Aldhahir Abdulelah M, Alghamdi Saeed M, Alqahtani Jaber S, Alqahtani Khaled A, Al Rajah Ahmed M, Alkhathlan Bedor S, Singh Sally J, Mandal Swapna, Hurst John R
Respiratory Therapy Department, Faculty of Applied Medical Sciences, Jazan University, Jazan, Saudi Arabia.
UCL Respiratory, Royal Free Campus, University College London, London, UK.
Ann Thorac Med. 2021 Oct-Dec;16(4):299-305. doi: 10.4103/atm.atm_639_20. Epub 2021 Oct 26.
Chronic obstructive pulmonary disease (COPD) is a common, preventable, and treatable condition, in which outcomes can be improved with careful management. Pulmonary rehabilitation (PR) comprises exercise and education, delivered by multidisciplinary teams. PR is a cost-effective management strategy in COPD patients which improves exercise performance, reduces dyspnea, reduces the risk of exacerbation, and improves health-related quality of life. All COPD patients appear to benefit irrespective of their baseline function, and PR has also been shown to be a clinically and cost-effective management approach following an acute exacerbation. COPD patients with greater disability and those recovering postexacerbation should be specifically targeted for PR. Due to limited current capacity, the latter group may not currently be able to benefit from PR. Therefore, there is a need for the wider implementation of PR services in Saudi Arabia, requiring us to address challenges including capacity and workforce competency.
慢性阻塞性肺疾病（COPD）是一种常见的、可预防和可治疗的疾病，通过精心管理可改善其预后。肺康复（PR）包括由多学科团队提供的运动和教育。PR是一种具有成本效益的COPD患者管理策略，可提高运动能力、减轻呼吸困难、降低急性加重风险并改善健康相关生活质量。所有COPD患者似乎均可从中获益，无论其基线功能如何，并且PR也已被证明是急性加重后一种具有临床效益和成本效益的管理方法。残疾程度较高的COPD患者以及急性加重后康复的患者应成为PR的特定目标人群。由于目前能力有限，后一组人群目前可能无法从PR中获益。因此，沙特阿拉伯需要更广泛地实施PR服务，这要求我们应对包括能力和劳动力能力等方面的挑战。
