Cardiopulmonary rehabilitation among patients with heart and chronic obstructive pulmonary disease in a hospital in Tirana
DOI:
https://doi.org/10.26641/2307-0404.2023.2.283253Ключові слова:
aetiology, physical activity, heart disease, awareness, personal habitsАнотація
It is a well-known factor that the implementation of cardiopulmonary rehabilitation leads to a decrease in the number of deaths and morbidity, however, this method is not widely used in Albania. One of the possible factors of low demand is the ignorance of patients regarding the benefits and effectiveness of this method. The purpose of this study is to find out the level of awareness of patients with cardiopulmonary diseases. During the study, a cross-sectional survey method was used among patients with this disease. Interest in and use of this rehabilitation was assessed using questionnaires that were given to 690 patients who underwent a course of treatment in university clinics and research hospitals that provide cardiopulmonary resuscitation services. The results of the study show that a third of patients learned information about cardiopulmonary rehabilitation (CPR) from medical personnel, and the other part received it from doctors. Despite the fact that almost half of the patients knew that they should perform certain physical activities and exercises to maintain their positive dynamics in relation to cardiopulmonary disease, only one third of the patients understood that such everyday activities as climbing stairs and a brisk walk down the street do not constitute threats to their heart and lungs, respectively. It was also found that a significant part of the patients regularly played sports. Certain types of exercises were offered to one half of the patients, at that time, the rest of them performed various exercises. 69% of all patients who were given detailed information about CPR were ready to participate in this program. Despite the fact, that numerous people were ready to undergo this method of rehabilitation, not all of them were sufficiently knowledgeable and did not fully understand the essence of this technique. Also, an important factor in the positive dynamics of the patient's recovery is his relationship with the doctor and medical personnel involved in the treatment of patients with cardiopulmonary diseases.
Посилання
Grigoletto I, de Lima FF, Eto DA, Suzuki NN, Uzeloto JS, Ramos EM. Satisfaction and adherence of COPD patients to a conventional training associated with functional exercises and to a conventional training isolated: A qualiquantitative study. Patient Prefer Adherence. 2022;16:2759-72. doi: https://doi.org/10.2147/PPA.S367088
Timmis A, Vardas P, Townsend N, Torbica A, Katus H, De Smedt D, et al. European Society of Cardiology: Cardiovascular disease statistics 2021. European Heart Journal. 2022;43(8):716-99. doi: https://doi.org/10.1093/ehjqcco/qcac014
Dmytriiev D, Dobrovanov O. Post-COVID pain syndrome. Anaesthesia, Pain and Intensive Care. 2021;25(4):505-12. doi: https://doi.org/10.35975/apic.v25i1.1212
Kralinsky K, Pisarchikova M, Dobrovanov AE, Babela R. Protocol for the diagnosis, management and treatment of pediatric patients with COVID-19 according to the recommendations of the Slovakian Pediatric Society. Vestnik Perinatolohii i Pediatrii. 2020;65(5):93-9. doi: https://doi.org/10.21508/1027-4065-2020-65-5-93-99
Tabriz N, Nurtazina ZB, Kozhamuratov MT, Skak K, Mutaikhan Z. Effects of secondary infections on the multidrug-resistant Tuberculosis: A cohort study. Medical Journal of the Islamic Republic of Iran. 2021;35(1):1-7. doi: https://doi.org/10.47176/mjiri.35.105
Smiyan OI, Plakhuta VA, Bunda TP, Popov SV. Dynamics of cytokines in infants with acute obstructive bronchitis and thymomegalia. Likars’ka sprava. 2015Jan.1;(1-2):81-5.
Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 sta-tement: An updated guideline for reporting systematic reviews. BMJ. 2021;372:1-9. doi: https://doi.org/10.1186/s13643-021-01626-4
Arnold MT, Dolezal BA, Cooper CB. Pulmonary rehabilitation for chronic obstructive pulmonary disease: Highly effective but often overlooked. Tuberculosis and Respiratory Diseases. 2020;84(4):257-67. doi: https://doi.org/10.4046/trd.2020.0064
Gorbas VA, Smiyan OI, Kurhanska VO. Changes in the colon microflora of school-age children with bronchial asthma. New Armenian Medical Journal. 2015;9(3):45-7.
Lyzogub VH, Savchenko OV, Zaval's'ka TV, Dykukha IS, Tyravs'ka IV. The effects of hypoxia on initiation and progression of cardiovascular disease in patients with chronic obstructive pulmonary disease. Likars'ka sprava. 2012;5:27-34.
Shandaulov AK, Mazhbich BI. Postural changes in the pulmonary hemodynamics of rats under high-altitude conditions. Fiziologicheskii zhurnal SSSR im. I.M. Sechenova. 1991;77(1):89-96.
Cuthbet JJ, Pellicori P, Clack AL. Optimal management of heart failure and chronic obstructive pulmonary disease: Clinical challenges. International Journal of General Medicine. 2022;15:7961-75. doi: https://doi.org/10.2147/IJGM.S295467
Stafinski T, Nagase FI, Avdagovska M, Stickland MK, Menon D. Effectiveness of home-based pulmo-nary rehabilitation programs for patients with chronic obstructive pulmonary disease (COPD): Systematic review. BMC Health Services Research. 2022;22:1-14. doi: https://doi.org/10.1186/s12913-022-07779-9
Exercise Stress Test [Internet]. [cited 2023 Jan 12]. Available from: http://www.health.qld.gov.au/consent/documents/cardiac_16.pdf
Nolan MC, Rochester CL. Exercise Training Modalities for People with Chronic Obstructive Pulmonary Disease. COPD: Journal of Chronic Obstructive Pulmonary Disease. 2019;16(5-6):378-89. doi: https://doi.org/10.1080/15412555.2019.1637834
Nolan CM, Kaliaraju D, Jones SE, Patel S, Barker R, Walsh JA, et al. Home versus outpatient pulmonary rehabilitation in COPD: A propensity-matched cohort study. Thorax. 2019Jan.1;74:996-8.
Mendes Xavier D, Lanza Galvão E, Aliane Fonseca A, de Souza GM, Pereira Lima V. Effects of home-based pulmonary rehabilitation on dyspnea, exercise capacity, quality of life and impact of the disease in COPD patients: A systematic review. COPD: Journal of Chronic Obstructive Pulmonary Disease. 2021;19(1):18-46. doi: https://doi.org/10.1080/15412555.2021.2020234
Aboumatar H, Naqibuddin M, Chung S. 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. Journal of the American Medical Association. 2020;322(14):1371-80. doi: https://doi.org/10.1001/jama.2019.11982
Burge AT, Holland AE, McDonald CF. Home-based pulmonary rehabilitation for COPD using minimal resources: an economic analysis. Respirology. 2020;25(2):183-90. doi: https://doi.org/10.1111/resp.13667
Moazeni SS, Ghaljeh M, Navidian A. The effect of pulmonary rehabilitation on fatigue and quality of life in patients with Chronic Obstructive Pulmonary Disease: A quasi-experimental study. Medical-Surgical Nursing Journal. 2020;9(1):e103899. doi: https://doi.org/10.5812/msnj.103899
Chacin-Suarez A, Grace ShL, Anchique-Santos C, Supervia M, Turk-Adawi K, Britto RR, et al. Cardiac rehabilitation availability and characteristics in Latin America and the Caribbean: A global comparison. American Heart Journal. 2021;240:16-27. doi: https://doi.org/10.1016/j.ahj.2021.05.010
Louvaris Z, Vogiatzis I. Physiological basis of cardiopulmonary rehabilitation in patients with lung or heart disease. Breathe. 2020;11(2):120-7. doi: https://doi.org/10.1183/20734735.021114
Vogelmeier CF, Román-Rodríguez M, Singh D. Goals of COPD treatment: Focus on symptoms and exacerbations. Respiratory Medicine. 2020;166:105938. doi: https://doi.org/10.1016/j.rmed.2020.105938
Vilarinho R, Serra L, Coxo R, Carvalho J, Esteves C, Mesquita Montes A, et al. Effects of a home-based pulmonary rehabilitation program in patients with Chronic Obstructive Pulmonary Disease in GOLD B group: A pilot study. Healthcare. 2021;9(5):538. doi: https://doi.org/10.3390/healthcare9050538
Ko FW, Tam W, Siu EH. Effect of short-course exercise training on the frequency of exacerbations and physical activity in patients with COPD: a randomized controlled trial. Respirology. 2021;26(1):72-9. doi: https://doi.org/10.1111/resp.13872
Topjian AA, Raymond TT, Atkins D. Part 4: Pediatric Basic and Advanced Life Support: 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2020Jan.1;142:469-523.
Panchal AR, Bartos JA, Cabañas JG. Part 3: Adult Basic and Advanced Life Support: 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2020;142:366-468. doi: https://doi.org/10.1161/CIR.0000000000000916
Magid DJ, Aziz K, Cheng A. Part 2: Evidence Evaluation and Guidelines Development: 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2020;142:358-65. doi: https://doi.org/10.1161/CIR.0000000000000898
Wouters EF, Posthuma R, Koopman M, Liu W-Y, Sillen MJ, Hajian B, et al. An update on pulmonary reha-bilitation techniques for patients with chronic obstructive pulmonary disease. Expert Review of Respiratory Medicine. 2020;14(2):149-61. doi: https://doi.org/10.1080/17476348.2020.1700796
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