The Effect of Upper Extremity Exercıses on Dyspnea and Life Quality in Patients with Chronic Obstructive Pulmonary Disease

Yıl 2021, Cilt: 16 Sayı: 2, 122 - 131, 28.04.2021

Süreyya Bulut Leyla Khorshid Mehmet Polatlı

Öz

Dyspnea is the most important symptom of chronic obstructive pulmonary disease (COPD). Training and exercise in symptom management improve the physical and psychological condition of patients, increase their compliance with treatment and quality of life. In this study, it was aimed to determine the effect of upper extremity exercises performed by a specialist nurse without using extra tools on dyspnea. The study was conducted with 78 patients with COPD, including 39 exercise and 39 control group. The patients in exercise group carried out upper extremity exercise for 30 minutes, 3 times a week throughout 8 weeks and the clinical course of the control group was not interfered. At the end of 8 weeks, patients were compared in terms of their symptom scores and scale point averages. Patient Identification Form, Saint George Respiratory Questionnaire, Medical Research Council, Modified Borg Scale, COPD Evaluation Test, 6- minute walk test distance criteria and oxygen saturation measurements were used in the collection of data. It was discovered that of the participants involved in the study, 92.3% of cases were males, the average age in exercise group was 58.00±5.94 and it was 55.87±8.09 in the control group. In the 8th week, it was observed that the distance increased for the majority of patients in exercise group in 6-minute walk and with regard to COPD evaluation test, Medical Research Council, Modified Borg Scale dyspnea score average reduced. Upper extremity exercises that had been regularly applied to patients with COPD for 8 weeks under the supervision of attending nurse were observed to be effective in elevating patients’ life quality.

Anahtar Kelimeler

COPD, Dyspnea, Nursing, Upper Extremity Exercise, Pulmonary Dİsease

Kaynakça

• Global Initiative for Chronic Obstructive Lung Disease (GOLD). Global strategy for the diagnosis, management and prevention of COPD. 2017. Available from: URL: http://goldcopd.org.
• Taylor, C., Lillis, C., Le Mone, P., et al., (2008). Fundamentals of nursing-the art and science of nursing care. Philadelphia: Lippincott Williams, pp:235-68.
• Janaudis-Ferreira, T., Hill, K., Goldstein, R., et al., (2009). Arm exercises training in patients with chronic obstructive pulmonary disease. J Cardiopulm Rehabil Prev, 29:277-83.
• Çil, A. and Olgun, N., (2005). COPD management with pulmonary rehabilitation. J Ege University Nursing Faculty, 21(1):103-11.
• Paulin, Ei, Yamaguti, W.P.S., Chammas, M.C., et al., (2007). Influence of diaphragmatic mobility on exercise tolerance and dyspnea in patientswith COPD. Respir Med, 101:2113-18.
• Sin, D.D., Anthonisen, N.R., Soriano, J.B., et al., (2006). KOAH’ mortalite: komorbiditelerin rolü. Eur Respir J, 28:1245-1257.
• Gökçek, Ö., Hüzmeli, D.E., and Katayıfçı, N., (2019). The effect of dyspnea on quality of life and depression in patients with chronic obstructive pulmonary disease. Acibadem University Health Sciences Journal, 10(1):84-8.
• Ekenler, Ş. and Arslan, S., (2019). Illness perception and related factors in patients with chronic obstructive pulmonary disease. Journal of Anatolia Nur. and Heal. Sci., 22(3): 151-60.
• Akıncı Çil, A. and Pınar, R., (2012). Dyspnea rehabilitation in patients with chronic obstructive pulmonary disease. Cumhuriyet Nursing Journal, 1:24-9.
• Jardim, R.J., (2007). Nascimento AO. pulmonary rehabilitation. Respir Med. 5:21-7.
• Yenilmez, Ö., Gürsoy, S., Evyapan, F., et al., (2018). Analysing activity participation and quality of life in subjects with chronic obstructive pulmonary disease. Elderly Issues Research Journal, 11(2):30-6.
• Nguyen, Q.H., Carrier-Kohlman, V., Rankin, H.S., et al., (2005). Is ınternet-based support for dyspnea self-management in patients with chronic obstructive pulmonary disease possible? results of a pilot study. Heart Lung, 34(1):51-62.
• Skumlien, S., Hagelund, T., Bjortuft, O., et al., (2006). A Field Test of Functional Status as Performance of Activities of Daily Living in COPD Patients. Respir Med, 100:316-23.
• Köktürk, N., Gürgün, A., Şen, E., et al., (2017). Türk Toraks Derneği'nin GOLD Kronik Obstrüktif Akciğer Hastalığı (KOAH) Raporuna bakışı. https://www.toraks.org.tr/uploadFiles/book/file /1042017161917-tumu.pdf.
• Şen, E. ve Bartu, S.S., (2005). KOAH epidemiyolojisi doğal gelişim risk faktörleri. Bartu SS, Acıcan T, editors. KOAH Tanı ve Tedavi, Güncel Akciğer hastalıkları Serisi-12. Ankara: Bilimsel Tıp Yayınevi, pp:9-23.
• Gökoğlu, F., Bilgin, G., Okumuş, M., et al., (2006). The outcomes of short term outpatient pulmonary rehabilitation in chronic obstructive Pulmonary Disease. Turk Thorac, 7(3):173-7.
• Thomas, A.L., (2009). Effective dyspnea management strategies identified by elders with end-stage chronic obstructive pulmonary disease. Appl Nurs Res, 22:79–85.
• Erk, M., (2009). KOAH ve pulmoner rehabilitasyon. Toraks Kitapları:7. İstanbul: Aves Yayıncılık; p:117-28.
• Gigliotti, F., Coli, C., Bianchi, R., et al., (2005). Arm exercise and hyperinflation in patientswith COPD: Effect of Arm Training. Chest, 128(3):1225-32.
• Atasever, A., (2011). Pulmoner rehabilitasyonda egzersiz. http://168.144.121.167/TORAKSFD23NJKL4NJ4H3BG3JH/mse2-ppt-pdf/5-alev-atasever-word.pdf.
• Akıncı Çil, A., (2008). KOAH’lı bireylere uygulanan pulmoner rehabilitasyonun fiziksel ve psikolojik parametrelere etkisi. Marmara University Institute of Health Sciences, Department of Internal Medicine Nursing PhD thesis.
• Alkan, H., Sarsan, A., Topuz, O., et al., (2006). Effectiveness of home rehabilitation programme in chronic obstructive pulmonary disease. Turk J Phys Med Rehab, 52(2):51-4.
• Bianchi, R., Gigliotti, F., Romagnoli, I., et al., (2011). Impact of a rehabilitation program on dyspneaıntensityand quality in patients with chronic obstructive pulmonary disease. J Clin Invest, 81:186–95.
• Elçi, A., (2006). Kronik obstrüktif akciğer hastalıklarında verilen sağlık eğitimi ve pulmoner rehabilitasyonun yaşam kalitesi ve solunum fonksiyonlarına etkisi, Gaziantep University Institute of Health Sciences Master thesis.
• Levent, Ö. ve Gürsel, K.Y., (2003). Kronik obstrüktif akciğer hastalığında pulmoner rehabilitasyonun etkinliğinin değerlendirilmesi. Romatizma. 18:1-7.
• Güneş, Y.Ü., Kara, D., and Erbağcı, A., (2012). Comparison of the dyspnea scales in patients with complaints of dyspnea. E-Journal of Dokuz Eylul University Nursing Faculty, 5(2):65-71.
• Sarpkaya, Ü., Tuna, H., Altıay, G., et al., (2004). Effect of ventilatory muscle training and aerobic exercise program in chronic obstructive pulmonary disease on respiratory functional test and arterial blood gases. Rheumatology. 19(3):165-71.
• Jones, P., Lareau, S., and Mahler, D.A., (2005). Measuring the effects of COPD on the patient. Respir Med, 99(2):11-8.
• Polatlı, M., Yorgancıoğlu, A., Aydemir, Ö., et al., (2013). Validity and Reliability of Turkish Version of St. George’s Respiratory questionnaire. Tuberk Toraks. 61(2):81-7.
• Kara, D. and Yıldız, H., (2013). Effectiveness and frequencies of dyspnea scales in evaluating symptom of dyspnea. Gumushane University Journal of Health Science, 2(1):137-49.
• Tülüce, D., KutluTürkan, S., Çetin, N., et al., (2016). The effect of the patient coaching on the dyspnea, cough and sputum symptoms of the monitored patients with Chronic Obstructive Pulmonary Disease (COPD): A pilot study. Gumushane University Journal of Health Science, 5(2):32-41.
• Hospes, G., Bossenbroek, L., Hacken, H.T.N., et al., (2009). Enhancement of daily physical activity increases physica fitness of outclinic COPD Patients: Results of an Exercise Counseling Program. Patient Educ Couns, 75:274-8.
• Wadell, K., Sundelin, G., Henriksson-Larsen, K., et al., (2004). High Intensity physical group training in water-an effective training modality for patients with COPD. Respir Med, 98:428-38.
• Taşdemir, Z.A., Börekçi, Ş., Demir, T., et al., (2009). The effect of physiotherapy and nutrition on pulmonary function tests, exercise capacity and quality of life inpatients with chronic obstructive lung disease. Cerrahpaşa Medical Journal, 40(4):129-35.