Respiratory Rehabilitation Training Research Articles

Biofeedback Respiratory Rehabilitation Training System Based on Virtual Reality Technology.

Traditional respiratory rehabilitation training fails to achieve visualization and quantification of respiratory data in improving problems such as decreased lung function and dyspnea in people with respiratory disorders, and the respiratory rehabilitation training process is simple and boring. Therefore, this article designs a biofeedback respiratory rehabilitation training system based on virtual reality technology. It collects respiratory data through a respiratory sensor and preprocesses it. At the same time, it combines the biofeedback respiratory rehabilitation training virtual scene to realize the interaction between respiratory data and virtual scenes. This drives changes in the virtual scene, and finally the respiratory data are fed back to the patient in a visual form to evaluate the improvement of the patient's lung function. This paper conducted an experiment with 10 participants to evaluate the system from two aspects: training effectiveness and user experience. The results show that this system has significantly improved the patient's lung function. Compared with traditional training methods, the respiratory data are quantified and visualized, the rehabilitation training effect is better, and the training process is more active and interesting.

Effect of interesting respiratory rehabilitation training for the treatment of refractory Mycoplasma pneumoniae pneumonia in children

BackgroundsRefractory Mycoplasma pneumoniae pneumonia (RMPP) cause damage of pulmonary function and physical therapy assisting medical treatment is needed.ObjectiveThe aim of this study was to investigate the effect of interesting respiratory rehabilitation training on pulmonary function in children with RMPP.MethodsA total of 76 children with diagnoses of RMPP in our hospital from January 2020 to February 2021 were enrolled in this prospective study. According to the random number table method, they were divided into the control group and the study group, with 38 cases in each group. The control group were given conventional treatment, and the study group received interesting respiratory rehabilitation training in the basis of conventional treatment. The antipyretic time, disappearance time of pulmonary shadow and cough, length of hospital stay, pulmonary function (first second of expiratory volume (FEV1), forced vital capacity (FVC), FEV1/FVC) at 1 day before and after intervention, serum interleukin-6 (IL-6), C-reactive protein (CRP), tumor necrosis factor (TNF-α), and quality of life (Pediatric Quality of Life Inventory, PedsQL 4.0 scale) were observed in the two groups.ResultsThe antipyretic time, disappearance time of pulmonary shadow and cough, length of hospital stay in the study group were shorter than those in the control group (P < 0.05). One day before intervention, there was no significant difference in FVC, FEV1, FEV1/FVC IL-6, CRP, and TNF-α between the two groups (P > 0.05). One day after intervention, FVC, FEV1 and FEV1/FVC in the study group were better than those in the control group (P < 0.05), and the levels of IL-6, CRP, and TNF-α in the study group were lower than those in the control group with significant difference (P < 0.05). One day before intervention, there were no significant differences in physiological function, emotional function, social function, and school function between the two groups (P > 0.05). After intervention, physiological function, emotional function, social function, and school function of the study group were better than those of the control group (P < 0.05).ConclusionThe interesting respiratory rehabilitation training can effectively improve the pulmonary function of children with RMPP, with strong flexibility, which is worthy of clinical application.

The Effects of Respiratory Training Combined with Limb Exercise on Pulmonary Function and Quality of Life in Patients with Bronchiectasis.

To investigate the effects of respiratory rehabilitation training combined with limb rehabilitation on sputum clearance and quality of life in patients with bronchiectasis. A retrospective analysis of 86 patients with bronchiectasis was divided into an intervention group and an observation group, with 43 cases in each group. All patients were above 18 years of age with no history of relevant drug allergies. Patients in the observation group were treated with conventional drugs, and those in the intervention group were given respiratory rehabilitation training and limb rehabilitation on this basis. After three months of treatment, the indexes of sputum discharge, sputum traits, lung function, and the 6-minute walk distance (6MWD) were compared and quality of life and survival skills were assessed using the Barthel index and a quality-of-life comprehensive assessment questionnaire (GQOLI-74). The percentage of patients with mild Barthel index in the intervention group was higher than that in the observation group, and the difference between the groups was statistically significant (P < 0.05). After treatment, the scores of life quality and the lung function in the intervention group were higher than those in the observation group (both P < 0.05). After three months of treatment, the sputum volume and sputum viscosity scores of the two groups were higher than those before treatment (P < 0.05). Respiratory rehabilitation training with limb exercise rehabilitation can effectively improve the sputum clearance rate, lung function, and quality of life of patients with bronchiectasis and is thus worthy of clinical promotion and application.

Pulmonary rehabilitation ameliorates regional lung function in chronic obstructive pulmonary disease: a prospective single-arm clinical trial.

BackgroundPulmonary rehabilitation (PR) is a widely recognized nonpharmacologic therapy for chronic obstructive pulmonary disease (COPD), but most of the current studies on whether PR can benefit COPD patients are based on the evaluation of symptoms and pulmonary function, which is limited to a certain extent. Because COPD is characterized by potential regional lung changes in morphology and pathophysiology, this study was designed to evaluate the effects of individualized PR on regional lung function in patients with stable COPD.MethodsIn this study, patients with stable COPD who met the criteria were included, and they were treated with PR for 2 weeks using the respiratory rehabilitation training instrument. The symptoms, and global and regional lung function before and after 2 weeks of PR treatment were evaluated using surveys, spirometry, and electrical impedance tomography (EIT), respectively. The spatial coefficient of variation (CV) of regional spirometry parameters were calculated to quantify spatial heterogeneity of lung function. Temporal inhomogeneity was determined by the regional expiration time.ResultsA total of 34 participants were recruited in this study, of whom 24 completed the PR. After 2 weeks of intervention, the modified Medical Research Council (mMRC) dyspnea scale and the COPD assessment test (CAT) score was significantly lower compared to those measured before the treatment (2.3±1.17 vs. 2.1±0.93, P=0.034; and 15.0±7.18 vs. 10.9±6.06, P<0.001, respectively). Global spirometry forced vital capacity (FVC), forced expiratory volume in the first second (FEV1), FEV1 predicted percentage (%pred), and peak expiratory flow (PEF) were significantly better than they were pre-rehabilitation (2.1±0.86 vs. 2.3±0.90 L, P=0.018; 1.2±0.65 vs. 1.4±0.66 L, P=0.001; 46.8%±23.16% vs. 51.4%±24.41%, P<0.001; and 3.1±1.80 vs. 3.8±2.23 L/s, P=0.005, respectively). In addition, the CV for regional FEV1/FVC was significantly decreased after the PR treatment (0.26±0.161 vs. 0.17±0.077, P=0.002). Regional lung ventilation was more homogeneous and regional expiration time was shorter after 2 weeks of the PR treatment.ConclusionsTwo weeks of PR treatment can improve both spatial and temporal regional ventilation in COPD. In addition, EIT may be useful in developing individualized PR treatment program to improve regional lung function in COPD.

EVALUATION OF SPORTS ABILITY TO IMPROVE PATIENTS WITH PULMONARY DISEASE

ABSTRACT Introduction: Chronic obstructive pulmonary disease (COPD) is one of the most common diseases in the lungs. Objective: To evaluate the clinical effect of respiratory rehabilitation training combined with Traditional Chinese and western medicine on the clinical treatment of motor function in patients with COPD. Methods: 156 patients with chronic obstructive pulmonary disease admitted to a hospital from December 2013 to June 2015 were selected as study subjects and randomly divided into groups for treatment. Results: comparing blood gas exchange rates of patients in the four groups, the experimental group, trained using integrated Chinese and Western medicine, was significantly better than the control groups A, B and C, in aspects such as PaCO2, PaO2, SaO2, pH, etc., the difference was statistically significant (p &lt; 0.05). The improvement of lung function in the experimental group was significantly better than in the other three groups, with statistical significance (p &lt; 0.05). Conclusions: Applying Chinese and Western Medicine combined with comprehensive respiratory rehabilitation training has a significant clinical effect. It effectively improved patients’ related clinical indicators and should be widely promoted. Level of evidence II; Therapeutic studies - investigation of treatment results.

Research progress of respiratory rehabilitation training in patients with stable chronic obstructive pulmonary disease

Research progress of respiratory rehabilitation training in patients with stable chronic obstructive pulmonary disease

Effect of Situational Interactive Respiratory Training System on Patients with Respiratory Dysfunction after Stroke

<sec><title>Objective</title> To explore the effect of situational interactive respiratory training system on respiratory function, swallowing function and activities of daily living of patients with respiratory dysfunction after stroke. </sec><sec><title>Methods</title> A total of 60 patients with respiratory dysfunction after stroke who were treated in the Rehabilitation Center of the Affiliated Hospital of Liaoning University of Traditional Chinese Medicine from September 2018 to September 2020, which were randomly divided to the the control group and the observation group, with 30 cases in each group. The control group received regular rehabilitation training (respiratory training, speech training, swallowing training), and the observation group received breathing training on the basis of the control group, and the abdominal breathing and lip contraction breathing training methods of the control group were adjusted to use the situational interactive respiratory training system for breathing training. Firstly, the forced vital capacity (FVC), forced expiratory volume in one second (FEV₁), peak expiratory flow (PEF), maximum expiratory time, pulse oxygen saturation (SpO₂) were evaluated by the system, so as to provide basis for the formulation of respiratory rehabilitation training plan. Then, the patient faced the screen and aligns his mouth with the pressure sensor of the training system to perform lip-respiratory breathing. According to the patients interest, two or three games were selected for respiratory rehabilitation training, one time a day, 15 minutes a time, five days a week, continuous training for eight weeks. Before intervention, after intervention for four, eight weeks, FVC, FEV₁, PEF, breathing duration, respiratory rate (RR), SpO₂ and other indicators were used to evaluate the patient’s respiratory function; the Watian drinking water test and the standardized swallowing assessment (SSA) was used to evaluate the patients swallowing function; the Barthel index was used to assess the patients activities of daily living. </sec><sec><title>Results</title> Compared with before intervention, FVC, FEV₁, PEF, breathing duration, and BI scores of the two groups after intervention for four, eight weeks were significantly improved, while the Watian drinking water test score and SSA score were significantly reduced, and the difference was statistically significant (<italic>P</italic><0.05). Compared with after intervention for four weeks, the FVC, FEV₁, PEF and BI scores of the two groups after intervention for eight weeks were significantly improved, and the Watian drinking water test score and SSA score were significantly reduced, and the difference was statistically significant (<italic>P</italic><0.05). Compared with the control group at the same time, the FVC, FEV₁, PEF, breathing duration, and BI scores of the observation group after intervention for four, eight weeks were significantly higher, while the Watian drinking water test score and SSA score were significantly lower, and the difference was statistically significant (<italic>P</italic><0.05). </sec><sec><title>Conclusion</title> The situational interactive respiratory training system can effectively improve patients respiratory function, swallowing function and activities of daily living, and is worthy of clinical application. </sec>

Cloud Computing into Respiratory Rehabilitation Training-Assisted Treatment of Patients with Pneumonia.

In order to study the therapeutic effect of respiratory rehabilitation training on patients with pneumonia, this paper proposes an integrated adjuvant therapy program based on the cloud computing model. A total of 60 pneumonia patients admitted to Zhujiang Hospital of Southern Medical University from January to July 2020 were selected as the research objects and Southern Medical University pneumonia patients as the research object, to be evenly divided into two groups, each group of 30 people. The control group was treated with conventional anti-infection treatment, and the observation group was treated with supplementary respiratory rehabilitation training on the basis of conventional treatment. The therapeutic effects of the two groups were compared. The results showed that the absorption time of lung lesions was (9.17 ± 3.46) days in the observation group and (13.97 ± 3.07) days in the control group, and the difference between the two groups was statistically significant (t = 5.683, P < 0.001). Respiratory therapy based on the cloud computing model has the characteristics of integration and extensibility, which can be effectively applied to the treatment effect analysis of patients with pneumonia and is of great significance for the effective analysis of patients' blood gas indexes and lung function indexes.

Cardiac Ultrasound under Speckle Tracking Technology Based Analysis of Efficacy of Respiratory Rehabilitation on Chronic Obstructive Pulmonary Disease.

The study shined spotlight on the effect of respiratory rehabilitation training on chronic obstructive pulmonary disease (COPD), which was evaluated using speckle ultrasound algorithm-based cardiac ultrasound. Then, 90 patients with stable COPD, who were admitted to the hospital from January 2018 to December 2019, were randomly rolled into three groups, namely, the fast inhalation and slow exhalation (A) group, abdominal breathing (B) group, and control (C) group. For group A, on the basis of the conventional treatment, the method of rapid inhalation and slow exhalation was adopted. The group B (n = 30) adopted the abdominal breathing method besides the conventional treatment. In addition, the group C (n = 30) received only conventional treatment. Finally, the efficacy and parameters of the three treatment methods were compared. The echocardiographic parameters and echocardiographic images were calculated and processed by the speckle tracking method. Three kinds of operators were used to track the myocardial spots successfully, and the corresponding points in the image were obtained and calculated. It was found that there was no significant difference in the degree of dyspnea, exercise endurance, lung function, respiratory muscle function, and quality of life (QOL) before treatment (P > 0.05). After treatment, in contrast with group C, the previously mentioned indicators in groups A and B were obviously better (P < 0.05). Further, both the echocardiographic images and echocardiographic parameters of groups A and B were obviously improved, and there was no obvious difference between groups A and B. Hence, some degree of respiratory rehabilitation was very effective in the diagnosis of patients with chronic pulmonary obstruction. In conclusion, the speckle tracking algorithm-based cardiac ultrasound improves the image quality. At the same time, respiratory rehabilitation training is effective on COPD and worthy of clinical promotion.

Augmented Reality (AR) Enhances the Effectiveness of Lung Expansion in Spinal Surgery Patients -Preliminary Study

Background: After spinal surgery, patients often have changes in respiratory system due to general anesthesia. Preoperative respiratory rehabilitation and respiratory muscle training are found to be effective in reducing the postoperative pulmonary complications.Aim: Comparing the differences in the effects of postoperative lung expansion in patients with spinal surgery by using the conventional paper-based and the application of augmented reality (AR) health education methods, and understanding the acceptance of the use of AR by clinical nursing staff.Subject and methods: The quasi experiment was adopted; the control group was paper-based conventional health education and the experimental group was AR health education. The Trifflow breathing exercise was taught one day before operation. The frequency of exercise was 5-10 minutes each time and four times a day. The exercise was started from the day before operation and was continued until being discharged from the hospital. The pulmonary capacities were measured one day before the operation and on the day of leaving the hospital. Twenty people were recruited in both groups. There were 20 nursing staff participated in this study in total. The acceptance level of using AR was surveyed by using self-administered structured questionnaire.Result: In the experimental group, females were accounted for 65%, 55% of them were under 64 years old, and 30% of them with primary education level; in the control group, 85% of them were females, 70% of them were over 65 years old, and 30% with primary education level. The vital capacities measured at the time of discharge comparing with that before the operation were increased in both group, which reached a statistical difference (p=0.001). However, there was no significantly statistical difference between different groups. In terms of AR recognition by nursing staff: 75.0% thought that “the current health education tools are not enough”, 90% agreed that “acceptance of AR by patient and family”, 75% agreed that “the AR used in this health education process is convenient”, “the use of AR in this health education process is interactive”, and “AR health education makes the whole health education process more interesting”. Seventy percent agreed that “I have enough relevant resources to use AR health education”.Conclusion: Both traditional and AR health education models can improve the pulmonary function of patients, and there were significantly statistical differences. However, nursing staff felt that the current health education tools were not enough and thought that AR was interactive, interesting and convenient.Recommendation: The AR medical education has the advantages of interactive games and instant feedback. It can be utilized in clinical services to provide nurses with different models of health education.

The Efficacy of Treating Pulmonary Fibrosis and Pulmonary Function Injury in COVID-19 with Fuzheng Huayu Tablets: Study Protocol for a Multicenter Randomized Controlled Trial

Introduction: The patients with COVID-19 could be suffered from pulmonary dysfunction and/or fibrosis in recovery period, but there are no certain drugs or treatment to cope with this situation. Our previous studies indicated that Fuzheng Huayu tablets (FZHY) could regress lung fibrosis induced by bleomycin in animals, and improve pulmonary function in patients with chronic obstructive pulmonary disease. Now we design this trial in order to evaluate the effects of FZHY on pulmonary fibrosis and/or pulmonary function injury in the recovery period of COVID-19 and expect to improve the prognosis. Methods and analysis: This is a randomized, double-blinded, multicenter, placebo-controlled clinical trial from March 1, 2020 to December 31, 2021. 160 patients who had been diagnosed with COVID-19 were enrolled, but currently they are negative in viral test and have developed pulmonary fibrosis or pulmonary dysfunction. They are randomly assigned into control group and experimental group. All patients are given basic treatment such as respiratory function rehabilitation training and vitamin C. The experimental group is given FZHY meanwhile the control group is given placebo. Each patient will be observed for 24 weeks and followed up for 8 weeks. The primary outcome of this trial is the improvement proportion of lung fibrosis judged by HRCT score. Secondary outcomes include six-minute walk distance, clinical symptoms score, oxygen saturation, quality of Life-BREF Score, patient health questionnaire-9 Score and general anxiety disorder-7 score. The safety will also be observed. Ethics and dissemination: This study has been approved by the IRB of Shuguang Hospital affiliated with Shanghai University of TCM. The results will be presented at national as well as international conferences.

The interest of rehabilitation of respiratory disorders in athletes: Myth or reality?

Healthy trained athletes generally have an "overbuilt" respiratory system in order to face the huge ventilation and gas-exchange demand imposed by strenuous exercise. Athletes frequently complain of respiratory symptoms regardless of whether they have a diagnosed respiratory disease, therefore evoking a kind of respiratory limitation during exercise. Some respiratory pathologies athletes present are closely linked to exercise and include asthma, exercise-induced bronchoconstriction (EIB) or exercise-induced laryngeal obstruction. Management of asthma and EIB are mainly based on pharmacological treatments. However, many athletes still complain of respiratory symptoms despite optimal pharmacological treatments, which highlights the need for non-pharmacological approaches including breathing retraining, inspiratory muscle training and/or laryngeal exercise performed under the guidance of a physiotherapist in this specific population. With this literature overview, we aimed to report evidence supporting the interest of rehabilitation for athletes with respiratory disorders and discuss whether inspiratory muscle training programs can improve performance in healthy athletes. We searched MEDLINE and Cochrane databases for trials, reviews and meta-analyses assessing respiratory rehabilitation and muscle training programs in athletes by using the MesH terms "athletes", "asthma", "dyspnea", "rehabilitation" and "education" published from January 2010 to March 2020. The selection of articles was based on the author's expertise to elaborate this review of the literature. Major findings suggest that breathing retraining may help asthmatic athletes better control their respiratory symptoms and that inspiratory muscle training may improve respiratory symptoms of exercise-induced laryngeal obstruction in athletes. Improvement of performance by respiratory muscle training still remains controversial. Respiratory rehabilitation could be of interest in the specific population of athletes but should be further evaluated to improve the level of evidence of such strategies.

Effect of respiratory rehabilitation training on elderly patients with COVID-19: A protocol for systematic review and meta-analysis.

Background:Patients with the Corona Virus Disease 2019 (COVID-19) often see their respiratory, physical, and psychological functions impaired to varying degrees, especially for the elderly patients. Timely respiratory rehabilitation intervention for such patients may improve their prognoses. However, its relative effectiveness has not been proved. Therefore, this study is purposed to determine the effect of respiratory rehabilitation on elderly patients with COVID-19.Methods:This study will search the following electronic databases: Embase, MEDLINE, PubMed, Cochrane Library, China national knowledge infrastructure database, Wan Fang database, Chinese Science and Technology Periodical Database, and Chinese Biomedical Literature Database, with the retrieval period running from their inception to August 2020. All randomized controlled trials of respiratory rehabilitation training on elderly patients with COVID-19 are collected, and the data are selected and extracted independently according to the pre-designed inclusion/exclusion criteria. Cochrane bias risk assessment tool is used to evaluate the method quality and bias risk. All data analyses will be implemented by using Revman5.3 and Stata14 software.Results:This study will make a high-quality and comprehensive evaluation of the efficacy of respiratory rehabilitation training on elderly patients with COVID-19.Conclusion:The conclusions of this systematic review will deliver more convincing evidence.Ethics and dissemination:The private information collected from individuals will not be published. And this systematic review will also not involve impairing the participants’ rights. Ethical approval is not required. The results may be published in a peer-reviewed journal or disseminated in relevant conferences.

The Effect of Respiratory Rehabilitation Training on the Life Quality of Pneumoconiosis Patients

Objective: To explore the effect of respiratory rehabilitation training on the quality of life of pneumoconiosis patients. Methods: 76 pneumoconiosis patients who were treated in our hospital from April 2017 to December 2019 were selected as the research object, and randomly divided into 2 groups according to the order of admission by coin tossing, 38 cases in each group. The control group carried out health knowledge education on the basis of conventional treatment, and the observation group combined with respiratory rehabilitation training on the basis of the control group to compare the quality of life and lung function of the two groups of patients. Results: After 2 months of nursing care, scores of GQOLI-74 scale and pulmonary ventilation function indexes in the observation group were higher than those in the control group, with statistically significant differences (P&lt;0.05). Conclusion: Respiratory rehabilitation training can improve pulmonary ventilation function of pneumoconiosis patients, improve the quality of life of patients, has good clinical application value.

Respiratory rehabilitation in elderly patients with COVID-19: A randomized controlled study

BackgroundDifferent degrees of disorders are reported in respiratory function, physical function and psychological function in patients with corona virus disease 2019 (COVID-19), especially in elderly patients. With the experience of improved and discharged COVID-19 patients, timely respiratory rehabilitation intervention may improve prognosis, maximize functional preservation and improve quality of life (QoL), but there lacks of studies worldwide exploring the outcome of this intervention. ObjectiveTo investigate the effects of 6-week respiratory rehabilitation training on respiratory function, QoL, mobility and psychological function in elderly patients with COVID-19. MethodsThis paper reported the findings of an observational, prospective, quasi-experimental study, which totally recruited 72 participants, of which 36 patients underwent respiratory rehabilitation and the rest without any rehabilitation intervention. The following outcomes were measured: pulmonary function tests including plethysmography and diffusing lung capacity for carbon monoxide (DLCO), functional tests (6-min walk distance test), Quality of life (QoL) assessments (SF-36 scores), activities of daily living (Functional Independence Measure, FIM scores), and mental status tests (SAS anxiety and SDS depression scores). ResultsAfter 6 weeks of respiratory rehabilitation in the intervention group, there disclosed significant differences in FEV1(L), FVC(L), FEV1/FVC%, DLCO% and 6-min walk test. The SF-36 scores, in 8 dimensions, were statistically significant within the intervention group and between the two groups. SAS and SDS scores in the intervention group decreased after the intervention, but only anxiety had significant statistical significance within and between the two groups. ConclusionsSix-week respiratory rehabilitation can improve respiratory function, QoL and anxiety of elderly patients with COVID-19, but it has little significant improvement on depression in the elderly.

Onset detection of surface diaphragmatic electromyography based on sample entropy and individualized threshold

The diaphragm is the main respiratory muscle in the body. The onset detection of the surface diaphragmatic electromyography (sEMGdi) can be used in the respiratory rehabilitation training of the hemiparetic stroke patients, but the existence of electrocardiography (ECG) increases the difficulty of onset detection. Therefore, a method based on sample entropy (SampEn) and individualized threshold, referred to as SampEn method, was proposed to detect onset of muscle activity in this paper, which involved the extraction of SampEn features, the optimization of the SampEn parameters w and r0, the selection of individualized threshold and the establishment of the judgment conditions. In this paper, three methods were used to compare onset detection accuracy with the SampEn method, which contained root mean square (RMS) with wavelet transform (WT), Teager-Kaiser energy operator (TKE) with wavelet transform and TKE without wavelet transform, respectively. sEMGdi signals of 12 healthy subjects in 2 different breathing ways were collected for signal synthesis and methods detection. The cumulative sum of the absolute value of error τ was used as an judgement value to evaluate the accuracy of the four methods. The results show that SampEn method can achieve higher and more stable detection precision than the other three methods, which is an onset detection method that can adapt to individual differences and achieve high detection accuracy without ECG denoising, providing a basis for sEMGdi based respiratory rehabilitation training and real time interaction.

Application of The Bi-Level Stairs Climbing as Alternative of Respiratory Rehabilitation Training in Dyspneic Smokers

Application of The Bi-Level Stairs Climbing as Alternative of Respiratory Rehabilitation Training in Dyspneic Smokers

养老机构延续护理改善慢阻肺患者生存质量的研究进展

本文通过延续护理进展的概况阐述定义，模式，人员组成，延续护理知识的培训，分析慢阻肺生存质量的影响因素。养老机构延续护理通过生活护理支持、心理干预、肺康复治疗包括呼吸肌训练、营养支持、氧疗、药物治疗、有氧缓慢锻炼、加强对患者的健康指导、做好呼吸康复训练的自我管理，改善COPD患者生存质量。养老机构建立医护一体化的延续护理团队，体现治疗–康复–长期护理服务重要性。需借鉴国内外先进经验，制订出规范化、系统化、科学化的延续护理程序，建立健全延续护理效果评价指标。从客观上全面反映延续护理实施的有效性，是今后研究的方向。 This paper describes the definition, model, composition of personnel, continuing the training of nursing knowledge, and analyzes the influencing factors of the quality of life of chronic obstructive pulmonary disease. Through life nursing support, psychological intervention and lung rehabilitation treatment including respiratory muscle training, nutritional support, oxygen therapy, medication, aerobic slow exercise, pension agencies strengthen the health guidance for patients, improve the self-management of respiratory rehabilitation training, and improve the quality of life of patients with chronic obstructive pulmonary disease. Pension agencies establish the continuous care team of medical care integration, reflecting the importance of treatment-rehabilitation-long- term care service. We should draw lessons from the advanced experience at home and abroad, develop standardized, systematic and scientific continuation nursing procedures, establish and improve the evaluation index of continuing nursing effect. Comprehensively reflecting the effectiveness of continuing nursing implementation is the future research direction.

The effect of family continuity care on the lung function, exercise tolerance and life quality of the patients with COPD

Objective To investigate the effect of family continuity care on the lung function , exercise tolerance and life quality of the patients with COPD .Methods A total of 100 patitents with COPD from March 2013 to October 2013 in our hospital were selected and randomly divided into routine nursing group and intervention group .The patients in the routine group were treated with the routine nursing , the patients in the intervention group were treated with continue nursing intervention .The lung function , 6 min walking test results and the life quality were compared between two groups .Results The total distance on foot of the nursing intervention group patients was （ 335＋67） m, the total distance on foot of the routine nursing group patients was （201 ±34） m, it was statistically different （P〈0.05） .There were statistically differences between diastolic blood pressure , heart rate, blood oxygen content and Borg score results of two groups （ P〈0.05 ） .the CAT scores of the nursing intervention group patients were less than that of the routine nursing group （ P〈0.05 ） .Lung func-tion improved in patients of the nursing intervention group was obviously superior to the routine nursing group patients , FEV1 and PEF in the intervention group were significantly higher than those of the routine nursing group patients , there were statistically differences （ P〈0.05 ） .Conclusions The family continuity care can effectively improve the lung function of patients with COPD , increase the patient＇s exercise tol-erance and improve the patients＇life quality, it can consider to further promotion in clinic. Key words: Continuity care Respiratory rehabilitation training Lung function Life quality

Efficacy of integrative respiratory rehabilitation training in exercise ability and quality of life of patients with chronic obstructive pulmonary disease in stable phase: a randomized controlled trial

Chronic obstructive pulmonary disease (COPD) is an important clinical disease, and its global prevalence and mortality rates are high. It is meaningful to investigate the efficacy of integrative respiratory rehabilitation training in quality of life and respiratory physiology of COPD patients in stable phase. To observe the efficacy of integrative respiratory rehabilitation training in exercise ability and quality of life of COPD patients in stable phase. Eighty outpatients and inpatients with COPD from Department of Respiratory Medicine, Taihe Hospital, Yunyang Medical College were randomly divided into 4 groups, with 20 patients in each group. The patients in group A only received drug therapy, the patients in group B received traditional qigong training, the patients in group C received modern rehabilitation training, and the patients in group D received integrative respiratory rehabilitation training. Chronic respiratory questionnaire (CRQ), 6-minute walking distance and Borg score in each group were examined before and after one-, three-, and six-month and one-year treatment. The 6-minute walking distance, Borg score and CRQ score in group A had no significant changes after treatment (P>0.05). After one-month treatment, there were no significant differences in 6-minute walking distance and Borg score in groups B, C and D as compared with those before treatment (P<0.05). After three-month treatment, 6-minute walking distance and Borg score were improved in groups B, C and D (P<0.05). After six-month and one-year treatment, 6-minute walking distance, Borg score and CRQ score in groups B, C and D were improved as compared with those before treatment (P<0.05), and there were significant differences between group D and any of groups A, B and C (P<0.05). Modern rehabilitation training, traditional qigong training and integrative respiratory rehabilitation training programs all can improve the quality of life and exercise ability of COPD patients, and integrative respiratory rehabilitation training program is better than modern rehabilitation training and traditional qigong training programs. The efficacy of respiratory rehabilitation training is time-dependent, and need long-time adherence to the therapy.