Comparison of effects of pulmonary rehabilitation on depression and anxiety at different stages in patients with chronic obstructive pulmonary disease / 天津医药

ABSTRACT

Objective To observe the effects of pulmonary rehabilitation (PR) on depression and anxiety at different stages of chronic obstructive pulmonary disease (COPD) patients. Methods Ninety-seven COPD patients hospitalized in Department of Respiratory Intensive Care Unit, Tianjin Chest Hospital, were randomly divided into two groupscontrol group (n=39) and acute exacerbation COPD (AECOPD) group (n=58). Patients in both groups were assessed for baseline date when symptoms were improved from acute phase (T1). Then patients in control group were received pharmaco-therapy and rehabilitation publicity without PR. When symptoms was relieved and stable (T2), patients were given 12-week PR (T3). The Beck depression inventory (BDI) scores and State-Trait Anxiety Inventory (STAI) scores were observed in both groups respectively. Results There were no statistics differences in baseline data in both groups (P>0.05). In control group, the BDI score was significantly lower at T3 than that of T1 and T2 (F=5.309, P0.05). Similarly in AECOPD group, the BDI score was significantly lower at T2 than that of T1 (t=3.612, P0.05). At T2 the BDI score was significantly lower in AECOPD group than that of control group, and also which was lower than that of T 3 of control group (P0.05). The STAI score was significantly lower in T2 than that of T1 in AECOPD group (t=5.091, P0.05). There was significantly lower STAI score at T2 in AECOPD group than that of control group (P0.05). Conclusion Pulmonary rehabilitation at early stage may reduce the degree of depression and anxiety in AECOPD patients.