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조남옥 ( Cho Nam-Ok ) - 한국방송통신대학교 간호학과
박수원 ( Park Soo-Won ) - 국립재활원 간호과
김금순 ( Kim Keum-Soon ) - 서울대학교 간호대학
김선옥 ( Kim Sun-Ok ) - 국립재활원 간호과
김인자 ( Kim In-Ja ) - 대전대학교 간호학과
박송자 ( Park Song-Ja ) - 을지대학교 간호학과
박지원 ( Park Jee-Won ) - 아주대학교 간호대학
유경희 ( Yoo Kyung-Hee ) - 순천향대학교 의과대학 간호학과
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Abstract
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Purpose: This study was to investigate the effects of respiratory rehabilitation training on the respiratory functions of hospitalized cervical spinal cord injury patients.
Methods: One group pre and post test design was used. Subjects were 20 cervical spinal cord injury inpatients of the national rehabilitation center. Training program consisted of air cumulation training, manual assisted coughing training, and abdominal breathing. Trained rehabilitation nurse implemented 20 minutes program twice a day for 4 weeks. Respiratory function was measured as peak coughing flow rate, and perceived respiratory difficulty after activity on wheel chair for 30 minutes and during speaking and singing. Perceived respiratory difficulty was measured with modified Borg scale. Also content analysis was done with the result of open ended question about subjective feeling about training. All variables were measured 3 times before, 2weeks and 4 weeks after the program.
Results: Peak coughing flow rate significantly improved after compared to before training. Also all three perceived respiratory difficulty variables decreased significantly after training. In the content analysis, ’it’s easier to cough up phlegm’ was the most frequent answered subjective feeling. ’Sound at speaking and coughing became louder’,’respiratory volume increased’, and ’comfortable chest feeling’ were frequent answered subjective feeling, in order.
Conclusion: Although it is preliminary since no control group, respiratory rehabilitation training was found to be effective to improve respiratory function in terms of peak coughing flow rate, perceived respiratory difficulty, and subjective feeling. It is necessary further systemic research to investigate the effects of respiratory rehabilitation training.
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KeyWords
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경수손상환자, 호흡재활훈련, 호흡기능
Cervical spinal cord injury, Respiratory rehabilitation, Respiratory function
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원문 및 링크아웃 정보
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등재저널 정보
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