The Effectiveness of Tai Chi Qigong Program on Functional Capacity, Lung Function, and Quality of Life in Patients with Chronic Obstructive Pulmonary Disease
Chronic obstructive pulmonary disease (COPD) is one of the most important public health problems worldwide. The World Health Organization (WHO) predicted that COPD will be ranks as the 5th Disability-Adjusted Life Years (DALYs) and the third-leading cause of global death by 2030. Chronic obstruct...
Saved in:
| Main Author: | |
|---|---|
| Other Authors: | |
| Format: | Theses and Dissertations |
| Language: | English |
| Published: |
เชียงใหม่ : บัณฑิตวิทยาลัย มหาวิทยาลัยเชียงใหม่
2020
|
| Online Access: | http://cmuir.cmu.ac.th/jspui/handle/6653943832/69741 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| Institution: | Chiang Mai University |
| Language: | English |
| Summary: | Chronic obstructive pulmonary disease (COPD) is one of the most important public
health problems worldwide. The World Health Organization (WHO) predicted that COPD
will be ranks as the 5th Disability-Adjusted Life Years (DALYs) and the third-leading cause
of global death by 2030. Chronic obstructive pulmonary disease (COPD) becomes
burdensome and reduces quality of life in both COPD patients and their family.
Understanding the associations between these factors and quality of life could improve the
care process and treatment of these patients. Although the beneficial effect of exercise on the
health of Chronic Obstructive Pulmonary Disease (COPD) patients has been widely
demonstrated, that of Tai Chi Qigong (TCQ), as an alternative exercise, has been
inconclusive.
Phase 1, a total of 281 COPD patients were included in this study. They were analyzed
by spirometry measurement, dyspnea score of the modified Medical Research Council;
mMRC, and the distance of six-minute walk test (6MWT), and quality of life was assessed by the St. George’s Respiratory Questionnaire (SGRQ). The result showed that the total
SGRQ score was 42.1±17.4. and lung function was moderate stage of COPD.
Phase 2, a total of 50 patients with mild and moderate degree of COPD were recruited
and randomly assigned to either the TCQ (n = 25) or control group (n = 25). The TCQ group
completed 12-week center-and 12-week home-based training. The control group attended a
meeting class once a week for 12 weeks. Outcome measures were assessed at baseline, and
the 6th, 12th and 24th week. The primary outcomes were functional capacity (6-minute walk
test; 6MWT) and lung function. The secondary outcomes were dyspnea score and quality of
life. The TCQ group demonstrated significant improvement in functional capacity at week
12 and 24 (p < 0.05) and dyspnea score and quality of life at week 6, 12 and 24 when
compared to baseline. Functional capacity, forced expiratory volume in one second (FEV1),
dyspnea score, and quality of life were significantly better in the TCQ group from week 6 to
week 24 when compared to the control group (p < 0.05). Combined center-and home-based
TCQ training for patients with mildly and moderately severe COPD is effective in improving
functional capacity, dyspnea score, and quality of life. |
|---|