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高齡 長期照護海報展

高齡 長期照護海報展. The Effects of Respiratory tract cleansing and pursed-lip breathing rehabilitation exercise on subjective physical symptoms in Middle-Aged and Older Chronic Obstructive Pulmonary Disease with Acute Exacerbation in Taiwanese. Lin-Yu Laio 1 , Jung- Yien Chien 2 , Kuei -Min Chen 3

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高齡 長期照護海報展

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  1. 高齡長期照護海報展 The Effects of Respiratory tract cleansing and pursed-lip breathing rehabilitation exercise on subjective physical symptoms in Middle-Aged and Older Chronic Obstructive Pulmonary Disease with Acute Exacerbation in Taiwanese • Lin-Yu Laio1, Jung-Yien Chien2,Kuei-Min Chen3 Chest Hospital, Department of Health Executive Yuan1,2 • Kaohsiung Medical University of Professpor3 • Kaohsiung Medical University of PHD Student1 Background The role of respiratory tract cleansing and pursed-lip breathing in patients with COPD AE is still on clear. Purpose We aim to evaluate the effect of respiratory tract cleansing and pursed-lip breathing rehabilitation exercise program in patients with COPD AE. Methods Study design:Aquasi-experiments pre-test post-test, a convenience sample will be conducted at chest hospital in southern Taiwan. Sample size were 61 patients Inclusion/exclusion criteria : Average age＞18 years, conscious clear and speak Chinese,Can walk, and clinical stable were included. Exclusion criteria were hemoptysis and spo2﹤90%. Respiratory rehabilitation group/Control group 30 patients a 4 days respiratory tract cleansing and pursed-lip breathing rehabilitation of twice a day and a control group of 31 subjects received the general care. Data were collected before and after the intervention Measurements/Dataanalysis:Subjective physical symptoms score included anxiety, dyspnea, cough, and fatigue were measured. Results ●The baseline conducted were similar between two groups. ●lower anxiety score was lower at 2th,3th,4th days(4.81±4.00、5.10±3.83、4.68±3.66 for control group , 2.93±2.70，2.83±2.51，2.33±2.12 for rehabilitation group) ●lower dyspnea score at 3th,4th days(3.68±3.31、3.65±3.25 for control group , 2.90±2.51、1.73±1.60、1.13±1.22for rehabilitation group) ●lower cough score at 3th,4th days(5.00±3.12 4.68±3.15 for control group, 3.17±1.72、2.07±1.14 for ehabilitationgroup) ●lower fatigue score at 2th,3th,4th days (12.48±6.14、3.68±3.31、10.29±4.85for control group, 6.93±2.07、6.93±2.15、6.57±2.61for rehabilitation group). Implication for practice Base on the results of this study, can implies that the program may provide used nursing guidance for COPD middle-aged and elders with acute exacerbation stage Key Words: respiratory tract cleansing , pursed-lip breathing rehabilitation, chronic obstructive pulmonary disease with acute exacerbation

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