고령 소세포 폐암 환자에서 호흡재활과 자가운동이 신체기능 유지에 미치는 장기적 효과: 79세 환자 5년 경과 사례 분석

• 영문명: Long-term Effects of Pulmonary Rehabilitation and Self-Exercise on the Physical Function of an Older Adult with Small Cell Lung Cancer: A 5-Year Case Study of a 79-Year-Old
• 발행기관: 대한심장호흡물리치료학회
• 저자명: 박태성(Tae Sung Park) 홍초희(Cho Hui Hong) 정종화(Jong-Hwa Jeong) 장명훈(Myung Hun Jang) 이병주(Byeong-Ju Lee) 신명준(Myung-Jun Shin) 김상훈(Sang Hun Kim)
• 간행물 정보: 『대한심장호흡물리치료학회지』제13권 제1호, 1~6쪽, 전체 6쪽
• 주제분류: 의약학 > 재활의학
• 파일형태: PDF
• 발행일자: 2025.03.31

국문 초록

Purpose: This case report aimed to share the long-term follow-up results of an older patient with small cell lung cancer (SCLC), focusing on the challenges and benefits of pulmonary rehabilitation (PR). Methods: A 79-year-old patient with limited-stage SCLC and chronic obstructive pulmonary disease (COPD) received chemoradiotherapy and participated in 15 PR sessions over 2 months, followed by self-exercise and management education, including inspiratory muscle training (IMT), during outpatient visits over 38 months. Physical function was assessed eight times during follow-up. Results: The initial evaluation revealed forced vital capacity at 45.9%, forced expiratory volume in 1 s at 43.3%, maximal inspiratory pressure of 30 cmH2O, maximal expiratory pressure of 84 cmH2O, and a 6-min walk test (6MWT) distance of 497 m. After the acute exacerbation of COPD and SCLC symptoms, the patient’s respiratory muscle strength and body composition improved, and the 6MWT distance was well maintained above 350 m. Conclusion: This case demonstrates that even IMT and self-management education in an outpatient setting can help maintain long-term physical function in older patients with SCLC. PR programs are crucial for improving the quality of life and physical function of these patients.

목차

Ⅰ. 서 론

Ⅱ. 연구 방법

Ⅲ. 연구결과

Ⅳ. 고 찰

Ⅴ. 결 론

참고문헌

키워드

Chronic Obstructive Pulmonary Disease Inspiratory Muscle Training Older Adults Small Cell Lung Cancer