科研之友
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摘要
objective: to assess the 24-month effects of a pulmonary rehabilitation program (prp) on anxiety, depression, quality of life and physical performance of copd patients. methods: thirty patients with copd (mean age, 60.8 ㊣ 10 years; 70% males) participated in a 12-week prp, which included 24 physical exercise sessions, 24 respiratory rehabilitation sessions, 12 psychotherapy sessions and 3 educational sessions. all patients were evaluated at baseline (pre-prp), at the end of the treatment (post-prp) and two years later (current) by means of four instruments: the beck anxiety inventory; the beck depression inventory; saint george%26apos;s respiratory questionnaire; and the six-minute walk test (6mwt). results: the comparison between the pre-prp and post-prp values revealed a significant decrease in the levels of anxiety (pre-prp: 10.7 ㊣ 6.3; post-prp: 5.5 ㊣ 4.4; p = 0.0005) and depression (pre-prp: 11.7 ㊣ 6.8; post-prp: 6.0 ㊣ 5.8; p = 0.001), as well as significant improvements in the distance covered on the 6mwt (pre-prp: 428.6 ㊣ 75.0 m; post-prp: 474.9 ㊣ 86.3 m; p = 0.03) and the quality of life index (pre-prp: 51.0 ㊣ 15.9; post-prp: 34.7 ㊣ 15.1; p = 0.0001). there were no statistically significant differences between the post-prp and current evaluation values. conclusions: the benefits provided by the prp in terms of the indices of anxiety, depression and quality of life, as well as the improved 6mwt performance, persisted throughout the 24-month study period.
