THE EFFECT OF PULMONARY REHABILITATION IN COVID-19 PATIENTS

Öz

COVID-19 is a disease characterized by involvement in multiple tissues and organs throughout the body, especially lung damage. Clinically, most patients have symptoms of fever, cough, fatigue, anorexia, shortness of breath, and myalgia. COVID-19 affects people both physically and psychologically. Pulmonary rehabilitation is defined as a multidisciplinary intervention based on exercise training, behavioral modification, personalized assessment and treatment designed to improve the physical and psychological state of people with respiratory disease. The aim of pulmonary rehabilitation is to reduce the patient's dyspnea and increase the efficiency of breathing, to prevent complications of long-term bed rest, to reduce the duration of hospitalization by reducing the symptom burden of the disease. It is seen that pulmonary rehabilitation is possible and safe in the acute phase of the disease, and it also increases the patient's exercise capacity, muscle strength and endurance, self-efficacy and knowledge level, participation in daily life activities and quality of life. In addition, considering the possibility of long-term disability in post-discharge COVID-19 patients, outpatient pulmonary rehabilitation should be planned in the post-discharge period. Therefore, acute treatment of COVID-19 and post-discharge pulmonary rehabilitation are very important. Nurses, who are important members of the multidisciplinary team in pulmonary rehabilitation, take an active role in managing respiratory problems of patients, increasing endurance, reducing respiratory fatigue and anxiety. Aims at nurses at COVID-19 patients o maintain effective breathing by providing exercises and mobilization that ensure the excretion of airway secretions,relieve the patient by reducing dyspnea,ensuring skin integrity by preventing pressure sores, to increase the endurance and tolerance of the patient, to reduce anxiety and depression with general exercises,mprove the patient's quality of life by reducing the length of hospital stay.

Anahtar Kelimeler

• COVID-19
• pulmoner
• rehabilition;nurse
• care

Kaynakça

1. Scribbr. (n.d.). Quick Guide to APA Citation (6th ed.) | In-Text Citation & Reference List. Al Chikhanie, Y., Veale, D., Schoeffler, M., Pépin, J.L., Verges, S. & Hérengt F. (2021). Effectiveness of pulmonary rehabilitation in COVID-19 respiratory failure patients post-ICU, Respir Physiol Neurobiol, 287(November 2020), 2020–2.
2. Altınışık, M., & Arıkan, F. (2021). Koronavirüs (Covıd-19) Hastalarına Yoğun Bakımda Pulmoner Rehabilitasyon. Yoğun Bakım Hemşireliği Dergisi, 24(3), 190-198.
3. Associazione Riabilitatori Dell ‘Insufficienza Respiratoria (ARIR). (2020, March 8) Joint statement on the role of respiratory rehabilitation in the COVID-19 crisis: the Italian position paper, Retrieved May 10, 2020 from https://www.arirassociazione.org/wp-content/ uploads/2020/03/Joint-statement-role-RR_COVID_19_E_Clini.pdf
4. Barker-Davies, RM., O'Sullivan O., Senaratne KPP., Baker P., Cranley M.& Dharm-Datta S (2020). The Stanford Hall consensus statement for post-COVID-19 rehabilitation, Br J Sports Med, 54(16), 949-959.
5. Bulut, C., Kato, Y. (2020). Epidemiology of COVID-19 Turkish Journal of Medical Sciences Turk J Med Sci 50: 563-570.
6. Carda S., Invernizzi M., Bianchi, F., Deltombe, T., Draulans, N. & Francisco, GE. (2020). COVID-19 pandemic. What should PRM specialists do? A clinician’s perspective, Eur J Phys Rehabil Med, 56(4), 515-524.
7. Chen, Q., Liang, M., Li, Y., Guo, J., Fei, D., Wang, L. & Wang, J. (2020). Mental health care for medical staff in china during the covid-19 outbreak, The Lancet Psychiatry, 7(4), e15-e16.
8. Demeco, A., Marotta, N., Barletta, M., Pino, I., Marinaro, C., Petraroli, A., Moggio, L. & Ammendolia A. (2020). Rehabilitation of patients post-COVID-19 infection: a literature review, J Int Med Res, 8(8), 300060520948382.

9. Ergün, P. (2019). Current concept in pulmoner rehabilition, Current Series Of Chest Diseases, 7, 7-18.
10. Gloeckl, R., Leitl, D., Jarosch, I., Schneeberger, T., Nell, C., Stenzel, N., & Koczulla, A. R. (2021). Benefits Of Pulmonary Rehabilitation İn Covıd-19: A Prospective Observational Cohort Study. Erj Open Research, 7(2).
11. Güzel R, & Başaran S. (2020). COVID-19’da Pulmoner rehabilitasyon, Arşiv Kaynak Tarama Dergisi, 29(Özel Sayı 1), 60-66.
12. Karaağaç, H. M. & Karaağaç, A. (2021). COVID-19 hastalığında fizyoterapi ve rehabilitasyon: bir derleme makalesi. İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi, (13), 144-156 .
13. Kurtaiş, Aytür, Y., Köseoğlu, BF., Özyemişçi, Taşkıran, Ö., Ordu-Gökkaya NK., Ünsal, Delialioğlu, S., Sonel, Tur B., Sarıkaya, S., Şirzai, H., Tekdemir, Tiftik, T., Alemdaroğlu, E., Ayhan, FF., Duyur, Çakıt, BD., Genç, A., Gündoğdu, İ., Güzel, R., Demirbağ, Karayel, D., Bilir, Kayai B., Öken, Ö., Özdemir, H., Soyupek, F. & Tıkız, C (2020). Pulmonary rehabilitation principles in SARS-COV-2 infection (COVID-19): A guideline for the acute and subacute rehabilitation, Turk J Phys Med Rehabil, May 12,66(2):104-120.
14. Lestari, DFA., Ismail, S. & Erawati, M. (2020). Concept analysis of pulmonary rehabilitation, International Journal ofNursing and Health Services, 3(2),635-41.
15. Liu, K., Zhang, W., Yang, Y., Zhang, J., Li, Y. & Chen Y. (2020). Respiratory rehabilitation in elderly patients with COVID-19: A randomized controlled study, Complement Ther Clin Pract, 9,101166.
16. McIntosh, & Perlman, S. (2015). Coronaviruses, including Severe Acute Respiratory Syndrome (SARS) and Middle East Respiratory Syndrome (MERS) In: Bennett JE, Dolin R, Blaser MJ (eds). Principles and Practice of Infectio- us Diseases. 8th edition. Philadelphia: Elsevier-Saunders;1928-1936.
17. Nopp, S., Moik, F., Klok, FA., Gattinger, D., Petrovic, M., Vonbank, K., Koczulla, AR., Ay, C, & Zwick RH. (2020). Outpatient pulmonary rehabilitation in patients with long covıd ımproves exercise capacity, functional status, dyspnea, fatigue, and quality of life, Respiration, 101(6),593-601.
18. Sun, J., Liu, J., Li, H., Shang, C., Li, T., Ji, W., Wu, J., & Han, X., Shi, Z .(2021). Pulmonary rehabilitation focusing on the regulation of respiratory movement can improve prognosis of severe patients with COVID-19, Ann Palliat Med, Apr;10(4),4262-4272.
19. TR Ministry of health covid-19 information platform https://covid19.saglik.gov.tr/TR-66301/covid-19-rehberi.html Date of Access: 08.05.2023
20. Wang, T. J., Chau, B., Lui, M., Lam, G. T., Lin, N., & Humbert, S. (2020). Physical medicine and rehabilitation and pulmonary rehabilitation for COVID-19, Am J Phys Med Rehabil, Sep;99(9),769-774.
21. World Health Organization. Clinical management of severe acute respiratory infection (SARI) when COVID-19 disease is suspected. WHO Reference number https://www.who.int/emergencies/diseases/novel-coronavirus 2019?adgroupsurvey={adgroupsurvey}&gclid=CjwKCAjw9J2iBhBPEiwAErwpefZ JWhIdEHVLHFWc4d-tRPS-bvnkAIO5g9nIhxK_mUFTQEmOJKmyhoCn-8QAvD_BwE Date od Access 08.05.2023 Wu, D., Wu, T., Liu, Q., & Yang, Z. (2020). SARS-CoV-2 Outbreak: What we know. Int J Infect Dis, 1201-9712 (20) 30123-5.
22. Zampogna, E., Paneroni, M., Belli, S, Aliani, M., Gandolfo, A. & Visca, D. (2021). Pulmonary rehabilitation in patients recovering from COVID-19, Respiration, 100(5),416–22.
23. Zhao, H. M., Xie, Y. X., & Wang, C. (2020). Recommendations for respiratory rehabilitation in adults with COVID-19, Chinese Medical Journal, 133(13),1595-1602.
24. Zhou P, Yang XL, Wang XG, Hu B, Zhang L et al (2020). A pneumonia outbreak associated with a new coronavirus of probable bat origin, Nature, 579 (7798), 270-273.