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Effects of multidisciplinary team model on old patients with moderate and severe COPD in respiratory rehabilitation training

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Author:
LIU Qian-gui(Pulmonary Rehabilitation Ward, Beijing Geriatric Hospital, Beijing 100095, China)
WANG Yu-bo(Pulmonary Rehabilitation Ward, Beijing Geriatric Hospital, Beijing 100095, China)
ZHAO Li-li(Pulmonary Rehabilitation Ward, Beijing Geriatric Hospital, Beijing 100095, China)
ZHAO Shuang-yan(Pulmonary Rehabilitation Ward, Beijing Geriatric Hospital, Beijing 100095, China)
LI Jin-hong(Pulmonary Rehabilitation Ward, Beijing Geriatric Hospital, Beijing 100095, China)
ZHENG Xi(Pulmonary Rehabilitation Ward, Beijing Geriatric Hospital, Beijing 100095, China)
CHEN Zheng(Pulmonary Rehabilitation Ward, Beijing Geriatric Hospital, Beijing 100095, China)
Journal Title:
CHINA MEDICINE
Issue:
Volume 05, Issue 10, 2010
DOI:
10.3760/cma.j.issn.1673-4777.2010.10.002
Key Word:
Pulmonary disease, chronic obstructive;Quality of life;Rehabilitation

Abstract: Objective To investigate the effects of multidisciplinary team approach for rehabilitation of (multidisciplinary collaborative rehabilitation)old patients with moderate and severe chronic obstructive pulmonary disease (COPD). Methods Eighty old inpatients with moderate and severe COPD were divided into multidisciplinary team respiratory rehabilitation group (45 cases) and control group (35 cases). The two groups ali had routine treatment for 3 months with the respiratory rehabilitation group meanwhile also underwent comprehensive rehabilitation. BODE index and Quality of Life (QOL) scores before and after treatment were compared. Results Thirty and sixty days after treatment, 6 minute walk test (6-MWT), body mass index, MMRC, BODE index, and SGRQ scores of rehabilitation group were all different from those of control ( P <0.05). Ninety days after treatment, the above-mentioned indices of rehabilitation group were all different from those of control ( P < 0. 01 ). 6-MWT of control group 30, 60, 90 days after treatment also was significantly different from that before treatment ( P < 0. 05 ).Conclusion Multidisciplinary coordination in respiratory rehabilitation training of old patients with moderate and severe COPD can significantly lowered BODE score, improve dyspnea and increase quality of life.

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