本研究目的在探討肺部復健運動訓練對肺葉切除患者在生理、活動能力、心理及生活品質之成效，採實驗研究設計（Experimental Design），收案時間自95年11月至96年6月，研究對象為南部某醫學中心接受肺葉切除手術後病患，以立意取樣選取14位符合收案條件之病人，取得病人同意後以隨機分派至實驗組與對照組，實驗組病患於術後第一天開始進行肺部復健之運動訓練，對照組病患則不提供運動訓練計劃。生理狀態包括呼吸功能及活動能力，其中以肺功能測試了解呼吸功能，六分鐘步行距離了解活動能力；心理狀態包括焦慮指數及生活品質，其中以焦慮量表了解焦慮指數，並以「台灣版世界衛生組織生活品質問卷」量表測量生活品質。於術前一天、術後第一個月、第二個月及第三個月接受肺功能、六分鐘步行距離、焦慮量表及生活品質量表測量，而術後一週接受六分鐘步行距離測試。研究資料以SPSS For Windows 13.0版套裝軟體進行建檔及資料分析，以描述性統計、Chi-square test及Wilcoxon-Mann-Whitney test進行檢定。本研究結果發現肺葉切除術後病患經肺部復健運動訓練方案介入，肺功能方面實驗組術後第2月FVC與術前比較下降幅度明顯小於對照組，亦即實驗組的肺功能FVC恢復程度優於對照組。心理焦慮方面實驗組術後第1、2月焦慮指數明顯低於術前，而對照組則高於術前，亦顯示該方案有助於降低此類病人心理焦慮。生活品質心理範疇方面術後第2月實驗組自覺心理生活品質高於術前，而對照組卻低於術前。

The aim of this study is to explore the effectiveness of pulmonary rehabilitation exercise training on physical and activity ability and psychological function and quality of life in patients after lung lobectomy. A experimental design was used. Purposive sampling was adopted to include fourteen patients from a medical center in southern Taiwan. Fourteen patients were recruited as control group and experimental group with random assignment. Patients in the experimental group received the planned exercise training the first day post surgery. The control group received standard post-lobectomy care which did not include the planned exercise training. Both groups were measured pulmonary function, distance of six-minutes’ walk, anxiety score and quality of life before operation, and the first month, the second month and the third month after operation. Both groups were measured distance of six-minutes’ walk at one week after operation. Software SPSS for Windows version 13.0 will be used to analyze the data through descriptive statistic, Chi-square test and Wilcoxon-Mann-Whitney test. The results of this study showed that the patients in the experimental group had significant improvement in FVC of pulmonary function in the second month post operation, and anxiety degree had significant decreased in. the first month and the second month post operation, and the psychological domain of life quality had significant improvement in the second month post operation. The experimental group patients had recovered significant better than the control group patients. The results of this study can help us to develop an evidence-based effective rehabilitation exercise program for lung lobecomy patients.

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