KRONİK OBSTRÜKTİF AKCİĞER HASTALIĞINDA REHABİLİTASYON YAKLAŞIMLARI VE KIRILGANLIK: GELENEKSEL DERLEME

Abstract

Kronik obstrüktif akciğer hastalığı (KOAH), yüksek prevalansı ve artan insidansı ile önemli bir küresel sağlık sorunudur. KOAH, önemli sosyal ve ekonomik yüklere neden olan dünya çapında önde gelen mortalite ve morbidite nedenidir. KOAH’lı bireylerde dispne, öksürük, balgam, hırıltılı solunum sıkça gözlenen semptomlardır. Yaş ve hastalık ilerledikçe bilişsel fonksiyonlarda gerileme, kas kütlesinde azalma, sarkopeni ve kırılganlık da tabloya eşlik edebilmekte ve hastaların fonksiyonel kapasitesi azalmaktadır. Özellikle tabloya kırılganlık tanısının da eklenmesiyle KOAH’lı bireyler günlük yaşam aktivitelerini sürdürmekte zorlanmakta ve yaşam kalitesi olumsuz etkilenmektedir. Bu nedenle KOAH’lı bireylerin kırılganlık bakımından kapsamlı olarak değerlendirilmesinin bireye özgü pulmoner rehabilitasyon programının oluşturulmasında önemli olacağı görüşündeyiz.

Keywords

• Egzersiz
• kırılganlık
• KOAH
• pulmoner rehabilitasyon

REHABILITATION APPROACHES AND FRAILTY IN CHRONIC OBSTRUCTIVE PULMONARY DISEASE: TRADITIONAL REVIEW

Abstract

Chronic obstructive pulmonary disease (COPD) represents a major global health problem with a high prevalence and increasing incidence. COPD is a leading cause of mortality and morbidity world wide, which causes significant social and economic burdens. Dyspnea, cough, sputum, and wheezing are common symptoms in individuals with COPD. As age and disease progress, a decline in cognitive functions, decreased muscle mass, sarcopenia, and frailty may accompany the clinical picture, and the functional capacity of patients decreases. Especially with the addition of the frailty diagnosis to the clinical picture, individuals with COPD experience difficulty in maintaining their daily living activities, and their quality of life is adversely affected. Hence, we think that a comprehensive evaluation of individuals with COPD in terms of frailty will be important in preparing an individual-specific pulmonary rehabilitation program.

Keywords

• Exercise
• frailty
• COPD
• pulmonary rehabilitation

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