Satar Seher, Sahın Mustafa Engin, Ergun Pinar
Chronic Respiratory Disease Clinic - Pulmonary Rehabilitation Center, Health Sciences University Ankara Atatürk Sanatorium Training and Research Hospital, Ankara, Turkey.
J Asthma. 2023 May;60(5):912-919. doi: 10.1080/02770903.2022.2109163. Epub 2022 Sep 14.
The majority of patients with asthma limit their physical activity due to the fear of exercise dyspnea. Regular exercise, on the other hand, is currently suggested as one of the non-pharmaceutical treatment alternatives for patients with asthma since it improves their quality of life and symptom control. This study aimed to investigate the indicators of success in patients with asthma receiving pulmonary rehabilitation (PR).
A total of 131 patients with the diagnosis of asthma were included in the study. All patients attended an 8-week comprehensive, multidisciplinary, outpatient and individualized PR program.
The factors related to the gains in dyspnea perception, exercise capacity, peripheral muscle strength, respiratory muscle strength and quality of life were evaluated. In the multivariate linear regression analysis, the gain in dyspnea perception is related to baseline dyspnea. The gain in exercise capacity is related to baseline exercise capacity and the amount of smoking. The gain in peripheral muscle strength is related to gender. The gain in respiratory muscle strength is related to age, and finally the gain in quality of life is related to baseline dyspnea and anxiety levels.
Especially men, young people, heavy smokers, and those with low initial exercise capacity, high perception of dyspnea, and high anxiety are more likely to benefit from PR.
大多数哮喘患者因担心运动性呼吸困难而限制其体力活动。另一方面，由于规律运动可改善哮喘患者的生活质量并控制症状，目前它被建议作为哮喘患者的非药物治疗选择之一。本研究旨在调查接受肺康复（PR）的哮喘患者的成功指标。
共有131例诊断为哮喘的患者纳入本研究。所有患者均参加了为期8周的综合、多学科、门诊个体化PR项目。
对与呼吸困难感知、运动能力、外周肌肉力量、呼吸肌肉力量和生活质量改善相关的因素进行了评估。在多变量线性回归分析中，呼吸困难感知的改善与基线呼吸困难有关。运动能力的改善与基线运动能力和吸烟量有关。外周肌肉力量的改善与性别有关。呼吸肌肉力量的改善与年龄有关，最后生活质量的改善与基线呼吸困难和焦虑水平有关。
尤其是男性、年轻人、重度吸烟者，以及那些初始运动能力低、呼吸困难感知高和焦虑程度高的人更有可能从PR中获益。
