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KMID : 0361419950190030638
Journal of Korean Academy of Rehabilitation Medicine
1995 Volume.19 No. 3 p.638 ~ p.646
Evaluation of Patients with Chronic Obstructive Pulmonary Diseases
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Abstract
Chronic obstructive pulmonary diseases (COPD) is a chronic disorder of airflow limitation that is often progressive. It not only limits patient's activities of daily living because of coughing sputum and dyspnea, but also causes an economic lose
due to
the unemployment. The prevalence can be reduced by early detection and prevention through smoking cessation. Until today, the proper rehabilitation treatment for them has not been done well. To get an effective and comprehensive pulmonary
rehabilitation
program, we were interviewed patients with COPD, such 34 issues as physical, psychological, social, and vocational problems. The number of interviewed patients were 83; 60 men and 23 women. The average age and morbidity period were 65.7 years old
and 12
years respectively. Out of the patients, 77.1% has experience of smoking. The average numbers of admission and cost were 2.79 times and £Ü55,000 per month. Class IV (38.6%) was turned out to be the major case in COPD disability scale, and so was
scale,
III (39.8%) in Scale of life satisfaction. The frequency of communication with family members was as follows; frequently (61.4%), by request (25.3%), and indifference (13.3%). Many patients requested that the government provide aids for medical
reatment
for them(44.6%). Therefore, our results suggest that further controlled of pulmonary rehabilication programs which are medical management, cessation smoking, chest physical therapy, medical insurance and vocational rehabilitation are needed for
patients
with COPD.
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