Document Detail

Chronic obstructive pulmonary disease: strategies to improve functional status.
MedLine Citation:
PMID:  9695894     Owner:  NLM     Status:  MEDLINE    
People with chronic obstructive pulmonary disease (COPD) experience deterioration in functional status, therefore improving functional status is a major goal of treatment. We reviewed interventions to improve functional status in people with COPD published from 1980 through September 1996. Randomized controlled clinical trials were reviewed to document outcomes in terms of functional capacity and functional performance for the following interventions: pharmacologic therapy including theophylline, inhaled bronchodilators, steroids, antianxiolytics and antidepressants; general exercise strategies including exercise training, exercise and comprehensive pulmonary rehabilitation, and upper extremity training; inspiratory muscle therapy including inspiratory muscle training and inspiratory muscle rest; nutritional therapy; oxygen therapy; and specialized nursing care. Improvements for functional capacity were documented in terms of strength of the inspiratory muscles and upper extremities, walking tests, and peak oxygen uptake. Most interventions were targeted to enhance functional capacity, and few were aimed at enhancing functional performance. Further research is needed to examine the relationship between functional capacity and functional performance and to design and test interventions to improve functional performance.
J L Larson; N K Leidy
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Annual review of nursing research     Volume:  16     ISSN:  0739-6686     ISO Abbreviation:  Annu Rev Nurs Res     Publication Date:  1998  
Date Detail:
Created Date:  1998-10-07     Completed Date:  1998-10-07     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8406387     Medline TA:  Annu Rev Nurs Res     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  253-86     Citation Subset:  IM; N    
College of Nursing, University of Illinois at Chicago, USA.
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MeSH Terms
Lung Diseases, Obstructive / nursing*,  rehabilitation*
Quality of Life*
Randomized Controlled Trials as Topic
United States

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