COVID-19患者家庭肺康复对肺功能的影响

IF 0.4 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL Iranian Red Crescent Medical Journal Pub Date : 2023-04-29 DOI:10.32592/ircmj.2023.25.5.1724
Fahimeh Hashemi, Shayan Vafaei, Mehdi Sadeghi, Atena Samarehfekri, Mitra Samarehfekri, Hossein Mirzaei, Niloofar Rashidipour, Mozhgan Taebi
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引用次数: 0

摘要

背景:冠状病毒疾病(新冠肺炎)是一种主要影响呼吸系统并导致呼吸衰竭的病毒性疾病。除此之外,肺部康复是呼吸系统疾病管理中最重要的组成部分之一,可以使肺部受损的患者康复。目的:本研究旨在确定基于家庭的肺康复对COVID-19患者肺功能的有效性。方法:对伊朗克尔曼的70名COVID-19]患者进行简单随机干预研究。他们被分为两组,分别为对照组和干预组。在对照组中,患者仅接受常规出院后护理,而在干预组中,在出院后的四周内,患者接受了以家庭为基础的肺部康复程序,其中包括一些改善肺功能的运动。结果:干预组出院后4周内1秒用力呼气量(P<0.001)、肺活量(P>0.001)和这两个参数的比值(P<0.02)、呼气峰流量(P<0.01)均显著高于对照组。此外,干预组6分钟步行距离显著增加(P<0.001),呼吸困难的严重程度显著降低(P<0.01)。此外,严重呼吸困难的患者数量显著减少(P<0.001)。结论:我们的家庭计划似乎可以显著改善肺活量和其他肺功能测试,并减少出院后的呼吸困难。总之,这种康复程序对新冠肺炎患者的肺部恢复是有效的,可以作为这些患者恢复的治疗程序。
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Home-based Pulmonary Rehabilitation in Patients with COVID-19: The Efficiency in Pulmonary Function
Background: Coronavirus disease (COVID-19) is a viral disease that mostly affects the respiratory system and leads to respiratory failure. Alongside, pulmonary rehabilitation is one of the most important components in the management of respiratory system diseases and can rehabilitate persons after lung-damaged disease. Objectives: The present study aimed to determine the efficiency of Home-Based Pulmonary Rehabilitation in pulmonary function in patients with COVID-19 Methods: This simple randomized interventional study was conducted on 70 COVID-19 patients in Kerman, Iran. They were assigned to two equal groups of control and intervention. In the control group, patients received only routine post-discharge care, and in the intervention group, patients received home-based pulmonary rehabilitation procedures containing some movements to improve pulmonary function for four weeks after discharge. Results: Forced expiratory volume in 1 second (P<0.001), vital capacity (P<0.001) and these two parameters ratio (P<0.02), peak expiratory flow (P<0.001), in four weeks after discharge from the hospital in the intervention group was significantly higher than in the control group. Moreover, 6-min walk distance (P<0.001) was significantly increased, and the severity of dyspnea (P<0.001) was significantly reduced in the intervention group. As well, the number of patients with severe dyspnea decreased significantly (P<0.001). Conclusion: It seems that our home-based program can result in a marked improvement in vital capacity and other pulmonary function tests, as well as a reduction in dyspnea after discharge. In conclusion, this rehabilitation procedure is effective in pulmonary recovery in COVID-19 patients and can be used as a treatment procedure for recovery in these patients.
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来源期刊
Iranian Red Crescent Medical Journal
Iranian Red Crescent Medical Journal MEDICINE, GENERAL & INTERNAL-
CiteScore
1.16
自引率
0.00%
发文量
0
期刊介绍: The IRANIAN RED CRESCENT MEDICAL JOURNAL is an international, English language, peer-reviewed journal dealing with general Medicine and Surgery, Disaster Medicine and Health Policy. It is an official Journal of the Iranian Hospital Dubai and is published monthly. The Iranian Red Crescent Medical Journal aims at publishing the high quality materials, both clinical and scientific, on all aspects of Medicine and Surgery
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