보호자에 대한 폐재활 교육프로그램이 폐암 환자의 폐절제술 후 폐기능과 호흡근 근력, 호흡곤란, 통증에 미치는 효과

The Effect of Pulmonary Rehabilitation Education Program for Caregiver on Pulmonary Function and Respiratory Muscular Strength and Dyspnea and Pain With Lung Cancer Patient After Lung Resection

Purpose : The purpose of this study was to evaluate effects of Pulmonary Rehabilitation Education Program for caregivers of patients undergoing lung resection surgery. Methods：Subjects with lung resection using Visual Assisted Thoracotomy(VATs) were consist of control group 19 and experimental group 22. The subjects averaged 60.22±10.89 years in age, 163.01±8.77 cm in height, 61.39±11.35 kg in weight and 23.01±3.34 in BMI. Experimental group received pulmonary rehabilitation education program for caregivers during the control group received usual care for 4 weeks. We assessed subjects at 2 weeks after surgery(baseline) and 6 weeks after surgery(4 weeks). We measured Forced vital capacity (FVC) and Foced expiratory volume in 1 second(FEV1) for the evaluation of pulmonary function, Maximal inspiratory pressure(MIP) and Maximal expiratory pressure(MEP) for the evaluation of respiratory muscular strength, Modified Dyspnea Borg Scale for evaluation of dyspnea, Visual Analogue Scale for evaluation of pain. Results：The pulmonary function(FVC, FEV1) of Experimental group were statistically significantly increased as compared to control group( p <.01). the pulmonary muscular strength(MIP and MEP) of experimental group were shown statistically significantly increased as compared to control group, But not shown statistically significant differences according in relation to the flow of time and group. Both VAS and Modified Borg Scale were shown significant differences at 4 weeks, as compared to baseline, but not shown statistically significant differences according in relation to the flow of time and group. Conclusion：Pulmonary Rehabilitation Education Program for caregiver has positive effects on improving pulmonary function with lung cancer patients after lung resection.