家庭肺部康复治疗对肺透气动力学和小呼吸道功能障碍在患有肺结核后肺病的人群的影响
Iasmim Maria Pereira Pinto Fonseca1, Samantha Gomes de Alegria1, Jéssica Gabriela Messias Oliveira1
1Postgraduate Programme in Medical Sciences, School of Medical Sciences, Universidade do Estado do Rio de Janeiro (UERJ), Rio de Janeiro, Brazil.
概括
在家进行肺部康复可以改善结核病幸存者的运动耐受性和生活质量. 这种干预还可以增强肺功能,为患有肺结核后肺病 (PTLD) 的人提供重要支持.
科学领域:
- 肺部医学 肺部医学
- 康复科学 康复科学 康复科学
- 结核病研究 结核病研究
背景情况:
- 结核病幸存者经常经历长期的肺部并发症,影响他们的生活质量.
- 在针对肺结核后肺部疾病 (PTLD) 患者的结构化肺部康复计划中存在重大差距.
- 基于家庭的肺部康复提供了一个潜在的解决方案,以满足这个服务不足的人口的需求.
研究的目的:
- 评估一个为期3个月的家庭肺部康复计划 (HBPRP) 的有效性.
- 评估HBPRP对PTLD (pwPTLD) 患者肺机械,运动能力和生活质量 (QoL) 的影响.
- 为了确定HBPRP干预后一般疲劳和手握强度的变化.
主要方法:
- 采用了一种准实验性研究设计,涉及pwPTLD接受3个月的HBPRP.
- 评估包括圣乔治呼吸道问卷 (SGRQ) 对于 QoL,慢性疾病治疗-疲劳的功能评估 (FACIT-F) 对于疲劳,以及手握强度 (HGS).
- 肺功能,功能性运动能力 (Glittre-ADL测试 - TGlittre) 和动态通风被测量在干预前和后.
主要成果:
- 在HBPRP后的TGlittre时间 (P=0.004) 和呼吸储备 (P=0.032) 中观察到显著的改善.
- 测试结束时,呼吸能力下降 (P=0.030) 和小气道功能障碍 (SAD) 改善.
- 活动和影响领域的SGRQ显示改善,而FACIT-F和HGS保持不变.
结论:
- 在pwPTLD的家庭肺部康复有效地提高了运动耐受性,生活质量和小呼吸道功能.
- 在这个人群中,HBPRP没有显著影响一般疲劳或手握强度.
- 肺部康复计划,包括HBPRP,应纳入结核病幸存者的结核病护理途径.
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