Tuberc Respir Dis.  2006 Dec;61(6):533-546. 10.4046/trd.2006.61.6.533.

The Effects of Self-Efficacy Promoting Pulmonary Rehabilitation Program in Out-Patients with Chronic Obstructive Pulmonary Disease

• Jung JH
• Kim JY

• KMID: 1970238
• DOI: http://doi.org/10.4046/trd.2006.61.6.533

Abstract

BACKGROUND: The aim of this study was to determine the effectiveness of self-efficacy promoting pulmonary rehabilitation in patients with chronic obstructive pulmonary disease (COPD).
METHODS
thirty six patients, with clinically stable COPD were randomly assigned: 18 to a rehabilitation group and another 18 as a control group, The subjects participated in a the self-efficacy promoting pulmonary rehabilitation program for 8 weeks. This program consisted of education, breathing retraining, exercise training, relaxation and counseling. The control group received education only. The outcome variables were self-efficacy, dyspnea, exercise endurance, pulmonary function, and quality of life. Dyspnea was measured using the modified Borg scale. Exercise endurance was measured by the six minute walking distance. The quality of life was measured by the quality of life index for pulmonary disease patients.
RESULTS
In the rehabilitation group after performing the self-efficacy promoting pulmonary rehabilitation program, the self-efficacy score, exercise endurance, and quality of life score were higher than the control group (p=0.007, p=0.038, and p=0.039, respectively). and the exertional dyspnea score was significantly lower than controls(p=0.045). However, the dyspnea score and FEV1 were similar after performing the self-efficacy promoting pulmonary rehabilitation program.
CONCLUSION
The self-efficacy promoting pulmonary rehabilitation program is effective to in improve self-efficacy, exertional dyspnea, exercise endurance and quality of life in patients with COPD.

Keyword

Self-Efficacy; Pulmonary rehabilitation; Chronic obstructive pulmonary disease

MeSH Terms

Counseling
Dyspnea
Education
Humans
Lung Diseases
Outpatients*
Pulmonary Disease, Chronic Obstructive*
Quality of Life
Rehabilitation*
Relaxation
Respiration
Walking

Figure

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  Figure 1 Effect of self-efficacy promoting pulmonary rehabilitation on self-efficacy

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  Figure 2 Effect of self-efficacy promoting pulmonary rehabilitation on dyspnea during ordinary activity

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  Figure 3 Effect of self-efficacy promoting pulmonary rehabilitation on dyspnea on exercise

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  Figure 4 Effect of self-efficacy promoting pulmonary rehabilitation on exercise endurance

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  Figure 5 Effect of self-efficacy promoting pulmonary rehabilitation on FEV1

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  Figure 6 Effect of self-efficacy promoting pulmonary rehabilitation on FEV1/FVC

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  Figure 7 Effect of self-efficacy promoting pulmonary rehabilitation on quality of life

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