The effects of a respiratory education class on psychological status for patients with chronic respiratory disease

Aim: To educate patients with chronic respiratory disease about respiratory diseases and pulmonary rehabilitation, a respiratory education class was held for patients with chronic respiratory diseases and their families. In this study, we evaluated the psychological effects of the class. Methods: Th...

Full description

Saved in:
Bibliographic Details
Published inNihon Rōnen Igakkai zasshi Vol. 43; no. 5; pp. 630 - 634
Main Authors Sudo, Eiichi, Kitagawa, Tsunemi, Kitade, Hiroaki, Kawaguchi, Minoru
Format Journal Article
LanguageJapanese
Published Japan The Japan Geriatrics Society 2006
Subjects
Online AccessGet full text
ISSN0300-9173
DOI10.3143/geriatrics.43.630

Cover

Abstract Aim: To educate patients with chronic respiratory disease about respiratory diseases and pulmonary rehabilitation, a respiratory education class was held for patients with chronic respiratory diseases and their families. In this study, we evaluated the psychological effects of the class. Methods: The respiratory education class was held twice during the 2-year period (2002-2004) while the physician specializing in geriatric and respiratory diseases worked at the hospital. Before, during, and one year after the class, we investigated the mental and physical condition in 24 chronic respiratory patients (aged 72.7±1.3 years) using the State-Trait Anxiety Inventory (STAI) to measure anxiety, the Self Rating Depression Scale (SDS) to evaluate depressive state, and the General Self-Efficacy Scale (GSES) to evaluate self efficacy. Results: Before, during, and one year after the class, the mean STAI scores were 39.2±2.5, 40.0±2.5, and 39.4±2.7, the mean SDS scores were 37.6±2.2, 37.0±2.0, and 38.0±2.0, and the mean GSES scores were 7.4±0.7, 8.0±0.8, and 8.6±0.8, respectively. No statistically significant difference was observed for scores on the STAI, SDS between the time points. The score during the class significantly (p<0.05) increased compared to the score before the class, and remained significantly increased one year after the class on the GSES. Conclusion: These results suggest that conducting a respiratory education class might be beneficial for patients with chronic respiratory disease.
AbstractList Aim: To educate patients with chronic respiratory disease about respiratory diseases and pulmonary rehabilitation, a respiratory education class was held for patients with chronic respiratory diseases and their families. In this study, we evaluated the psychological effects of the class. Methods: The respiratory education class was held twice during the 2-year period (2002-2004) while the physician specializing in geriatric and respiratory diseases worked at the hospital. Before, during, and one year after the class, we investigated the mental and physical condition in 24 chronic respiratory patients (aged 72.7±1.3 years) using the State-Trait Anxiety Inventory (STAI) to measure anxiety, the Self Rating Depression Scale (SDS) to evaluate depressive state, and the General Self-Efficacy Scale (GSES) to evaluate self efficacy. Results: Before, during, and one year after the class, the mean STAI scores were 39.2±2.5, 40.0±2.5, and 39.4±2.7, the mean SDS scores were 37.6±2.2, 37.0±2.0, and 38.0±2.0, and the mean GSES scores were 7.4±0.7, 8.0±0.8, and 8.6±0.8, respectively. No statistically significant difference was observed for scores on the STAI, SDS between the time points. The score during the class significantly (p<0.05) increased compared to the score before the class, and remained significantly increased one year after the class on the GSES. Conclusion: These results suggest that conducting a respiratory education class might be beneficial for patients with chronic respiratory disease.
To educate patients with chronic respiratory disease about respiratory diseases and pulmonary rehabilitation, a respiratory education class was held for patients with chronic respiratory diseases and their families. In this study, we evaluated the psychological effects of the class. The respiratory education class was held twice during the 2-year period (2002-2004) while the physician specializing in geriatric and respiratory diseases worked at the hospital. Before, during, and one year after the class, we investigated the mental and physical condition in 24 chronic respiratory patients (aged 72.7 +/- 1.3 years) using the State-Trait Anxiety Inventory (STAI) to measure anxiety, the Self-Rating Depression Scale (SDS) to evaluate depressive state, and the General Self-Efficacy Scale (GSES) to evaluate self-efficacy. Before, during, and one year after the class, the mean STAI scores were 39.2 +/- 2.5, 40.0 +/- 2.5, and 39.4 +/- 2.7, the mean SDS scores were 37.6 +/- 22, 37.0 +/- 2.0, and 38.0 +/- 2.0, and the mean GSES scores were 7.4 +/- 0.7, 8.0 +/- 0.8, and 8.6 +/- 0.8, respectively. No statistically significant difference was observed for scores on the STAI, SDS between the time points. The score during the class significantly (p < 0.05) increased compared to the score before the class, and remained significantly increased one year after the class on the GSES. These results suggest that conducting a respiratory education class might be beneficial for patients with chronic respiratory disease.
To educate patients with chronic respiratory disease about respiratory diseases and pulmonary rehabilitation, a respiratory education class was held for patients with chronic respiratory diseases and their families. In this study, we evaluated the psychological effects of the class.AIMTo educate patients with chronic respiratory disease about respiratory diseases and pulmonary rehabilitation, a respiratory education class was held for patients with chronic respiratory diseases and their families. In this study, we evaluated the psychological effects of the class.The respiratory education class was held twice during the 2-year period (2002-2004) while the physician specializing in geriatric and respiratory diseases worked at the hospital. Before, during, and one year after the class, we investigated the mental and physical condition in 24 chronic respiratory patients (aged 72.7 +/- 1.3 years) using the State-Trait Anxiety Inventory (STAI) to measure anxiety, the Self-Rating Depression Scale (SDS) to evaluate depressive state, and the General Self-Efficacy Scale (GSES) to evaluate self-efficacy.METHODSThe respiratory education class was held twice during the 2-year period (2002-2004) while the physician specializing in geriatric and respiratory diseases worked at the hospital. Before, during, and one year after the class, we investigated the mental and physical condition in 24 chronic respiratory patients (aged 72.7 +/- 1.3 years) using the State-Trait Anxiety Inventory (STAI) to measure anxiety, the Self-Rating Depression Scale (SDS) to evaluate depressive state, and the General Self-Efficacy Scale (GSES) to evaluate self-efficacy.Before, during, and one year after the class, the mean STAI scores were 39.2 +/- 2.5, 40.0 +/- 2.5, and 39.4 +/- 2.7, the mean SDS scores were 37.6 +/- 22, 37.0 +/- 2.0, and 38.0 +/- 2.0, and the mean GSES scores were 7.4 +/- 0.7, 8.0 +/- 0.8, and 8.6 +/- 0.8, respectively. No statistically significant difference was observed for scores on the STAI, SDS between the time points. The score during the class significantly (p < 0.05) increased compared to the score before the class, and remained significantly increased one year after the class on the GSES.RESULTSBefore, during, and one year after the class, the mean STAI scores were 39.2 +/- 2.5, 40.0 +/- 2.5, and 39.4 +/- 2.7, the mean SDS scores were 37.6 +/- 22, 37.0 +/- 2.0, and 38.0 +/- 2.0, and the mean GSES scores were 7.4 +/- 0.7, 8.0 +/- 0.8, and 8.6 +/- 0.8, respectively. No statistically significant difference was observed for scores on the STAI, SDS between the time points. The score during the class significantly (p < 0.05) increased compared to the score before the class, and remained significantly increased one year after the class on the GSES.These results suggest that conducting a respiratory education class might be beneficial for patients with chronic respiratory disease.CONCLUSIONThese results suggest that conducting a respiratory education class might be beneficial for patients with chronic respiratory disease.
Author Kitagawa, Tsunemi
Sudo, Eiichi
Kawaguchi, Minoru
Kitade, Hiroaki
Author_xml – sequence: 1
  fullname: Sudo, Eiichi
  organization: Department of Internal Medicine, Atami Hospital of International University of Health and Welfare
– sequence: 1
  fullname: Kitagawa, Tsunemi
  organization: Department of Rehabilitation, Atami Hospital of International University of Health and Welfare
– sequence: 1
  fullname: Kitade, Hiroaki
  organization: Department of Rehabilitation, Atami Hospital of International University of Health and Welfare
– sequence: 1
  fullname: Kawaguchi, Minoru
  organization: Department of Internal Medicine, Atami Hospital of International University of Health and Welfare
BackLink https://www.ncbi.nlm.nih.gov/pubmed/17073294$$D View this record in MEDLINE/PubMed
BookMark eNpVkU1v1DAQhn0ooqX0B3BBPnHbxV7HzvqIKj5ViUs5R5PJeGOUjYPHEdp_j6stLVxmNNLzvId5X4mLOc0kxButtkY35v2BcoSSI_K2MVtn1IW4UkapjdetuRQ3zLFXdt_4xjn1UlzqVrVm55srke9HkhQCYWGZggSZiZeYoaR8kjSsCCWmWeIEXIFZLnzCMU3pEBEmyQXKyjKkLJcK0lxTfscyShxzmiP-lzZEJmB6LV4EmJhuHve1-PHp4_3tl83d989fbz_cbXDnVamz7_s99o3btW2rlbKDttRrGGxo7bAfwNHO68ai0WhCG5TZUw_eoAvoHZhr8e6cu-T0ayUu3TEy0jTBTGnlznmlrVO2gm8fwbU_0tAtOR4hn7q_X6qAPgOYE3Om8Iyo7qGA7rmArl61gOp8Ozs_648O9GRALhEn-sfQ3jUPlj2PKj9BOELuaDZ_AL6lmzk
ContentType Journal Article
Copyright The Japan Geriatrics Society
Copyright_xml – notice: The Japan Geriatrics Society
DBID AAYXX
CITATION
CGR
CUY
CVF
ECM
EIF
NPM
7X8
DOI 10.3143/geriatrics.43.630
DatabaseName CrossRef
Medline
MEDLINE
MEDLINE (Ovid)
MEDLINE
MEDLINE
PubMed
MEDLINE - Academic
DatabaseTitle CrossRef
MEDLINE
Medline Complete
MEDLINE with Full Text
PubMed
MEDLINE (Ovid)
MEDLINE - Academic
DatabaseTitleList
MEDLINE
MEDLINE - Academic
Database_xml – sequence: 1
  dbid: NPM
  name: PubMed
  url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed
  sourceTypes: Index Database
– sequence: 2
  dbid: EIF
  name: MEDLINE
  url: https://proxy.k.utb.cz/login?url=https://www.webofscience.com/wos/medline/basic-search
  sourceTypes: Index Database
DeliveryMethod fulltext_linktorsrc
Discipline Medicine
EndPage 634
ExternalDocumentID 17073294
10_3143_geriatrics_43_630
article_geriatrics1964_43_5_43_5_630_article_char_en
Genre English Abstract
Journal Article
GroupedDBID 123
2WC
ALMA_UNASSIGNED_HOLDINGS
CS3
F5P
JSF
KQ8
OK1
RJT
AAYXX
CITATION
CGR
CUY
CVF
ECM
EIF
NPM
7X8
ID FETCH-LOGICAL-c290t-c2bbb8cb4627771005d15eb1ad5f75d8da6e29145c31c3f7f038eba93c6fc96a3
ISSN 0300-9173
IngestDate Fri Jul 11 07:52:22 EDT 2025
Wed Feb 19 02:34:53 EST 2025
Tue Jul 01 00:44:03 EDT 2025
Wed Sep 03 06:30:16 EDT 2025
IsDoiOpenAccess true
IsOpenAccess true
IsPeerReviewed false
IsScholarly true
Issue 5
Language Japanese
LinkModel OpenURL
MergedId FETCHMERGED-LOGICAL-c290t-c2bbb8cb4627771005d15eb1ad5f75d8da6e29145c31c3f7f038eba93c6fc96a3
Notes ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Feature-1
content type line 23
OpenAccessLink https://www.jstage.jst.go.jp/article/geriatrics1964/43/5/43_5_630/_article/-char/en
PMID 17073294
PQID 69015605
PQPubID 23479
PageCount 5
ParticipantIDs proquest_miscellaneous_69015605
pubmed_primary_17073294
crossref_primary_10_3143_geriatrics_43_630
jstage_primary_article_geriatrics1964_43_5_43_5_630_article_char_en
ProviderPackageCode CITATION
AAYXX
PublicationCentury 2000
PublicationDate 2006-00-00
PublicationDateYYYYMMDD 2006-01-01
PublicationDate_xml – year: 2006
  text: 2006-00-00
PublicationDecade 2000
PublicationPlace Japan
PublicationPlace_xml – name: Japan
PublicationTitle Nihon Rōnen Igakkai zasshi
PublicationTitleAlternate Nippon Ronen Igakkai Zasshi
PublicationYear 2006
Publisher The Japan Geriatrics Society
Publisher_xml – name: The Japan Geriatrics Society
References 14) 川城丈夫, 三嶋理晃 (座長):「呼吸器領域の医師不足をいかに解消するか」(シンポジウム) 第46回日本呼吸器学会学術講演会 (会長工藤翔二), 東京, 2006年6月.
6) 坂野雄二, 東條光彦: 一般性セルフ・エフィカシー尺度作成の試み. 行動療法研究 1986; 12: 73-82.
9) Medical Section of American Lung Association: Plumonary rehabilitation-1999. Am J Respir Crit Care Med 1999; 59: 1662-1682.
15) NHLBI/WHO Workshop report: Global initiative for chronic obstructive lung disease. Global strategy for the diagnosis, management, and prevention of chronic obstructire pulmonary disease. Official publication of National Institute of Health, National Heart, Lung, and Blood Institute, 2001.
23) Griffiths TL, Burr ML, Campbell IA, Lewis-Jenkins V, Mullins J, Shiels K, et al.: Results at 1 year of outpatient multidisciplinary pulmonary rehabilitation: a randomised controlled trial. Lancet 2000; 335: 362-368.
17) 真部紀明, 有田健一, 江島剛, 大道和宏, 今岡尚子, 徳本久仁子ほか: 在宅酸素療法患者の心理的特徴と同療法実施上の問題点に関する検討. 日呼管誌 1995; 5: 96-100.
4) 曽我祥子: 不安アセスメント. 心理アセスメントハンドブック (上里一郎監修), 西村書店, 新潟, 2001, p287-295.
21) 安部幹雄, 小山昌三, 中澤弘企, 山本理真子, 中村晶子, 堀江孝至: 呼吸リハビリテーションの現状と将来呼吸リハビリテーションの心理的影響とQOLへの効果. 日呼管誌 1999; 8: 207-212.
20) 濱崎広子, 小川智也, 渡辺文子, 谷口博之, 近藤康博, 西山理ほか: 呼吸教室の実施効果-心理的効果に着目して-. 日呼管誌 2003; 13: 266.
24) Fukuchi Y, Nishimura M, Ichinose M, Adachi M, Nagai A, Kuriyama T, et al.: COPD in Japan: the Nippon COPD Epidemiology study. Respirology 2004; 9: 458-465.
18) 須藤英一, 田沼志保, 原口奈美, 小林力, 高橋義彦, 吉田章ほか: 包括的呼吸リハビリテーション導入により自宅退院後の在宅療養が可能となった慢性閉塞性肺疾患 (COPD) の1例. 日老医誌 2002; 39: 439-443.
8) Fishman AP: Pulmonary rehabilitation research. Am J Respir Crit Care Med 1994; 149: 825-833.
16) Lustig FM, Haas A, Castillo R: Clinical and rehabilitation regime in patients with chronic obstructive pulmonary diseases. Arch Phys Med Rehabil 1972; 53: 315-322.
12) 日本呼吸管理学会, 日本呼吸器学会, 日本理学療法士協会: 呼吸リハビリテーションマニュアル-運動療法-. 照林社, 東京, 2003.
22) Albert RK: Is pulmonary rehabilitation an effective treatment for chronic obstructive pulmonary disease?-No. Am J Respir Crit Care Med 1997; 155: 784-785.
1) Pulmonary rehabilitation: joint ACCP/AACVPR evidence-based guidelines. ACCP/AACVPR Pulmonary Rehabilitation Guidelines Panel. American College of Chest Physicians. American Association of Cardiovascular and Pulmonary Rehabilitation. Chest 1997; 112: 1363-1396.
7) 渡辺美樹子, 勝野久美子, 松本麻里, 宮崎宜子, 森下美加, 大池貴行ほか: 慢性呼吸器疾患患者に対する呼吸リハビリテーションの心理面への効果. 日呼管誌 2003; 12: 364-369.
19) 山本理真子, 中村晶子, 小山昌三, 大森千春, 斎藤修, 村上正人ほか: HOT患者の旅行における心理的変化. 日呼管誌 2001; 10: 381-385.
10) 木田厚瑞: 包括的呼吸リハビリテーション-チーム医療のためのマニュアル. メディカルレビュー社, 東京, 1998.
13) 木村弘, 栂博久, 井上洋西, 岩永知秋, 河野修興, 橋本修ほか: わが国における呼吸器内科医師の実態に関する調査報告. 日呼吸会誌 2006; 44: 312-318.
11) 日本呼吸管理学会呼吸リハビリテーションガイドライン作成委員会, 日本呼吸器学会ガイドライン施行管理委員会: 呼吸リハビリテーションに関するステートメント. 日呼管誌 2001; 11: 321-330.
2) 広瀬隆士: 心理医学検査. 厚生省特定疾患呼吸不全調査研究班平成7年度研究報告書 1996; 185-188.
3) 千住秀明: 呼吸理学療法の評価. 第3版呼吸リハビリテーション入門, 神陵文庫, 神戸, 1997, p47-86.
5) 染矢俊幸, 坂戸薫: 精神症状評価尺度. 心理アセスメントハンドブック (上里一郎監修), 西村書店, 新潟, 2001, p303-318.
References_xml – reference: 9) Medical Section of American Lung Association: Plumonary rehabilitation-1999. Am J Respir Crit Care Med 1999; 59: 1662-1682.
– reference: 10) 木田厚瑞: 包括的呼吸リハビリテーション-チーム医療のためのマニュアル. メディカルレビュー社, 東京, 1998.
– reference: 23) Griffiths TL, Burr ML, Campbell IA, Lewis-Jenkins V, Mullins J, Shiels K, et al.: Results at 1 year of outpatient multidisciplinary pulmonary rehabilitation: a randomised controlled trial. Lancet 2000; 335: 362-368.
– reference: 3) 千住秀明: 呼吸理学療法の評価. 第3版呼吸リハビリテーション入門, 神陵文庫, 神戸, 1997, p47-86.
– reference: 24) Fukuchi Y, Nishimura M, Ichinose M, Adachi M, Nagai A, Kuriyama T, et al.: COPD in Japan: the Nippon COPD Epidemiology study. Respirology 2004; 9: 458-465.
– reference: 6) 坂野雄二, 東條光彦: 一般性セルフ・エフィカシー尺度作成の試み. 行動療法研究 1986; 12: 73-82.
– reference: 7) 渡辺美樹子, 勝野久美子, 松本麻里, 宮崎宜子, 森下美加, 大池貴行ほか: 慢性呼吸器疾患患者に対する呼吸リハビリテーションの心理面への効果. 日呼管誌 2003; 12: 364-369.
– reference: 15) NHLBI/WHO Workshop report: Global initiative for chronic obstructive lung disease. Global strategy for the diagnosis, management, and prevention of chronic obstructire pulmonary disease. Official publication of National Institute of Health, National Heart, Lung, and Blood Institute, 2001.
– reference: 14) 川城丈夫, 三嶋理晃 (座長):「呼吸器領域の医師不足をいかに解消するか」(シンポジウム) 第46回日本呼吸器学会学術講演会 (会長工藤翔二), 東京, 2006年6月.
– reference: 19) 山本理真子, 中村晶子, 小山昌三, 大森千春, 斎藤修, 村上正人ほか: HOT患者の旅行における心理的変化. 日呼管誌 2001; 10: 381-385.
– reference: 22) Albert RK: Is pulmonary rehabilitation an effective treatment for chronic obstructive pulmonary disease?-No. Am J Respir Crit Care Med 1997; 155: 784-785.
– reference: 4) 曽我祥子: 不安アセスメント. 心理アセスメントハンドブック (上里一郎監修), 西村書店, 新潟, 2001, p287-295.
– reference: 11) 日本呼吸管理学会呼吸リハビリテーションガイドライン作成委員会, 日本呼吸器学会ガイドライン施行管理委員会: 呼吸リハビリテーションに関するステートメント. 日呼管誌 2001; 11: 321-330.
– reference: 13) 木村弘, 栂博久, 井上洋西, 岩永知秋, 河野修興, 橋本修ほか: わが国における呼吸器内科医師の実態に関する調査報告. 日呼吸会誌 2006; 44: 312-318.
– reference: 5) 染矢俊幸, 坂戸薫: 精神症状評価尺度. 心理アセスメントハンドブック (上里一郎監修), 西村書店, 新潟, 2001, p303-318.
– reference: 16) Lustig FM, Haas A, Castillo R: Clinical and rehabilitation regime in patients with chronic obstructive pulmonary diseases. Arch Phys Med Rehabil 1972; 53: 315-322.
– reference: 18) 須藤英一, 田沼志保, 原口奈美, 小林力, 高橋義彦, 吉田章ほか: 包括的呼吸リハビリテーション導入により自宅退院後の在宅療養が可能となった慢性閉塞性肺疾患 (COPD) の1例. 日老医誌 2002; 39: 439-443.
– reference: 20) 濱崎広子, 小川智也, 渡辺文子, 谷口博之, 近藤康博, 西山理ほか: 呼吸教室の実施効果-心理的効果に着目して-. 日呼管誌 2003; 13: 266.
– reference: 1) Pulmonary rehabilitation: joint ACCP/AACVPR evidence-based guidelines. ACCP/AACVPR Pulmonary Rehabilitation Guidelines Panel. American College of Chest Physicians. American Association of Cardiovascular and Pulmonary Rehabilitation. Chest 1997; 112: 1363-1396.
– reference: 21) 安部幹雄, 小山昌三, 中澤弘企, 山本理真子, 中村晶子, 堀江孝至: 呼吸リハビリテーションの現状と将来呼吸リハビリテーションの心理的影響とQOLへの効果. 日呼管誌 1999; 8: 207-212.
– reference: 17) 真部紀明, 有田健一, 江島剛, 大道和宏, 今岡尚子, 徳本久仁子ほか: 在宅酸素療法患者の心理的特徴と同療法実施上の問題点に関する検討. 日呼管誌 1995; 5: 96-100.
– reference: 2) 広瀬隆士: 心理医学検査. 厚生省特定疾患呼吸不全調査研究班平成7年度研究報告書 1996; 185-188.
– reference: 12) 日本呼吸管理学会, 日本呼吸器学会, 日本理学療法士協会: 呼吸リハビリテーションマニュアル-運動療法-. 照林社, 東京, 2003.
– reference: 8) Fishman AP: Pulmonary rehabilitation research. Am J Respir Crit Care Med 1994; 149: 825-833.
SSID ssib058494660
ssj0055462
ssib002821993
ssib005879752
ssib000994798
ssib000940319
Score 1.7124196
Snippet Aim: To educate patients with chronic respiratory disease about respiratory diseases and pulmonary rehabilitation, a respiratory education class was held for...
To educate patients with chronic respiratory disease about respiratory diseases and pulmonary rehabilitation, a respiratory education class was held for...
SourceID proquest
pubmed
crossref
jstage
SourceType Aggregation Database
Index Database
Publisher
StartPage 630
SubjectTerms Aged
Anxiety - etiology
Breathing Exercises
Chronic respiratory disease
Female
Humans
Male
Patient Satisfaction
Psychological status
Pulmonary Disease, Chronic Obstructive - psychology
Pulmonary Disease, Chronic Obstructive - therapy
Pulmonary rehabilitation
Respiratory education class
Title The effects of a respiratory education class on psychological status for patients with chronic respiratory disease
URI https://www.jstage.jst.go.jp/article/geriatrics1964/43/5/43_5_630/_article/-char/en
https://www.ncbi.nlm.nih.gov/pubmed/17073294
https://www.proquest.com/docview/69015605
Volume 43
hasFullText 1
inHoldings 1
isFullTextHit
isPrint
ispartofPNX Nippon Ronen Igakkai Zasshi. Japanese Journal of Geriatrics, 2006/09/25, Vol.43(5), pp.630-634
journalDatabaseRights – providerCode: PRVAFT
  databaseName: Open Access Digital Library
  issn: 0300-9173
  databaseCode: KQ8
  dateStart: 19640101
  customDbUrl:
  isFulltext: true
  dateEnd: 99991231
  titleUrlDefault: http://grweb.coalliance.org/oadl/oadl.html
  omitProxy: true
  ssIdentifier: ssj0055462
  providerName: Colorado Alliance of Research Libraries
link http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1Jj9MwFLbKgBAXxE5ZfWA4UKWktbP4iKqOCswUgVppbpHtOJ3MiKS0jUDz63mOncZhEcvFShzHbfy-vn7O2xB64SseKMG4x7kMPZqpwItlSL04UzzjEaEs1bHDJ_NwtqTvToPTXu-b47VU7cRQXv4yruR_pAp9IFcdJfsPkt1PCh1wDPKFFiQM7V_L2HHI4IONYzhXjevGQGqGrK0C646207FEVZ2OocmuakPdpEmY25nNNeRYLjvPz2DOT-XhZHIY00IVg7crfnHB88ElfN5Z3tqb0vp97DTPZdv7Pt_ZlL-zfFMCj3UvrPjXmtQutlWhPreXoHulq7cYh_-i3FTdtxaOWiO-DyrWFDBpdLBJ1WSxFjgKNTRWmx8VPQGaB9JZaVnqSgbbISVDO7abVHv-ITlaHh8ni-np4uX6i6frjWm7vC2-cgVdHUfAUbQ5_6NDTBnV4V3OOaORszGFjar2fGw1WRyxKNgTRWB1Om-_33AC7Qpo7Vnm2Y19XT_F65-eocOQrp0DGFbq9_ufmgctbqGbdgOD3xg03ka9c34HXT-xLhp30QZAiS0ocZlhjh0Y4T0ocQ1KDAcdUGIDSgygxA0osQYltqDszGZBeQ8tj6aLycyzhT08OWb-DlohRCwFLEoU6fRSQToCjTHiaZBFQRqnPFRjNqKBJCNJsijzSawEZ0SGmWQhJ_fRQVEW6iHCPkvDUAiSjXhIpRRMxIorQimhsS9l1EevmsVM1iZ_SwL7Xr3ySbvyCZzByvfRxCz3fqj9aTtDdQI7PTwwDdy1H6TjJEEt9dHzRlYJ6GptgOOFKqttoou_wQ4j6KMHRoTtV4rgr3bM6KM_3vsY3WjfAj5BB7tNpZ4CL96JZzWEvwPUjb9z
linkProvider Colorado Alliance of Research Libraries
openUrl ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=The+effects+of+a+respiratory+education+class+on+psychological+status+for+patients+with+chronic+respiratory+disease&rft.jtitle=Nihon+Ro%CC%84nen+Igakkai+zasshi&rft.au=Sudo%2C+Eiichi&rft.au=Kitade%2C+Hiroaki&rft.au=Kitagawa%2C+Tsunemi&rft.au=Kawaguchi%2C+Minoru&rft.date=2006&rft.issn=0300-9173&rft.volume=43&rft.issue=5&rft.spage=630&rft_id=info:doi/10.3143%2Fgeriatrics.43.630&rft.externalDBID=NO_FULL_TEXT
thumbnail_l http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0300-9173&client=summon
thumbnail_m http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0300-9173&client=summon
thumbnail_s http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0300-9173&client=summon