Maintenance after pulmonary rehabilitation in chronic lung disease - A randomized trial
Maintenance after pulmonary rehabilitation in chronic lung disease - A randomized trial
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DOI：
10.1164/rccm.200204-318oc
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发表时间：
2003-03-15
影响因子：
24.7
通讯作者：
Prewitt, LM
中科院分区：
文献类型：
--
作者：
Ries, AL;Kaplan, RM;Prewitt, LM
肺康复对慢性肺病患者有益。但是，短期治疗后长期维持一直难以实现。我们评估了172例从肺康复毕业生中招募的慢性肺病患者在肺康复后的电话维护计划。受试者被随机分配到12个月的维持干预，每周电话联系和每月监督的强化会议（n = 87）或标准护理（n = 85），并随访24个月。除了性别之间的轻微失衡外，实验组和对照组在基线时是等同的，并且在康复后表现出类似的改善。在12个月的干预期间，实验组的运动耐量（最大跑步机工作量和6分钟步行距离）和整体健康状况评分得到了更好的维持，住院天数也有所减少。在其他肺功能、呼吸困难、自我效能、一般和疾病特异性生活质量以及医疗保健使用方面没有组间差异。到24个月时，没有显著的组间差异。患者恢复到接近但高于康复前的水平。我们的结论是，每周电话和每月监督会议的维护计划只产生了适度的改善，在维护肺康复后的好处。
Pulmonary rehabilitation is beneficial for patients with chronic lung disease. However, long-term maintenance has been difficult to achieve after short-term treatment. We evaluated a telephone-based maintenance program after pulmonary rehabilitation in 172 patients with chronic lung disease recruited from pulmonary rehabilitation graduates. Subjects were randomly assigned to a 12-month maintenance intervention with weekly telephone contacts and monthly supervised reinforcement sessions (n = 87) or standard care (n 85) and followed for 24 months. Except for a slight imbalance between sexes, experimental and control groups were equivalent at baseline and showed similar improvements after rehabilitation. During the 12-month intervention, exercise tolerance (maximum treadmill workload and 6-minute walk distance) and overall health status ratings were better maintained in the experimental group together with a reduction in hospital days. There were no group differences for other measures of pulmonary function, dyspnea, self-efficacy, generic and disease-specific quality of life, and health care use. By 24 months, there were no significant group differences. Patients returned to levels close to but above prerehabilitation measures. We conclude that a maintenance program of weekly telephone calls and monthly supervised sessions produced only modest improvements in the maintenance of benefits after pulmonary rehabilitation.