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...
Saved in:
Published in | Nihon Rōnen Igakkai zasshi Vol. 43; no. 5; pp. 630 - 634 |
---|---|
Main Authors | , , , |
Format | Journal Article |
Language | Japanese |
Published |
Japan
The Japan Geriatrics Society
2006
|
Subjects | |
Online Access | Get full text |
ISSN | 0300-9173 |
DOI | 10.3143/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 |