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Kronik obstrüktif akciğer hastalığında hastalık ve pulmoner rehabilitasyon farkındalığı: Bir Anket çalışması.

Yıl 2018, Cilt: 11 Sayı: 2, 151 - 156, 14.05.2018
https://doi.org/10.5505/ptd.2017.14890

Öz

GİRİŞ ve AMAÇ: KOAH tanısı olan hastalarda pulmoner rehabilitasyonun (PR) üstünlüğü hastalığın majör rehberlerine girmiştir ve KOAH’ lı hastaların standart bakımı olarak kabul edilmiştir. Bizde mevcut hastalıkları hakkında bilgi düzeylerini ölçmek ve eksersizeğitimleri, işbirlikçi özyönetimi teşvik eden programlarıyla davranışşal müdahaleleri destekleyen, pulmoner rehabilitasyonun hastalar tarafından bilinip bilinmediğini araştırmak istedik
YÖNTEM ve GEREÇLER: Çalışmaya 200 hasta dahil edildi. Global Inıtıatıve for Chronic Obstructive Lung Disease (GOLD) kriterlerine göre KOAH tanısı almış, en az 1 yıldır takipte, anketteki soruları cevaplayabilecek fizik ve mental yeterli kapasiteye sahip olan hastalar çalışmaya dahil edildi. Çalışmada kullandığımız literatür derlenerek hazırlanan anket, 3 bölümden oluşmaktadır. Birinci bölüm hastanın yaş, cinsiyet, eğitim düzeyi, yaşadığı yer gibi sosyodemografik özellikleri sorgulayan bölümdür. İkinci bölüm (1-9 arası sorular) KOAH bilgi düzeyi ve farkındalığını, üçüncü bölüm (10-22 arası sorular) ise PR farkındalığını değerlendiren bölümdür. 
BULGULAR: Hastaların %93 (n=186)’ ü erkek, %7 (n=14) kadındı. Ortalama yaşları ise 65,11±10.00. Ortalama KOAH süresi ise 7,8±6,69. KOAH’da ilaç tedavisi dışında bir tedavi duydunuz mu ve pulmoner rehabilitasyon isimli bir tedavi duydunuz mu sorularına verilen doğru cevap oranı %14,5 ve %7,5 dur. 
TARTIŞMA ve SONUÇ: KOAH hastalarında pulmoner rehabilitasyonun farkındalığını oldukça düşük bulduk. Bu nedenle bu hastalarda farkındalığı artırmak için yeni stratejiler, yeni methodlar geliştirilmelidir.

Türkçe Kısa Başlık: KOAH’ da pulmoner rehabilitasyon

Kaynakça

  • 1. Vestbo J, Hurd SS, Agustí AG, et al. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease. Am J RespirCrit Care Med 2013;187:347-65.
  • 2. Hurd S. The impact of COPD on lung health worldwide epidemiology and incidence. Chest 2000;117:1-4.
  • 3. Thakrar R, Alaparthi GK, Kumar SK, Vaishali K, Zulfeequer CP, Aanad R. Awareness in patients with COPD about the disease and pulmonary rehabilitation: A survey. Lung India 2014;31:134-138
  • 4. Global Initiative for Chronic Obstructive Lung Disease (GOLD). Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease: updated2014.http://www.goldcopd.org/uploads/users/files/GOLD_Report2014_Feb07.pdf)
  • 5. Spruit MA, Singh SJ, Garvey C, et al. An official American Thoracic Society/European Respiratory Society statement: key concepts and advances in pulmonary rehabilitation. Am J RespirCrit Care Med 2013;188:13–64.
  • 6. Nici L, ZuWallack RL. Pulmonary rehabilitation future directions. Clin Chest Med2014;35:439-444
  • 7. White R, Walker P, Roberts S, Kalisky S, White P. Bristol COPD Knowledge Questionnaire (BCKQ): Testing what we teach patients about COPD. ChronRespir Dis 2006;3:123‑131.
  • 8. Yıldız F, BingölKarakoç G, ErsuHamutçu R, Yardım N, Ekıncı B, Yorgancıoğlu A. The evaluation of asthma and COPD awareness in Turkey (GARD Turkey Project-National Control Program of Chronic Airway Diseases. TuberkToraks2013;61:175-182.
  • 9. Carré PC, Roche N, Neukirch F, et al. The effect of an information leaflet upon knowledge and awareness of COPD in potential sufferers. Respiration 2008;76:53–60.
  • 10. Asai M, Tanaka T, Kozu R, Kitagawa C, Tabusadani M, Senjyu H. Effect of a Chronic Obstructive Pulmonary Disease (COPD) intervention on COPD awareness in a regional city in Japan. Intern Med 2015;54:163-169.
  • 11. Sarıkaya S, Tur BS, Kurtaiş Y, et al. The awareness of physicians and allied health professionals about cardiopulmonary rehabilitation: A cross-sectional survey study. Turk J Phys Med Rehab 2014;60:19-24.
  • 12. Rugbjerg M, Iepsen UW, Jørgensen KJ, Lange P. Effectiveness of pulmonary rehabilitation in COPD with mild symptoms: a systematic review with meta-analyses. Int J Chron Obstruct Pulmon Dis2015;10:791–801.
  • 13. Lacasse Y, Martin S, Lasserson TJ, Goldstein RS. Meta-analysis of respiratory rehabilitation in chronic obstructive pulmonary disease. A Cochrane systematic review. EuraMedicophys2007;43:475–485.

Awareness about disease and pulmonary rehabilitation in chronic obstructive pulmonary disease: A survey study

Yıl 2018, Cilt: 11 Sayı: 2, 151 - 156, 14.05.2018
https://doi.org/10.5505/ptd.2017.14890

Öz

INTRODUCTION: Superiority of pulmonary rehabilitation (PR) in patients with
COPD have been entered the major guidelines of the disease and become gold standard
of care in the management of COPD. Our aim is to evaluate the patients’
awareness about their own illness and PR which supports behavioral
interventions by encouraging exercise training, cooperative self-management
depending on the patients themselves

METHODS: The study was included 200 patients. Patients who are competent enough
to complete the questionnaire and diagnosed as COPD according to Global
Inıtıatıve for Chronic Obstructive Lung Disease(GOLD) criteria and at least 1
year on follow patients enrolled in the study. Questionnaire which is employed
in our study is developed by a review of the current literature and consist of
3 parts. First part aims to investigate socio-demographics like age, gender,
education and whereabouts. Second part (questions 1-9) evaluate the knowledge
and awareness of COPD and 3rd part (10-22) investigate the awareness of PR.

RESULTS: Among the patients 93% (n=186) were male and 7% (n=14) were female.
Mean age was 65,11±10.00 years. Mean duration of the disease was 7,8±6,69
years. Correct answer rates to the questions “is there another treatment
modality for COPD other than medication” and “have you ever heard a treatment
named pulmonary rehabilitation” were 14.5% and 7.5%, respectively.

DISCUSSION AND CONCLUSION: We found that the awareness of pulmonary
rehabilitation is very low. Therefore, in our opinion it is essential to find
out new methods novel strategies to increase the awareness of pulmonary
rehabilitation in COPD patients.



İngilizce Kısa Başlık: Pulmonary rehabilitation in COPD



Kaynakça

  • 1. Vestbo J, Hurd SS, Agustí AG, et al. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease. Am J RespirCrit Care Med 2013;187:347-65.
  • 2. Hurd S. The impact of COPD on lung health worldwide epidemiology and incidence. Chest 2000;117:1-4.
  • 3. Thakrar R, Alaparthi GK, Kumar SK, Vaishali K, Zulfeequer CP, Aanad R. Awareness in patients with COPD about the disease and pulmonary rehabilitation: A survey. Lung India 2014;31:134-138
  • 4. Global Initiative for Chronic Obstructive Lung Disease (GOLD). Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease: updated2014.http://www.goldcopd.org/uploads/users/files/GOLD_Report2014_Feb07.pdf)
  • 5. Spruit MA, Singh SJ, Garvey C, et al. An official American Thoracic Society/European Respiratory Society statement: key concepts and advances in pulmonary rehabilitation. Am J RespirCrit Care Med 2013;188:13–64.
  • 6. Nici L, ZuWallack RL. Pulmonary rehabilitation future directions. Clin Chest Med2014;35:439-444
  • 7. White R, Walker P, Roberts S, Kalisky S, White P. Bristol COPD Knowledge Questionnaire (BCKQ): Testing what we teach patients about COPD. ChronRespir Dis 2006;3:123‑131.
  • 8. Yıldız F, BingölKarakoç G, ErsuHamutçu R, Yardım N, Ekıncı B, Yorgancıoğlu A. The evaluation of asthma and COPD awareness in Turkey (GARD Turkey Project-National Control Program of Chronic Airway Diseases. TuberkToraks2013;61:175-182.
  • 9. Carré PC, Roche N, Neukirch F, et al. The effect of an information leaflet upon knowledge and awareness of COPD in potential sufferers. Respiration 2008;76:53–60.
  • 10. Asai M, Tanaka T, Kozu R, Kitagawa C, Tabusadani M, Senjyu H. Effect of a Chronic Obstructive Pulmonary Disease (COPD) intervention on COPD awareness in a regional city in Japan. Intern Med 2015;54:163-169.
  • 11. Sarıkaya S, Tur BS, Kurtaiş Y, et al. The awareness of physicians and allied health professionals about cardiopulmonary rehabilitation: A cross-sectional survey study. Turk J Phys Med Rehab 2014;60:19-24.
  • 12. Rugbjerg M, Iepsen UW, Jørgensen KJ, Lange P. Effectiveness of pulmonary rehabilitation in COPD with mild symptoms: a systematic review with meta-analyses. Int J Chron Obstruct Pulmon Dis2015;10:791–801.
  • 13. Lacasse Y, Martin S, Lasserson TJ, Goldstein RS. Meta-analysis of respiratory rehabilitation in chronic obstructive pulmonary disease. A Cochrane systematic review. EuraMedicophys2007;43:475–485.
Toplam 13 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Klinik Tıp Bilimleri
Bölüm Araştırma Makalesi
Yazarlar

Erhan Uğurlu

Yayımlanma Tarihi 14 Mayıs 2018
Gönderilme Tarihi 24 Ekim 2017
Kabul Tarihi 26 Aralık 2017
Yayımlandığı Sayı Yıl 2018 Cilt: 11 Sayı: 2

Kaynak Göster

AMA Uğurlu E. Kronik obstrüktif akciğer hastalığında hastalık ve pulmoner rehabilitasyon farkındalığı: Bir Anket çalışması. Pam Tıp Derg. Mayıs 2018;11(2):151-156. doi:10.5505/ptd.2017.14890
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