of control group was 78.26% (36/46), The difference between the 2 groups was statistically significant (χ2=4.389, P < 0.05). The observation group related disease knowledge, self-care behavior, attitude adjustment, oxygen inhalation and respiratory function exercise with 5 self-care scores were higher than control group, the difference between the 2 groups was statistically significant (t=3.468-4.348, P < 0.05). The observation group related physiological function, physiological rate function, physical pain, overall health, vitality, social function, emotional function, mental health 8 quality of life scores were higher than control group, the difference between the 2 groups was statistically significant (t=2.261-5.456, P < 0.05). Conclusions Periodical health education is conductive to improving the self-care capability and living quality of patients with connective tissue diseases complicated with interstitial lung disease. Key words: Connective tissue diseases; Quality of life; Interstitiallung disease; Periodical health education; Self-care capability

The effects of high frequency chest wall oscillation implementation in patients with cyctic fibrosis

The aim of the study was to evaluate the effects and personal use of short-term high frequency chest wall oscillation (HFCWO) implementation in patients with cystic fibrosis (CF). Nine clinically stable patients with CF (mean age:15.0 ± 3.9 years) were enrolled in the study. HFCWO implementation was performed 15 sessions, daily for 30 minutes. Respiratory function and functional exercise capacity (6-minute walk test) of patients were assessed before and after treatment. Patients’ treatment methods that applied previously and preferences between the applied methods, their opinions about satisfaction level and the treatment efficacy of HFCWO implementation according to the visual analog scale were recorded. There were not statistically significant difference in pulmonary function test and 6-minute walk test distance before and after treatment (p>0.05). However, there was a significant increase in flow rate of 25-75% of vital capacity - percent values of patients after treatment (p<0.05). According to visual analogue scale, HFCWO treatment satisfaction of patients was 6.7±3.2 points, implementation efficacy was 6.9±3.3 points. HFCWO method was first preference among airway clearance techniques in 87.5% of patients. Pulmonary functions and functional capacity is preserved after the HFCWO implementation. HFCWO is a method preferred by our patients, which is satisfactory and effective. Long term high-quality randomized controlled trials that will be carried out on larer samples about this topic will shed light on physiotherapists and patients’ families about the importance of HFCWO in airway clearance techniques.

Clinical efficacy of respiratory function exercise plus traditional Chinese medicine treatment of COPD and experiences of nursing

Objective To investigate the clinical efficacy of respiratory function exercise plus traditional Chinese medicine treat -ment of COPD and experiences of nursing .Methods A total of 80 patients with COPD were randomly divided into the control group and the observation group , and each group was 40 cases.The control group underwent conventional nebulizer treatment , and the observation group underwent plus exercise group underwent respiratory syndrome differentiation of traditional Chinese medicine treatment .The clinical efficacy , bllod gas changes , and changes of the lung function , quality of life before and after treatment were compared between two groups .Results （1） The totally effective rate was 67.50%of the control group, which was significantly lower than that of the observation group （87.50%）, and there were statistical differences between the two groups （ P〈0.05 ） .（ 2 ） There were statistical differences of the blood gas indexes （ including PaO2 and PaCO2） and lung function （FEV1 and FEV1/FVC） before and after treatment of the two groups （P〈0.05）, and the observation group after treatment blood gas analysis and pulmonary function were significantly better than those of the control group （ P〈0.05 ） .（3） According to the standard of SF -36, there were no statistical differences of the SF -36 scores in the control group before and after treatment （ P〉0.05 ） , but there were statistical differences in the observation group （ P〈0.05 ） , and the observation group SF -36 scores were significantly higher than those of the control group （ P〈0.05 ） .Conclusions Clinical efficacy of respiratory function exercise plus traditional Chinese medicine treatment of COPD can be improved significantly , and it can effectively improve the life quality of patients and it is worthy of clinical application . Key words: Respiratory function exercise; Chinese medicine diagnosis and treatment ; Chronic obstructive pulmonary disease（COPD） ; Nursing