The Awareness Level of Pulmonary Rehabilitation and Compliance with Respiratory Exercises After COVID-19

Year 2023, Volume: 6 Issue: 2, 350 - 354, 31.08.2023

Sıdıka Şen , Pelin Duru Çetinkaya

https://doi.org/10.36516/jocass.1314769

Abstract

Aim: Coronavirus Disease 2019 (COVID-19) is an infectious disease that can cause respiratory, physical, psycho-logical, and generalized systemic dysfunction. COVID-19 can significantly impact the respiratory system. Pulmo-nary rehabilitation may be required for the appropriate person and at the appropriate time.
Methods: The study included 112 outpatients who were admitted to the Pulmonary Diseases and Physical Therapy and Rehabilitation Polyclinics after being diagnosed with COVID-19 between January 2021 and June 2021. The demographic data of the patients, their smoking behavior and duration, the Modified Charlson Comorbidity Index, clinical characteristics of the disease, the Modified Borg Scale were all assessed. The presence of information on respiratory exercises, the source of this information, and their compliance with the exercises were all evaluated.
Results: Of the patients, 30 (26,8%) of them reported that they have information on respiratory exercises. Only 11 (36,7%)’i of these patients were doing the respiratory exercises regularly. In the study, the history of hospital¬ization and high level of education were found positive correlated with the presence of information on pulmonary rehabilitation (p=0.001). Compliance with exercises was found low.
Conclusions: In the study, the history of hospitalization and high level of education were found to correlate with the presence of knowledge on pulmonary rehabilitation. Exercise compliance was found to be low. The number of awareness-raising activities for these patients and healthcare professionals should be increased to reduce their morbidity, mortality, and health expenditure.

Keywords

Awareness, COVİD-19, pulmonary rehabilitation, respiratory exercises

COVİD-19 Sonrası Pulmoner Rehabilitasyon Farkındalık ve Solunum Egzersizlerine Uyum Düzeyi

Abstract

Özet
Giriş: Coronavirüs Hastalığı 2019 (COVID-19) solunum, fiziksel, psikolojik ve genel sistemik işlev bozukluğuna neden olabilen bulaşıcı bir hastalıktır. COVID-19, solunum sistemini önemli ölçüde etkileyebilir. Uygun hastalarda ve uygun zamanda pulmoner rehabilitasyon gerekebilir.

Gereç ve Yöntem: Çalışmaya Ocak 2021-Haziran 2021 tarihleri arasında Göğüs Hastalıkları ve Fizik Tedavi ve Rehabilitasyon Polikliniklerine ayaktan başvuran COVID-19 sonrası kronik dönemde olan 112 hasta dahil edildi. Hastaların demografik verileri, sigara içme davranışları ve süreleri, hastalığın klinik özellikleri ve Modifiye Charlson Komorbidite İndeksi , Modifiye Borg Skalası kullanılarak klinik değerlendirilmeleri yapıldı. Solunum egzersizleri ile ilgili bilgilerin varlığı, bu bilgilerin kaynağı ve egzersizlere uyumu değerlendirildi.

Bulgular: Hastaların 30'u (%26,8) solunum egzersizleri hakkında bilgi sahibi olduğunu bildirdi. Bu hastaların sadece 11'i (%36,7)'i solunum egzersizlerini düzenli olarak yapıyordu. Araştırmada hastanede yatış öyküsü ve eğitim düzeyinin yüksek olması ile pulmoner rehabilitasyon bilgisi varlığı arasında korelasyon bulundu (p=0,001). Egzersizlere uyum düşük bulundu.

Sonuç: Çalışmada hastanede yatış öyküsü ve eğitim düzeyinin yüksek olması pulmoner rehabilitasyon bilgi varlığı ile ilişkili bulundu. Egzersiz uyumu düşük bulundu. Morbidite, mortalite ve sağlık harcamalarını azaltmak için bu hastalara ve sağlık profesyonellerine yönelik bilinçlendirme faaliyetlerinin sayısı artırılmalıdır.

Keywords

COVİD-19, farkındalık, pulmoner rehabilitasyon, solunum egzersizleri

References

• 1.Zhao HM, Xie YX, Wang C; Chinese Association of Rehabil¬itation Medicine; Respiratory Rehabilitation Committee of Chinese Association of Rehabilita¬tion Medicine; Cardiopul¬monary Rehabilitation Group of Chinese Society of Physical Medicine and Rehabilitation. Recommendations for respir¬atory re¬habilitation in adults with coronavirus disease 2019. Chin Med J. 2020; 133(13): 1595-602. https://doi.org/10.1097/CM9.0000000000000848
• 2.Yang LL, Yang T. Pulmonary rehabilitation for patients with coronavirus disease 2019 (COVID-19). Chronic Dis Transl Med. 2020 ;6(2): 79-86. https://doi.org/10.1016/j.cdtm.2020.05.002
• 3.Barker-Davies RM, O'Sullivan O, Senaratne KPP, et al. The Stanford Hall consensus statement for post-COVID-19 re¬habilitation. Br J Sports Med. 2020; 54(16): 949-59. https://doi.org/10.1136/bjsports-2020-102596
• 4.The Lancet. Facing up to long COVID. Lancet. 2020; 396(10266): 1861. https://doi.org/10.1016/S0140-6736(20)32662-3
• 5.Kiekens C, Boldrini P, Andreoli A, et al. Rehabilitation and respiratory management in the acute and early post-acute phase. "Instant paper from the field" on rehabilitation an¬swers to the COVID-19 emergency. Eur J Phys Rehabil Med. 2020; 56(3): 323-6. https://doi.org/10.23736/S1973-9087.20.06305-4
• 6.Aytür YK, Köseoğlu BF, Taşkıran Ö, et al. Pulmonary reha¬bilitation princi¬ples in SARS- COV-2 infection (COVID-19): A guideline for the acute and sub¬acute rehabilitation. Turk J Phys Med Rehabil. 2020; 66: 104-20. https://doi.org/10.5606/tftrd.2020.6444
• 7.Kendrick K, Baxi SC, Smith RM. Usefulness of the modified 1-10 Borg scale in assessing the degree of dyspnea in pa¬tients with COPD and asthma. J Emerg Nurs 2000 Jun; 26(3): 216-22. https://doi.org/10.1016/S0099-1767(00)90093-X
• 8.Charlson ME, Pompei P, Ales KL, et al. A New Method of Classifying Prog¬nostic Comorbidity in Longitudinal Stud¬ies: Development and Validation. J Chron Dis. 1987; 40: 373-83. https://doi.org/10.1016/0021-9681(87)90171-8
• 9. Extermann M. Measuring Comorbidity in Older Cancer Patients. Eur J Cancer. 2000; 36: 453-71. https://doi.org/10.1016/S0959-8049(99)00319-6
• 10.Watson JS, Adab P, Jordan RE, et al. Referral of patients with chronic ob¬structive pulmonary disease to pulmonary rehabilitation: a qualitative study of barriers and enablers for primary healthcare practitioners. Br J Gen Pract. 2020; 70(693): e274-e84. https://doi.org/10.3399/bjgp20X708101
• 11.McCarron EP, Bailey M, Leonard B, et al. Improving the uptake: barriers and facilitators to pulmonary rehabilita¬tion. Clin Respir J. 2019; 13(10): 624-9. https://doi.org/10.1111/crj.13068
• 12.Farah R, Groot W, Pavlova M, et al. Pulmonary rehabili¬tation in Lebanon "What do we have"? A national survey among chest physicians. PLoS One. 2021; 16(7): e0254419. https://doi.org/10.1371/journal.pone.0254419
• 13.Jones PW, Quirk FH, Baveystock CM, et al. A self-com¬plete measure of health status for chronic airflow limita¬tion. The St Georges's Respiratory Questionnaire. Am Respir Dis. 1992; 145: 1321-7. https://doi.org/10.1164/ajrccm/145.6.1321
• 14.Wilson RC, Jones PW. A comparison of the visual analogue scale and modified Borg scale for the measurement of dyspnoea during exercise. Clin Sci. 1989; 76: 277-82. https://doi.org/10.1042/cs0760277
• 15.Garrod R, Marshall J, Barley E, et al. Predictors of success and failure in pulmonary rehabilitation. Eur Respir J. 2006; 27: 788-94. https://doi.org/10.1183/09031936.06.00130605
• 16.Vagaggini B, Costa F, Antonelli S, et al. Clinical predictors of the efficacy of a pulmonary rehabilitation programme in patients with COPD. Respir Med. 2009; 103: 1224-30. https://doi.org/10.1016/j.rmed.2009.01.023
• 17.Spitzer KA, Stefan M, Priya A, et al. Participation in Pulmonary Rehabili¬tation after Hospitalization for Chronic Obstructive Pulmonary Disease among Medicare Beneficiaries. Ann. Am. Thorac. Soc. 2019; 16: 99-106. https://doi.org/10.1513/AnnalsATS.201805-332OC
• 18.Scott AS, Baltzan MA, Fox J, Wolkove N. Success in pulmonary rehabilita¬tion in patients with chronic obstructive pulmonary disease. Can Respir J. 2010 Sep-Oct; 17(5): 219-23. https://doi.org/10.1155/2010/203236
• 19.Evans RA, Singh SJ, Collier R, et al. Pulmonary rehabilitation is successful for COPD irrespective of MRC dyspnoea grade. Respir Med. 2009; 103: 1070-5. https://doi.org/10.1016/j.rmed.2009.01.009
• 20.Young P, Dewse M, Fergusson W, et al. Respiratory rehabilitation in chronic obstructive pulmonary disease: Predictors of nonadherence. Eur Respir J. 1999; 13: 855-9. https://doi.org/10.1034/j.1399-3003.1999.13d27.x
• 21.Sabit R, Griffiths L, Watkins A, et al. Predictors of poor attendance at an out-patient pulmonary rehabilitation programme. Respir Med. 2008; 102: 819-24. https://doi.org/10.1016/j.rmed.2008.01.019
• 22.Fischer MJ, Scharloo M, Abbink JJ, et al. Drop-out and attendance in pul-monary rehabilitation: the role of clinical and psychosocial variables. Respir Med 2009; 103: 1564-71. https://doi.org/10.1016/j.rmed.2008.11.020
• 23.Sabit R, Griffiths TL, Watkins AJ, et al. Predictors of poor attendance at an outpatient pulmonary rehabilitation programme. Respir Med 2008; 102: 819-24. https://doi.org/10.1016/j.rmed.2008.01.019
• 24.Cote CG, Celli BR. Pulmonary rehabilitation and the BODE index in COPD. Eur Respir J 2005; 26: 630-6. https://doi.org/10.1183/09031936.05.00045505
• 25.Hulya Sahin, Ilknur Naz Why are COPD patients unable to complete the outpatient pulmonary rehabilitation program? Chron Respir Dis 2018; 15(4): 411-8. https://doi.org/10.1177/1479972318767206
• 26.Siddiq MAB, Rathore FA, Clegg D, et al. Pulmonary Rehabilitation in COVID-19 patients: A scoping review of current practice and its application during the pandemic. Turk J Phys Med Rehabil. 2020; 66(4): 480-94. https://doi.org/10.5606/tftrd.2020.6889
• 27.Al Chikhanie Y, Veale D, Schoeffler M, Pépin JL, Verges S, Hérengt F. Ef-fectiveness of pulmonary rehabilitation in COVID-19 respiratory failure pa¬tients post-ICU. Respir Physiol Neurobiol. 2021;287: 103639. https://doi.org/10.1016/j.resp.2021.103639
• 28.Zampogna E, Paneroni M, Belli S, et al. Pulmonary Rehabilitation in Pa-tients Recovering from COVID-19. Respiration. 2021; 100(5): 416-22. https://doi.org/10.1159/000514387
• 29.Göktalay T, Tuncal AN, Sarı S et al. Knowledge level of the primary healthcare providers on chronic obstructive pulmonary disease and pulmo¬nary rehabilitation. Pulm Med. 2015; 2015: 538246. https://doi.org/10.1155/2015/538246