Efficacy of Systemic Postoperative Pulmonary Rehabilitation After Lung Resection Surgery.
10.5535/arm.2015.39.3.366
- Author:
Soo Koun KIM
1
;
Young Hyun AHN
;
Jin A YOON
;
Myung Jun SHIN
;
Jae Hyeok CHANG
;
Jeong Su CHO
;
Min Ki LEE
;
Mi Hyun KIM
;
Eun Young YUN
;
Jong Hwa JEONG
;
Yong Beom SHIN
Author Information
1. Department of Rehabilitation Medicine, Pusan National University School of Medicine, Busan, Korea. yi0314@gmail.com
- Publication Type:Original Article
- Keywords:
Pulmonary rehabilitation;
Lung resection;
Quality of life
- MeSH:
Dyspnea;
Education;
Exercise;
Hospitalization;
Humans;
Lung Neoplasms;
Lung*;
Organization and Administration;
Physical Therapists;
Postoperative Period;
Quality of Life;
Rehabilitation*;
Respiratory Function Tests;
Visual Analog Scale;
Vital Capacity
- From:Annals of Rehabilitation Medicine
2015;39(3):366-373
- CountryRepublic of Korea
- Language:English
-
Abstract:
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.
