[慢性肺病的门诊运动训练--为谁、如何、为什么?]

Deutsche medizinische Wochenschrift (1946) Pub Date : 2024-11-01 Epub Date: 2024-10-22 DOI:10.1055/a-2165-5788
Rainer Gloeckl, Inga Jarosch, Andreas Rembert Koczulla
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引用次数: 0

摘要

根据《德国社会法典》(第九部)的规定,参加门诊锻炼小组是一项合法权利,该法典对慢性呼吸道疾病患者的处方做出了规定并为处方提供了便利。传统的门诊锻炼小组以面对面的方式进行,每周一次,每次 60 至 90 分钟,有组织地安排热身、主要锻炼和冷却阶段。此外,自冠状病毒大流行以来,通过视频会议引入的在线锻炼小组使人们能够灵活参与(甚至无需处方)。自 2021 年以来,迄今已有 11,000 多名德国患者参加了在线锻炼小组。科学证据证实,定期锻炼具有显著的益处,如提高身体机能和减少呼吸困难。此外,在专业培训人员的指导下,还能提高心理社会效益和自我效能。定期锻炼(如参加门诊锻炼小组)是改善慢性呼吸系统疾病患者生活质量的一种廉价且非常有效的治疗方式。
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[Outpatient exercise training for chronic lung disease - for whom, how and why?]

There is a legal entitlement to participate in outpatient exercise groups in accordance with the German Social Code (Book IX) which regulates and facilitates prescriptions for patients with chronic respiratory diseases. A medical examination with specific inclusion and exclusion criteria prior to admission to an exercise group ensures safe participation.Traditional outpatient exercise groups are conducted in face-to-face groups for 60 to 90 minutes, once a week, with structured warm-up, main and cool-down phases. In addition, since the coronavirus pandemic, the introduction of online exercise groups via videoconferencing has enabled flexible participation (even without a prescription). To date, more than 11,000 German patients have participated in online exercise groups since 2021.Scientific evidence confirms the significant benefits of regular exercise, such as improved physical performance and reduced breathlessness. The psychosocial benefits and the promotion of self-efficacy are additionally supported by the supervision of a specialized trainer. Regular exercise (e.g. in outpatient exercise groups) is an inexpensive and very effective form of therapy to improve the quality of life of people with chronic respiratory diseases.

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