Impact of customized videotape education on quality of life in patients with chronic obstructive pulmonary disease.

Impact of customized videotape education on quality of life in patients with chronic obstructive pulmonary disease.
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定制视频教育对慢性阻塞性肺疾病患者生活质量的影响。

DOI:
10.1097/00008483-200603000-00012
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发表时间:
2006
期刊:
Journal of cardiopulmonary rehabilitation
影响因子:
--
通讯作者:
Weil,KennethC
Weil,KennethC
中科院分区:
--
文献类型:
--
作者:
Petty,ThomasL;Dempsey,EdwardC;Collins,Timothy;Pluss,William;Lipkus,Isaac;Cutter,GaryR;Chalmers,Robin;Mitchell,Amy;Weil,KennethC

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目的:比较肺康复录像带库与旧录像带和常规护理对慢性阻塞性肺病患者的生活质量和进行日常生活活动的能力的影响。方法:招募了 214 名被诊断患有慢性阻塞性肺病、肺气肿或慢性支气管炎的患者,并随机接受定制录像带、标准录像带或常规护理。结果测量包括疲劳影响量表、西雅图阻塞性肺病问卷和 SF-36® 健康调查。 结果:在完成研究的 174 名受试者中,发现西雅图阻塞性肺病问卷的应对技巧和情绪功能存在差异。定制录像带组在应对技巧方面分别提高了8.6分和4.8分,而其他组的得分下降了不到1分,而标准视频组和对照组在情绪功能方面的得分分别下降了3.0分和2.1分(P<.05,所有比较)。定制录像带组使用疲劳影响量表的分数也有所提高,而其他组的分数保持不变。录像带用户表现出更好的运动习惯转变和保留,在基线时报告运动习惯的定制录像带受试者中,超过 80% 的人继续保持这种习惯,而常规护理组的这一比例为 40%。如果随机观看录像带,基线时久坐不动的受试者更有可能开始并维持运动。结论:这些发现表明,使用定制录像带的受试者生活质量提高,疲劳程度降低,并且更好地遵守规定的运动方案。定制录像带受试者的情绪功能和应对技巧有显着改善。
PURPOSE:To compare the impact of a library of pulmonary rehabilitation videotapes versus an older videotape and usual care on quality of life and ability to perform activities of daily living in persons with chronic obstructive pulmonary disease.METHODS:Two hundred fourteen patients diagnosed with chronic obstructive pulmonary disease, emphysema, or chronic bronchitis were recruited and randomized to receive customized videotapes, standard videotapes, or usual care. Outcome measures included the Fatigue Impact Scale, Seattle Obstructive Lung Disease Questionnaire, and the SF-36® Health Survey.RESULTS:Differences in coping skills and emotional functioning on the Seattle Obstructive Lung Disease Questionnaire were found among the 174 subjects who completed the study. The customized videotape group improved by 8.6 and 4.8 points, respectively, whereas the score of the other groups decreased by less than 1 point for the coping skills, and the scores of the standard video and the control groups decreased by 3.0 and 2.1 points, respectively, for emotional functioning (P<. 05, all comparisons). The scores using the Fatigue Impact Scale also improved for the customized videotape group, whereas the scores of the others remained unchanged. Videotape users demonstrated better conversion to and retention of exercise habits, with over 80% of customized videotape subjects who reported exercise habits at baseline continuing the habits as compared with 40% in the usual care group. Sedentary subjects at baseline were more likely to begin and maintain exercise if randomized to videotapes.CONCLUSIONS:These findings demonstrate increased quality of life, lower fatigue, and better compliance with a prescribed exercise regimen among subjects using the customized videotapes. There was a significant improvement in emotional functioning and coping skills among customized videotape subjects.
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