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Journal of Integrative Nursing ›› 2024, Vol. 6 ›› Issue (1): 3-14.doi: 10.4103/jin.jin_153_23

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The effect of traditional Chinese medicine rehabilitation exercise (pulmonary Daoyin) in patients with chronic obstructive pulmonary disease: A systematic review and meta-analysis

Yuyin CHEN1, Yuhua QIU2, Kaimin ZHOU2, Ruyi TAN1, Wanlin PENG1, Xiuhong LONG3, Meijiang CHEN2   

  1. 1School of Nursing, Guangxi University of Chinese Medicine, Nanning, China; 2Department of Respiratory Disease, Ruikang Hospital Affiliated to Guangxi University of Chinese Medicine, Nanning, China; 3Department of Nursing, Ruikang Hospital Affiliated to Guangxi University of Chinese Medicine, Nanning, China
  • Online:2024-03-27 Published:2024-03-29
  • Contact: Prof. Xiuhong LONG,Department of Nursing, Ruikang Hospital Affiliated to Guangxi University of Chinese Medicine, 10 Huadong Road, Nanning, Guangxi Zhuang Autonomous Region, China. E‑mail: longxh@gxtcmu.edu.cn Meijiang CHEN, Department of Respiratory Disease, Ruikang Hospital Affiliated to Guangxi University of Chinese Medicine, 10 Huadong Road, Nanning, Guangxi Zhuang Autonomous Region, China. E‑mail: m245554689@126.com
  • Supported by:
    This research was funded by the Traditional Chinese Medicine Appropriate Technology Development and Promotion Project of Guangxi province (GZSY23-41), the Administration of Traditional Chinese Medicine of Guangxi Self-funded Research Projects (GXZYA20230107), and the Administration of Traditional Chinese Medicine of Guangxi Self-funded Research Projects (GXZYA20220095).

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Abstract:  

Objective: Previous research has demonstrated that pulmonary Daoyin could be an efficacious way to ameliorate the physical and psychological state of sufferers with chronic obstructive pulmonary disease (COPD) and bolster the quality of life. However, the results are not consistent. Thus, the objective of this research is to assess the impacts of pulmonary Daoyin in individuals with COPD.
Methods: Relevant articles were searched in Web of Science, Cochrane Library, PubMed, EMBASE, SinoMed, CNKI, Wanfang, and VIP from database inception to January 2024.
Results: There were a total of 15 randomized controlled trials (RCTs) included in this meta-analysis involving 1732 patients, of which 864 participated in the intervention group and 868 in the control group. When comparing with the control group, the COPD patients practicing pulmonary Daoyin demonstrated a significant improvement in 6 min walking distance (mean difference [MD] = 24.53, 95% confidence interval [CI] [18.55, 30.52], P <0.00001), forced expiratory volume in the 1 s (FEV1 ) (MD = 0.39, 95% CI [0.18, 0.59], P = 0.0002), percentage of FEV1 to the predicted value (FEV1 %) (MD = 5.35, 95% CI [3.22, 7.48], P < 0.0001), the forced vital capacity (FVC) (MD = 0.39, 95% CI [0.06, 0.73], P = 0.02), percentage of FVC to the predicted value (FVC%) (MD = 7.52, 95% CI [4.91, 10.13], P < 0.00001), the ratio of FEV1 /FVC (MD = 4.95, 95% CI [0.91, 8.99], P = 0.02), peak expiratory flow rate (standardized MD = 0.98, 95% CI [0.74, 1.22], P < 0.00001), modified Medical Research Council (mMRC) scale (MD= -0.47, 95% CI [-0.89, -0.04], P=0.03), and Borg scale (MD =-0.65, 95% CI [-0.75, -0.55], P < 0.00001).
Conclusions: Our findings may illuminate the influence of pulmonary Daoyin on exercise ability, breathlessness, and pulmonary function in COPD patients. More rigorous RCTs with larger samples and longer?term interventions will be required moving forward.

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