インドのデリーでは,イディオパシー性肺線維症患者のための自宅での肺リハビリテーションの実現可能性と受け入れ可能性
Humaira Hanif1,2, Obaidullah Ahmed1, James R Manifield3,4
1Metro Centre for Respiratory Disease, Metro Hospital and Heart Institute, Noida, India.
Chronic respiratory disease
|September 3, 2025
まとめ
自宅での肺リハビリテーション (HBPR) は,インドにおけるイディオパシー性肺線維症 (IPF) 患者にとって実現可能であり,受け入れられます. 紙のマニュアルを使用したこのプログラムは,この集団におけるリハビリテーションの開始と完了の改善の可能性を示しました.
科学分野:
- 肺医学
- リハビリテーション科学
背景:
- イディオパシー肺線維症 (IPF) は,生活の質と運動能力に大きな影響を及ぼします.
- 肺リハビリテーション (PR) はIPFの管理に不可欠ですが,アクセシビリティは課題です.
研究 の 目的:
- IPF の 患者 の ため の 自宅 肺 リハビリテーション (HBPR) プログラム の 実現 可能性 と 受け入れ 可能性 を 評価 する.
- インドのデリーでHBPRの提供のための紙ベースのマニュアルの可能性を評価する.
主な方法:
- インドのデリーで30人のIPF患者を対象に実施された単腕可行性試験.
- 紙のマニュアルで提供される 6週間のHBPRプログラム
- 採用と完成率で可行性を評価し,半構造面接で可行性を評価する.
主要な成果:
- 高い採用率 (83%) とフォローアップ完了率 (83%) は実現可能性を示しています.
- HBPRは,ファシリテーター (家族のサポート,柔軟性) とバリア (監督の欠如,ルーチン遵守) のテーマで,よく受け入れられました.
- 参加者は運動能力,呼吸困難,独立性の改善を報告しました.
結論:
- 紙のマニュアルを用いた自宅での肺リハビリテーションは デリーのIPF患者にとって実行可能で受け入れられる介入です
- このアプローチは,IPF患者の肺リハビリテーションのアクセシビリティと完了率を向上させる可能性があります.
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