医学
肺康复
物理疗法
医院焦虑抑郁量表
康复
恶化
生活质量(医疗保健)
慢性阻塞性肺病
支气管扩张
焦虑
体质指数
萧条(经济学)
最小临床重要差异
物理医学与康复
随机对照试验
内科学
肺
精神科
经济
护理部
宏观经济学
标识
DOI:10.1136/thorax-2019-btsabstracts2019.433
摘要
Aims Current data on the outcomes of pulmonary rehabilitation in bronchiectasis patients is limited. This 12-year retrospective review aims to expand on current research into changes in exercise capacity, symptom severity, patient heath status and psychological wellbeing following a 19 session rehabilitation programme. Method 115 patients with a primary diagnosis of bronchiectasis were included into this study. 94 patients (82.6%) completed outpatient pulmonary rehabilitation, a 3 session per week interdisciplinary programme of care involving patient education, exercise training and relaxation practice. Primary outcome measures were assessed via changes in the incremental shuttle walk test (ISWT) or 6-minute walk test (6MWT), self-reporting questionnaires including the St Georges Respiratory Questionnaire (SGRQ) and the Hospital Anxiety and Depression Scale (HADS), as well as health status predictors such as handgrip strength and Fat Free Mass Index (FFMI), a bioelectric impedance measurement of body fat composition. Results There was an average increase of 47 m in the 6MWT (P Conclusions Exercise capacity, symptom control, quality of life and psychological wellbeing significantly improved immediately following pulmonary rehabilitation. Hand grip strength, a marker of exacerbation frequency and mortality, also significantly improved, an area with limited previous research. Further research is needed to explore pulmonary rehabilitation’s long term benefits and its cost effectiveness for bronchiectasis patients.
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