Research on the effect of home-based pulmonary rehabilitation in patients with moderate chronic obstruc-tive pulmonary disease
10.3969/j.issn.1001-1242.2025.02.008
- VernacularTitle:居家呼吸康复对中度慢性阻塞性肺疾病患者的作用研究
- Author:
Bin ZHANG
1
;
Yi LI
1
;
Meixia LIU
1
Author Information
1. 首都医科大学附属北京康复医院呼吸康复中心,北京市,100144
- Publication Type:Journal Article
- Keywords:
chronic obstructive pulmonary disease;
home-based pulmonary rehabilitation;
wearable devices;
car-diopulmonary exercise testing;
outpatient pulmonary rehabilitation
- From:
Chinese Journal of Rehabilitation Medicine
2025;40(2):217-222
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of supervised home-based pulmonary rehabilitation by wearable devices on moderate chronic obstructive pulmonary disease(COPD).Method:A total of 70 patients with moderate COPD in the stable stage who visited the Respiratory Rehabilita-tion Center of Beijing Rehabilitation Hospital of Capital Medical University from January 2020 to October 2021 were randomly divided into a control group and a study group,with 35 cases in each group.The inter-vention lasted for 10 weeks.Cardiopulmonary exercise tests(FEV1,FEV1/FVC％,FEV1％pred,VO2max,VO2AT,maximum power),COPD Assessment Test(CAT),St.George's Respiratory Questionnaire(SGRQ)and modified Medical Research Council dyspnea scale(mMRC)were compared between the two groups before and after rehabilitation.After the study was completed,the compliance of the two groups was compared.Result:A total of 15 subjects dropped out of 70 cases,and finally 27 cases were included in the control group and 28 cases in the study group.There was no significant improvement in FEV1,FEV1/FVC％,and FEV1％pred after rehabilitation in the two groups(P＞0.05).After rehabilitation,VO2max,VO2AT,maximum power,SGRQ,CAT and mMRC[(14.2±2.2vs.18.4±1.6)and(13.9±2.4vs.17.7±1.9),(10.6±1.3vs.11.9±1.6)and(10.3±1.3vs.11.9±1.4),(69.9±7.5vs.88.3±8.4)and(68.6±9.0vs.86.4±9.7),(45.4±9.9vs.35.4±7.5)and(45.3±12.1vs.36.3±8.4),(19.2±3.4vs.12.8±3.5)and(19.5±3.7vs.13.3±3.7),(2.5±0.9vs.1.5±0.6)and(2.6±1.0vs.1.8±0.7)]were significantly improved(P＜0.01),but there were no significant differences between the groups(P＞0.05).The stop training rate of the control group was significantly higher than that of the study group(37％vs.11％,P＜0.05).However,there was no significant difference between the two groups in the proportion of peo-ple who did not reach the target time and target intensity[(15％vs.21％)and(15％vs.29％)](P＞0.05).Conclusion:There is no significant difference between home-based pulmonary rehabilitation and traditional out-patient pulmonary rehabilitation in improving exercise capacity,symptoms and quality of life,but the compli-ance is better.
