阻塞性通气功能障碍--功能评估和康复计划。

Current health sciences journal Pub Date : 2024-04-01 Epub Date: 2024-06-30 DOI:10.12865/CHSJ.50.02.15
Gabriela-Marina Andrei, Eugenia-Andreea Marcu, Mihai Olteanu, Ramona Cioboată, Magdalena Rodica Trăistaru
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引用次数: 0

摘要

背景:目的:我们的研究目标是根据《国际功能、残疾和健康分类》(ICF)对患有慢性阻塞性肺疾病或哮喘的阻塞性通气功能障碍患者进行呼吸康复治疗,采用独特的国际语言,并对肺康复治疗前后的效果进行评估:我们在 2022 年 11 月至 2023 年 4 月期间进行了一项随机前瞻性研究,纳入了 84 名被诊断为阻塞性通气功能障碍并进行了呼吸康复的患者。他们被分为两类:1-C1类包括43名慢性阻塞性肺病(COPD)患者,2-C2类包括41名哮喘患者。康复计划为期 8 周,锻炼时间为周一至周五,周末休息。呼吸康复包括物理治疗、吸气和呼气肌肉训练(IEMT)、合理营养和心理治疗:项目结束时,大多数患者的 ICF 指标都有所改善,这证明呼吸康复是阻塞性通气功能障碍患者的基本疗法之一:ICF允许应用个性化的呼吸康复计划。国际功能、残疾和健康分类资格标准可用于对患者进行功能评估,并将其纳入个性化医疗康复计划。
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Obstructive Ventilatory Dysfunctions-Functional Assessment and Rehabilitation Program.

Background: Obstructive ventilatory dysfunctions have an increased incidence, and through functional assessment determined by the International Classification of Functioning, Disability and Health (ICF), appropriate treatment can be established.

Aims: The objectives of our research are represented by the application of respiratory rehabilitation sessions according to the ICF in patients with obstructive ventilatory dysfunctions-with COPD or asthma, using a unique, international language and the evaluation of the results obtained before and after completion pulmonary rehabilitation.

Methods: We conducted a randomized prospective study between November 2022-April 2023, which included 84 patients diagnosed with obstructive ventilatory dysfunctions and who performed respiratory rehabilitation. They were divided into two categories: category 1-C1 which included 43 patients with Chronic Obstructive Pulmonary Disease-COPD and category 2-C2 which included 41 patients diagnosed with asthma. The rehabilitation program lasted 8 weeks, with exercises performed from Monday to Friday, with a weekend break. Respiratory rehabilitation consisted of physical therapy, inspiratory and expiratory muscle training (IEMT), proper nutrition, and psychotherapy.

Results: At the end of the program, most of the patients showed improvements in the ICF qualifiers, a fact that supported us that respiratory recovery is one of the basic therapies of patients with obstructive ventilatory dysfunctions.

Conclusions: The ICF allows the application of a personalized respiratory rehabilitation program. The ICF qualifiers are used for the functional assessment of patients and allow they to be included in individualized medical rehabilitation programs.

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