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Kronik Obstrüktif Akciğer Hastalığı (KOAH) ve Kanıt Temelli Psikososyal Müdahaleler

Year 2024, , 439 - 450, 30.09.2024
https://doi.org/10.18863/pgy.1335836

Abstract

Yaşlanma ile birlikte artan kronik hastalıklar arasında solunum yolu hastalıkları dünya genelinde önemli bir sağlık sorunu olarak karşımıza çıkmaktadır. Dünya genelinde Kronik Obstrüktif Akciğer Hastalığı (KOAH), hastalık yükü, mortalite ve morbidite oranlarının fazla olması açısından müdahale edilmesi gereken önlenebilir ve tedavi edilebilir olarak sınıflandırılmıştır. Bireylerin yaşadıkları psikososyal problemlerin önlenmesi, tedavisi ve rehabilitasyonunda Konsültasyon ve Liyezon Psikiyatrisinin (KLP) önemi yadsınamaz bir gerçektir. KOAH’lı bireyler ve aileleri sosyal, ekonomik, ruhsal, fiziksel ve sağlık hizmetlerine erişim noktasında bazı problemler yaşadıkları belirlenmiştir. Çalışmalar incelendiğinde KOAH’lı bireylerin yaşadıkları psikososyal problemlere yönelik sağlık profesyonellerinin yaptıkları kanıt temelli çalışmalar sonucunda bu problemlerin yönetimine katkı sağlamaya odaklandıkları görülmektedir. Makale, özellikle KOAH hastalarına yönelik psikososyal müdahalelerin son 5 yıllık çalışmalarını incelemektedir. Bu çalışmalar, hastaların evde tıbbi destek, egzersiz, öz-yönetim, psikolojik komorbiditelere ve yaşam kalitesine odaklandığı gibi zihinsel sağlığı geliştirmeye yönelik müdahalelerde fiziksel aktivitenin önemini de vurgulamaktadır. Sonuç olarak gerçekleştirilen araştırmalar, Kanıt temelli çalışmalar perspektifinde KOAH hastalarına yönelik psikososyal müdahalelerin etkisini daha derinlemesine anlamak amacıyla incelenmiştir. Bu tür çalışmaların, hastaların yaşam kalitesini artırmak ve tedavi sonuçlarını optimize etmek için kritik önem taşıdığı sonucuna varılmıştır.

Supporting Institution

Destekleyen kurum yok

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Chronic Obstructive Pulmonary Disease (COPD) and Evidence-Based Psychosocial Interventions

Year 2024, , 439 - 450, 30.09.2024
https://doi.org/10.18863/pgy.1335836

Abstract

Respiratory tract diseases emerge as a significant global health concern accompanying the aging process. Among the escalating chronic conditions associated with aging, Chronic Obstructive Pulmonary Disease (COPD) stands out as a notable concern due to its high disease burden, mortality, and morbidity rates, necessitating intervention. The indispensability of Consultation-Liaison Psychiatry (CLP) in averting, treating, and rehabilitating psychosocial predicaments encountered by individuals remains indisputable. Individuals with COPD and their families face challenges spanning social, economic, psychological, physical, and healthcare access domains. A scrutiny of studies reveals that evidence-based efforts by healthcare professionals targeting psychosocial challenges faced by COPD-afflicted individuals pivot towards enhancing problem management. This article particularly examines psychosocial interventions for COPD patients over the past five years. The identified studies emphasize interventions focusing on domiciliary medical support, exercise routines, self-management, psychological comorbidities, and the improvement of life quality, thereby underscoring the cardinal importance of physical activity in augmenting mental well-being. Ultimately, the conducted research has been analyzed through the prism of evidence-based practice to profoundly comprehend the ramifications of psychosocial interventions for COPD patients. Such research endeavors have been deemed to hold pivotal significance in enhancing patients' quality of life and optimizing treatment outcomes.

References

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  • Aboumatar H, Naqibuddin M, Chung S, Chaudhry H, Kim SW, Saunders J et al. (2019) Effect of a hospital-initiated program combining transitional care and long-term self-management support on outcomes of patients hospitalized with chronic obstructive pulmonary disease: a randomized clinical trial. JAMA, 14:1371-1380.
  • Aldhahi MI, Baattaiah BA, Nazer RI, Albarrati A (2023) Impact of psychological factors on functional performance among patients with chronic obstructive pulmonary disease. Int J Environ Res Public Health, 20:1285.
  • Anlló H, Herer B, Delignières A, Bocahu Y, Segundo I, Mach Alingrin V et al. (2020) Hypnosis for the management of anxiety and dyspnea in COPD: a randomized, sham-controlled crossover trial. Int J Chron Obstruct Pulmon Dis, 15:2609–2620.
  • Aranburu-Imatz A, López-Carrasco JC, Moreno-Luque A, Jiménez-Pastor JM, Valverde-León MDR, Rodríguez-Cortés FJ et al. (2022) Nurse-led interventions in chronic obstructive pulmonary disease patients: a systematic review and meta-analysis. Int J Environ Res Public Health, 19:9101.
  • Arbillaga-Etxarri A, Gimeno-Santos E, Barberan-Garcia A, Balcells E, Benet M, Borrell E et al. (2018) Long-term efficacy and effectiveness of a behavioural and community-based exercise intervention (urban training) to increase physical activity in patients with COPD: randomised controlled trial. Eur Respir J, 52:1800063.
  • Armstrong M, Winnard A, Chynkiamis N, Boyle S, Burtin C, Vogiatzis I (2019) Use of pedometers as a tool to promote daily physical activity levels in patients with COPD: a systematic review and meta-analysis. Eur Respir Rev, 28:190039.
  • Arslan Y, Yazıcı G (2021) Yoğun bakım hemşirelerinin psikososyal bakım yaklaşımı ve konsültasyon liyezon psikiyatri hemşireliğinin rolü. Türkiye Sağlık Araştırmaları Dergisi, 2:29-35.
  • Aydemir T, Çetin Ş (2019) Kronik hastalıklar ve psikososyal bakım. Journal of Anatolian Medical Research, 4:109-115.
  • Benzo RP, Ridgeway J, Hoult JP, Novotny P, Thomas BE, Lam NM et al.(2021) Feasibility of a health coaching and home-based rehabilitation ıntervention with remote monitoring for COPD. Respir Care, 66:960–971.
  • Boscart V, Davey M, Crutchlow L, Heyer M, Johnson K, Taucar LS, et al. (2022) Effective chronic disease ınterventions in nursing homes: a scoping review based on the knowledge-to-action framework. Clin Gerontol, 5:1073–1086.
  • Bourne C, Houchen-Wolloff L, Patel P, Bankart J, Singh S (2022) Self-management programme of activity coping and education-SPACE for COPD(C)-in primary care: a pragmatic randomised trial. BMJ Open Respir Res, 9:e001443.
  • Bricca A, Harris LK, Jäger M, Smith SM, Juhl CB, Skou ST (2020) Benefits and harms of exercise therapy in people with multimorbidity: a systematic review and meta-analysis of randomised controlled trials. Ageing Res Rev, 63:101166.
  • Burge AT, Cox NS, Abramson MJ, Holland AE (2020) Interventions for promoting physical activity in people with chronic obstructive pulmonary disease (COPD). Cochrane Database Syst Rev, 4:CD012626.
  • Chan RR, Giardino N, Larson JL (2015) A pilot study: mindfulness meditation intervention in COPD. Int J Chron Obstruct Pulmon Dis, 10:445–454.
  • Chen TR, Hu WY, Chiu TY, Kuo HP (2019) Differences between COPD patients and their families regarding willingness toward life-sustaining treatments. J Formos Med Assoc, 118:414–419.
  • Clari M, Ivziku D, Casciaro R, Matarese M (2018) The unmet needs of people with chronic obstructive pulmonary disease: a systematic review of qualitative findings. COPD, 15:79–88.
  • Clímaco DCS, Lustosa TC, Silva MVFP, Lins-Filho OL, Rodrigues VK, Oliveira-Neto LAP et al. (2022) Sleep quality in COPD patients: correlation with disease severity and health status. J Bras Pneumol, 48:e20210340.
  • Coster S, Norman I (2009) Cochrane reviews of educational and self-management interventions to guide nursing practice: a review. Int J Nurs Stud, 46:508–528.
  • Çalışkan MA, Cerit B (2021) Effect of therapeutic touch on sleep quality and anxiety in individuals with chronic obstructive pulmonary disease: a randomized controlled trial. Complement Ther Clin Pract, 45:101481.
  • Dar SA, Bhat BA, Shah NN, Imtiyaz SB (2019) The pattern of psychiatric morbidity in chronic obstructive pulmonary disease: a cross-sectional, case-control study from a tertiary care hospital in kashmir, North India. J Neurosci Rural Pract, 10:65–70.
  • de Roos P, Lucas C, Strijbos JH, van Trijffel E (2018) Effectiveness of a combined exercise training and home-based walking programme on physical activity compared with standard medical care in moderate COPD: a randomised controlled trial. Physiotherapy, 104:116–121.
  • Dineen-Griffin S, Garcia-Cardenas V, Williams K, Benrimoj SI (2019) Helping patients help themselves: a systematic review of self-management support strategies in primary health care practice. PloS One, 14:e0220116.
  • Erdal M, Johannessen A, Askildsen JE, Eagan T, Gulsvik A, Grønseth R (2014) Productivity losses in chronic obstructive pulmonary disease: a population-based survey. BMJ Open Respir Res, 1:e000049.
  • Farver-Vestergaard I, Danielsen JTT, Løkke A, Zachariae R (2022) Psychosocial ıntervention in chronic obstructive pulmonary disease: meta-analysis of randomized controlled trials. Psychosom Med, 84:347–358.
  • Gorman LM, Sultan DF (2008) Psychosocial Nursing For General Patient Care, 3nd ed. Philedelphia, F.A. Davis.
  • Heck DH, Correia BL, Fox MB, Liu Y, Allen M, Varga S (2022) Recent insights into respiratory modulation of brain activity offer new perspectives on cognition and emotion. Biol Psychol, 170:108316.
  • Heslop-Marshall, K, Burns G (2019) The role of cognitive behavioural therapy in living well with COPD. Breathe (Sheff), 15:95–97.
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There are 81 citations in total.

Details

Primary Language English
Subjects Mental Health Nursing
Journal Section Review
Authors

Özcan Özdemir 0000-0002-7370-3271

Mualla Yılmaz 0000-0003-2685-4306

Publication Date September 30, 2024
Acceptance Date November 8, 2023
Published in Issue Year 2024

Cite

AMA Özdemir Ö, Yılmaz M. Chronic Obstructive Pulmonary Disease (COPD) and Evidence-Based Psychosocial Interventions. Psikiyatride Güncel Yaklaşımlar. September 2024;16(3):439-450. doi:10.18863/pgy.1335836

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