Effects of Staged Respiratory Rehabilitation Training on Pulmonary Function, Self-efficacy and Exercise Ability in Patients with COPD

Abstract

Objective: To analyze the effects of staged respiratory rehabilitation training on pulmonary function, self-efficacy and exercise ability in patients with stable chronic obstructive pulmonary disease (COPD). Methods: 90 patients with stable COPD in our hospital from May 2018 to June 2019 were selected and divided into a control group and an observation group by the random number table method (45 cases/group). Routine respiratory rehabilitation training was adopted in patients in the control group while patients in the observation group were given staged respiratory rehabilitation training. The pulmonary function, quality of life, exercise ability and self-efficacy of the patients in two groups were compared. Results: After training, the levels of forced expiratory volume in the first second (FEV₁), six minute walking distance (6MWT) and maximum oxygen consumption (VO₂ max), the ratio of forced expiratory volume in the first second to forced vital capacity (FEV₁/FVC) as well as general self-efficacy scale (GSEs) score of patients in both groups were upregulated, and these indexes in the observation group were higher than those in the control group. Meanwhile, symptom score, impact score, activity score and total score of St George's respiratory questionnaire (SGQR), as well as the British Medical Research Council Dyspnea Scale (MMRC) in patients in both grops, were declined after treatment, and these indexes in the observation group were lower than those in the control group. Conclusion: Staged respiratory rehabilitation training can effectively improve the pulmonary function, exercise ability, self-efficacy and quality of life of COPD patients.