EFFICIENCY OF PHYSICAL REHABILITATION OF PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE
DOI:
https://doi.org/10.29038/2220-7481-2017-03-173-179Keywords:
patients, chronic obstructive pulmonary disease, physical rehabilitation, function of external respiration, quality of lifeAbstract
The analysis of the effectiveness of physical rehabilitation of patients with chronic obstructive pulmonary disease is carried out. Chronic obstructive pulmonary disease remains one of the most important health problems. In medical, social and economic terms, it is one of the main causes of morbidity and mortality worldwide; people suffer from this disease for years and prematurely die of it or its complications. Chronic obstructive pulmonary disease has a significant negative impact on quality of life, imposing restraints on working capacity, normal physical activity, home occupations, social and family activities, and sleep patterns. The purpose of the research is to study the effectiveness of the proposed method of physical rehabilitation of patients with chronic obstructive pulmonary disease. A comparative analysis of the data of a survey of 162 patients with chronic obstructive pulmonary disease of moderate severity in the process of treatment and physical rehabilitation was conducted. Patients in control groups underwent treatment according to the protocol and rehabilitation according to the generally accepted method, and patients in treatment groups underwent treatment according to the protocol and rehabilitation according to the proposed method. The effectiveness of rehabilitation was assessed by determining changes in the function of external respiration and quality of life parameters during the study. The use of physical rehabilitation in patients with chronic obstructive pulmonary disease has led to an increase in functional capabilities of patients, which was shown by an increase in the mean values of the parameters of external respiration in the study group at the end of the study, which indicate its effectiveness. By virtue of application of the proposed program of physical rehabilitation, it became possible to achieve a significant increase in the overall quality of life and health in patients of the main group by increasing parameters in problem areas and sub-sectors. Physical rehabilitation should be recommended to patients with chronic obstructive pulmonary disease to help control symptoms, improve quality of life and increase physical activity.
References
Hryhus, I. & Maistruk, M. (2017). Zminy funktsionalnoho stanu khvorykh na khronichne obstruktyvne zakhvoriuvannia lehen u protsesi fizychnoi reabilitatsii [Changes in the functional status of patients with chronic obstructive pulmonary disease in the process of physical rehabilitation]. Visnyk Prykarpatskoho universytetu, Fizychna kultura, vyp. 25–26, 83–91.
Hryhus, I. M. (2015). Fizychna reabilitatsiia v pulmonolohii [Physical rehabilitation in pulmonology]. Rivne, NUVHP, 258.
Maistruk, M. I. (2015). Metodychni aspekty provedennia fizychnoi reabilitatsii khvorykh na khronichne obstruktyvne zakhvoriuvannia lehen [Methodological aspects of physical rehabilitation conducting of the ill with chronic obstructive pulmonary disease]. Fizychne vykhovannia, sport i kultura zdorovia u suchasnomu suspilstvi, №3(31), 216–220.
Pkhidenko, S. V. (2001). Metodyka otsinky yakosti zhyttia / Vsesvitnia orhanizatsiia okhorony zdorovia: Ukrainska versiia [Methodology for quality of life assessment]. Dnipropetrovsk, Porohy, 58.
Criner, G. J., Bourbeau, J. Diekemper, R. L., Ouellette, D. R., Goodridge, D. & P. Hernandez, P. (2015). Prevention of acute exacerbations of COPD: American College of Chest Physicians and Canadian Thoracic Society Guideline. Chest., Apr 147(4), 894–2
Emma E Vincent, Emma J Chaplin, Johanna EA Williams, Theresa Harvey-Dunstan, Neil J Greening, Michael C Steiner, Mike D Morgan and Sally J Singh. (2017). Experiences of patients undergoing pulmonary rehabilitation during an exacerbation of chronic respiratory disease. Chronic Respiratory Disease, vol. 14(3) 298–308.
Grygus, I., Maistruk, M. (2013) Obecny stan przewlekłej obturacyjnej choroby płuc. Journal of Health Sciences, 3(10), 729–744.
Gulart, A. A, Santos, K, Munari, A. B. (2015). Relationship between the functional capacity and perception of limitation on activities of daily life of patients with COPD. Fisioter Pesq., 22(2), 104–111.
Hakamy, Ali, Charlotte, E Bolton & Tricia, M McKeever (2017). The effect of pulmonary rehabilitation on mortality, balance, and risk of fall in stable patients with chronic obstructive pulmonary disease: A systematic review. Chronic Respiratory Disease, vol. 14(1), 54–62.
Jibril, Mohammed, Hellen, Da Silva, Jessica, Van Oosterwijck & Patrick, Calders (2017). Effect of respiratory rehabilitation techniques on the autonomic function in patients with chronic obstructive pulmonary disease: A systematic review. Chronic Respiratory Disease, vol. 14(3), 217–230.
Kim, J. K., Lee, C. M. Park, J. Y et al. (2016). Active case finding strategy for chronic obstructive pulmonary disease with handheld spirometry. Medicine (Baltimore), dec., 95(50), 5683.
Lee, S. D., Huang, M. S., Kang, J. (2014). The COPD assessment test (CAT) assists prediction of COPD exacerbations in high-risk patients. Respir Med., 108(4), 600–608.
Represas-Represas, C., Fernandez-Villar, A., Ruano-Ravina, A. et al. (2016). Screening for chronic obstructive pulmonary disease: validity and reliability of a portable device in non-specialized healthcare settings, PLoS One,11, 0145571.
Rodriguez, D. A., Arbillaga, A., Barberan-Garcia, A. et al. (2016). Effects of interval and continuous exercise training on autonomic cardiac function in COPD patients. Clin Respir J, 10(1), 83–89.
Zainuldin, R., Zainuldin, R., Mackey, M. G. &. Alison, J. A (2012). Prescription of walking exercise intensity from the incremental shuttle walk test in people with chronic obstructive pulmonary disease. Am J Phys Med Rehabil., 91, 592–600.