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KMID : 0361420150390030366
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Journal of Korean Academy of Rehabilitation Medicine
2015 Volume.39 No. 3 p.366 ~ p.373
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Efficacy of Systemic Postoperative Pulmonary Rehabilitation After Lung Resection Surgery
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Kim Soo-Koun
Ahn Young-Hyun
Yoon Jin-A
Shin Myung-Jun
Chang Jae-Hyeok
Cho Jeong-Su
Lee Min-Ki
Kim Mi-Hyun
Yun Eun-Young
Jeong Jong-Hwa
Shin Yong-Beom
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Abstract
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Objective: To investigate the efficacy of systemic pulmonary rehabilitation (PR) after lung resection in patients with lung cancer.
Methods: Forty-one patients undergoing lung resection were enrolled and classified into the experimental (n=31) and control groups (n=10). The experimental group underwent post-operative systemic PR which was conducted 30 min/day on every hospitalization day by an expert physical therapist. The control group received the same education about the PR exercises and were encouraged to self-exercise without supervision of the physical therapist. The PR group was taught a self-PR program and feedback was provided regularly until 6 months after surgery. We conducted pulmonary function testing (PFT) and used a visual analog scale (VAS) to evaluate pain, and the modified Borg Dyspnea Scale (mBS) to measure perceived respiratory exertion shortly before and 2 weeks, 1, 3, and 6 months after surgery.
Results: A significant improvement on the VAS was observed in patients who received systemic PR >3 months. Significant improvements in forced vital capacity (FVC) and mBS score were observed in patients who received systemic PR >6 months (p<0.05). Other PFT results were not different compared with those in the control group.
Conclusion: Patients who received lung resection suffered a significant decline in functional reserve and increases in pain and subjective dyspnea deteriorating quality of life (QoL). Systemic PR supervised by a therapist helped improve reduced pulmonary FVC and QoL and minimized discomfort during the postoperative periods in patients who underwent lung resection.
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KEYWORD
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Pulmonary rehabilitation, Lung resection, Quality of life
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