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[根据哥伦比亚卡利市慢性阻塞性肺疾病全球倡议(GOLD)2020分类标准,慢性阻塞性肺疾病患者的肺康复效果]

[Pulmonary rehabilitation effects in patients with COPD according to GOLD 2020 classification in Cali, Colombia].

作者信息

Betancourt-Peña J, Vidal V, Zapata-Jiménez D, Ávila-Valencia J C, Benavides-Córdoba V

机构信息

Facultad de Salud y Rehabilitación Institución Universitaria Escuela Nacional del Deporte, Facultad de Salud, Escuela de Rehabilitación Humana, Universidad del Valle, Cali, Colombia.

Clínica Palma Real, Cali, Colombia.

出版信息

Rehabilitacion (Madr). 2024 Jan-Mar;58(1):100815. doi: 10.1016/j.rh.2023.100815. Epub 2023 Oct 18.

DOI:10.1016/j.rh.2023.100815
PMID:37862778
Abstract

INTRODUCTION

Chronic obstructive pulmonary disease has a guide in charge of prevention and treatment, called the Global Initiative for Chronic Lung Disease, which is annually updated and catalogs pulmonary rehabilitation, within the treatment options.

OBJECTIVE

To describe the effects on clinical variables, functional capacity, anxiety/depression and health-related quality of life in patients with chronic obstructive pulmonary disease, after a pulmonary rehabilitation program, according to the GOLD 2020 classification in a Cali clinic.

MATERIALS AND METHODS

Descriptive, longitudinal study where 79 patients divided into 3 groups were included (B, C and D).

RESULTS

The mean age was 70 years, 69% men. The number of hospitalized days was greater for groups C and D with an average of 8 and 13 days, respectively (p≤0.000). The functional capacity showed a greater distance in group C (421m) and the shortest distance for group D (328m), p≤0.006. In anxiety and depression, group D managed to obtain improvements as well as in the quality of life questionnaire.

CONCLUSION

Group C presented greater functional capacity and better quality of life, group B had better results in clinical variables, and group D had worse clinical condition, functional capacity and quality of life. At the end of pulmonary rehabilitation, group D presented greater changes in functional capacity and quality of life.

摘要

引言

慢性阻塞性肺疾病有一个防治指南,即慢性阻塞性肺疾病全球倡议,该指南每年更新,并将肺康复纳入治疗选择中。

目的

根据卡利一家诊所的GOLD 2020分类,描述肺康复计划对慢性阻塞性肺疾病患者的临床变量、功能能力、焦虑/抑郁及健康相关生活质量的影响。

材料与方法

描述性纵向研究,纳入79例患者并分为3组(B组、C组和D组)。

结果

平均年龄为70岁,男性占69%。C组和D组的住院天数更多,平均分别为8天和13天(p≤0.000)。功能能力方面,C组的距离更远(421米),D组最短(328米),p≤0.006。在焦虑和抑郁方面,D组以及在生活质量问卷方面都有改善。

结论

C组功能能力更强,生活质量更好;B组在临床变量方面结果更好;D组临床状况、功能能力和生活质量更差。在肺康复结束时,D组在功能能力和生活质量方面变化更大。

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