The Effects of Respiratory Rehabilitation of Nursing Program in Subjects with Acute Exacerbation Stage of Chronic Obstructive Pulmonary Disease on Six Minutes Walking Exercise Test in Taiwanese

Tuesday, 31 July 2012: 10:45 AM

Lin Yu Liao, RN
Depatment ofChest Hospital, Schoolol of College of Nursing,Kaohsiung Medical University, Chest Hospital, Department of Health, Executive Yuan, Tainan, Taiwan, College of Nursing, Kaohsiung Medical University, Tainan, Taiwan
Kuei-Min Chen, RN, PhD
College of Nursing, Kaohsiung Medical University, College of Nursing, Kaohsiung Medical University, Kaohsiung City, Taiwan
Jung-Yien Chien, MD
Chest Hospital, Department of health, Chest Hospital, Department of Health, Executive Yuan, Tainan, Taiwan, Tainan City, Taiwan

Learning Objective 1: Subjects improved significantly (p<0.05) in the six minutes walking distance after admission 2 and3 days.

Learning Objective 2: There were no significant in the age, smoking and BMI , but the one of NYHA level to six minutes walking range was significantly(F5.422, p0.023)

Purpose: Six minutes walking test has been applied to clinical evaluation of chronic cardiopulmonary disease patients. The purpose was to compare with respiratory rehabilitation of nursing program on the six minutes walking exercise distance of subjects acute exacerbation stage COPD

Methods: This study was a Quasi-Experiments designed. Sixty-one subjects meeting our selection criteria participated in this study. Subjects were non-randomly assigned to Experimental and control groups. Experimental groups accepted three times a day, each 30 minutes of respiratory tract clear nursing and patient tolerance implementation of pursing respiratory movement and general care medical rehabilitation tools to teach, control group accept the general care medical teaching. The six minutes walking exercise test for each group at initial, admission day, after 1, 2 and3 days following the initial assessment. Theχ2 test, independent t-test, and multiple stepwise regression analysis was used for predict and between group comparison.

Results: There were no significant in the population characteristic of the experimental and control groups by the χ2 test (p>0.05). Subjects improved significantly (p<0.05) in the six minutes walking distance after admission 2 and3 days. There were no significant in the age, smoking and BMI , but the one of NYHA level to six minutes walking range was significantly(F5.422, p0.023)

Conclusion: From our results analysis, the respiratory rehabilitation of nursing program, can improve acute exacerbation stage of COPD on six minutes walking distance, increase cardiopulmonary exercise tolerance. Meanwhile, NYHA level was predicted factor for six minutes walking distance. The respiratory rehabilitation of nursing program may be useful in clinical for improve COPD patients in acute exacerbation stage with lung function impairment.