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. 2024 Apr 12;103(15):e37778.
doi: 10.1097/MD.0000000000037778.

Impact of pulmonary rehabilitation on patients with different chronic respiratory diseases during hospitalization

Xin-Yu Shi  1 , Yi Ren, Xiao-Meng Gu, Yan-Rui Jia, Xue Wang
Affiliations

Impact of pulmonary rehabilitation on patients with different chronic respiratory diseases during hospitalization

Xin-Yu Shi et al. Medicine (Baltimore). .

Abstract

The impact of pulmonary rehabilitation (PR) on patients with different chronic respiratory diseases (CRDs) during hospitalization has not been thoroughly evaluated before. The objectives of the current research were to assess the effect of comprehensive PR management on inpatients' self-management skills, exercise capacity, nutrition assessment and mental health issues and explore whether impacts of PR vary in different CRDs. This retrospective study analyzed the clinical data from 272 inpatients with CRDs receiving PR management during hospitalization between October 2020 and March 2022 in Beijing Chao-Yang Hospital. Significant improvements were found in the patients' ability of daily living (ADL), dyspnea (assessed by modified medical research council dyspnea scale (MMRC)), handgrip strength, maximal inspiratory and expiratory pressure, anxiety (using the 7-item generalized anxiety disorder scale (GAD-7)) and depression (the 9-item patient health questionnaire score (PHQ-9)). There was no significant change in nutrition assessment pre-post PR management during hospitalization. The subgroup analyses were conducted on hospitalized patients with chronic obstructive pulmonary disease (COPD), bronchiectasis, asthma, interstitial lung diseases (ILDs) and other CRDs (e.g., lung cancer, diaphragm hemiparesis, obesity, etc.). The results showed that ADL, MMRC score, MIP, MEP, PHQ-9 score improved in all subgroups with CRDs. Handgrip strength of left hand was increased in COPD inpatients and anxiety was improved in all subgroups except for ILDs. Comprehensive PR management was necessary and beneficial for patients with different CRDs during hospitalization.

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Conflict of interest statement

The authors have no conflicts of interest to disclose.

Figures

Figure 1.
Figure 1.
Scores of ADL and MMRC dyspnea scale pre-post PR program. ADL = ability of daily living, MMRC = modified medical research council.
Figure 2.
Figure 2.
Grip strength and maximal respiratory pressure pre-post PR program. PR = pulmonary rehabilitation.
Figure 3.
Figure 3.
Assessment of depression and anxiety pre-post PR program. PR = pulmonary rehabilitation.
Figure 4.
Figure 4.
Nutrition assessment pre-post PR program. PR = pulmonary rehabilitation.
See this image and copyright information in PMC

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