호흡재활을 위한 만성폐쇄성폐질환의 평가

The purpose of this study is to suggest that evaluation methods of evidence-based studies should be used for effective treatment in respiratory rehabilitation. The spirometry should be used for measurement of pulmonary function with index of forced vital capacity (FVC) and forced expiratory volume in 1 second (FEVi). The 6-minutes walking test and Shuttle walk test could be measured for patient’ s exercise capacity in the program of pulmonary rehabilitation. The modified Borg’ s scale could be assessed by interview with patients for their dyspnea and fatigue during active daily living or functional activities. The chronic obstructive pulmonary disease assessment test (CAT), chronic respiratory questionnaire (CRQ), medical outcomes study short form (SF-36), Saint George’ s respiratory questionnaire (SGRQ) could be checked for patient’ s quality of life. The maximal expiratory pressure (MEP) and maximal inspiratory pressure (MIP) must be measured for respiratory muscle strength and extremity strength could be checked with manual muscle test (MMT) or dynamometer in case of necessity. The psycho—social aspect would be assessed by the fear avoidance belief questionnaire (FABQ) and patient’ s depression, anxiety, aggravating factors, hospitalization period and etc. might be checked for developing treatment in program of pulmonary rehabilitation.