The relationship between a patient's dyspnoea and chronic pulmonary emphysema along with a psychogenic problem Chihiro Miyamae 1 , Yasuhito Sengoku 2 , Kaoru Hashimoto 3 , Yuji Nakamura 2 , Sonomi Nakajima 2 1Sapporo Miyanosawa Hospital 2School of Health Sciences, Sapporo Medical University 3Sapporo Tanaka Hospital Keyword: (慢性肺気腫) , (呼吸困難) , (心因的問題) , Chronic pulmonary emphysema , Dyspnoea , Psychogenic problem pp.357-363
Published Date 2007/8/15
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 In this study, we focused on the fear and insecurity of a patient with chronic pulmonary emphysema. The patient felt fear and insecurity with regard to difficulty of breathing, and it exacerbated dyspnea. We studied how the fear and insecurity influenced the dyspnoea, and the role of occupational therapists in respiratory rehabilitation.

 Furthermore, we evaluated the anxiety state, the extent of dyspnoea, the oxygen saturation of arterial blood, the environment of occupational therapy, and an episode and a comment on the day of exercise.

 The results were as follows : 1) as the insecurity state of the patient became stronger, dyspnea symptoms become worse. 2) In an undesirable therapy environment, the anxiety state of the patient was worsening.

 It was concluded that, not only the therapy for respiratory functioning was important for the patient, but also environmental considerations with regard to physical and mental function and psychological stress.

Copyright © 2007, Japanese Association of Occupational Therapists. All rights reserved.


電子版ISSN 印刷版ISSN 0289-4920 日本作業療法士協会