PULMONARY REHABILITATION RESPONSE IN ELDERLY AND YOUNGER PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE

ÜZÜMCÜGİL KARAPOLAT, HALE; Korkmaz, Pervin; gurgun, alev; TUNCEL, Şenay

PULMONARY REHABILITATION RESPONSE IN ELDERLY AND YOUNGER PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE

Alev GÜRGÜN, (Ege Üniversitesi, Tıp Fakültesi, Göğüs Hastalıkları Anabilim Dalı, İzmir, Türkiye)

Pervin KORKMAZ EKREN, (Ege Üniversitesi, Tıp Fakültesi, Göğüs Hastalıkları Anabilim Dalı, İzmir, Türkiye)

HALE ÜZÜMCÜGİL KARAPOLAT, (Ege Üniversitesi, Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, İzmir, Türkiye)

Şenay TUNCEL (Ege Üniversitesi, Tıp Fakültesi, Göğüs Hastalıkları Anabilim Dalı, İzmir, Türkiye)

Türk Geriatri Dergisi

6 0

Yıl: 2013 Cilt: 16 Sayı: 4 Sayfa Aralığı: 427 - 433 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

PULMONARY REHABILITATION RESPONSE IN ELDERLY AND YOUNGER PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE

Öz:

Giriş: Pulmoner rehabilitasyonun kronik obstrüktif akciğer hastalığı (KOAH) olan hastalardaegzersiz kapasitesini ve yaşam kalitesini arttırdığı; anksiyete ve depresyonu azalttığı gösterilmesine rağmen yaşlı ve genç hastalardaki sonuçları tam olarak bilinmemektedir. Çalışmamız yaşlıKOAH'lı olgularda, pulmoner rehablitasyonun etkisini saptamak amacıyla yapılmıştır.Gereç ve Yöntem: Haftada iki kez hastanede ve bir kez evde uygulanan egzersizprogramından oluşan; sekiz haftalık pulmoner rehabilitasyon programına katılan stabil KOAH'lıhastalar <=65 yaş ve >65 yaş olmak üzere iki gruba ayrılmıştır. Dispne, artan hızda mekik yürümetesti, St. George's Respiratory Questionnaire ile yaşam kalitesi, anksiyete ve depresyon skoru pulmoner rehablitasyon öncesi ve sonrasında değerlendirilmiştir. Yaşlı ve genç hastalarda pulmonerrehablitasyonla saptanan değişiklikler karşılaştırılmıştır.Bulgular: Yüz dokuz hastanın değerlendirildiği çalışmamızda genç hasta grubunda yaş ortalaması 58.96±4.63 olan 52 hasta, yaşlı hasta grubunda da yaş ortalaması 73.58±5.75 olan 57hasta yeralmıştır. Pulmoner rehablitasyon sonrasında yürüme mesafesinde gençlerde76.86±93.18 m (p<0.0001) yaşlılarda ise 34.64±60.35 m (p<0.0001) artış saptanmıştır. Gençhasta grubunda BORG skorunda -0.46±1.50 (p=0.04) azalma olurken yaşlılarda dispnedeki azalma -0.12± 0.96 (p=0.35) olarak izlenmiştir. St. George's Respiratory Questionnaire, HastaneAnksiyete Depresyon skorlarında pulmoner rehabilitasyon sonrası gençlerde anlamlı düzelmeolmasına rağmen yaşlılarda sadece St. George's Respiratory Questionnaire'ın 'toplam' skorundaanlamlı düzelme olmuştur. Pulmoner rehabilitasyon sonrası dispne, St. George's RespiratoryQuestionnaire ve Hastane Anksiyete Depresyon skorlarında saptanan ortalama değişimlerinkarşılaştırılmasında her iki grup arasında fark bulunmamış (p=NS); artan hızda mekik yürümetestinde pulmoner rehabilitasyon sonrası saptanan artış genç hasta grubunda daha fazla saptanmıştır (p=0.006).Sonuç: Yaşlı KOAH'lı hastalar da pulmoner rehabilitasyon programlarından genç hastalarkadar yarar görebilmektedir. Bu olgular yaşları dolayısıyla pulmoner rehabilitasyon programındandışlanmamalıdırlar

Anahtar Kelime:

Konular: Rehabilitasyon Geriatri ve Gerontoloji

PULMONER REHABİLİTASYONUN KRONİK OBSTRÜKTİF AKCİ/ER HASTALI/I OLAN YAŞLI VE GENÇ HASTALARDAKİ SONUÇLARI

Öz:

Introduction: Pulmonary rehabilitation has been shown to improve exercise capacity, healthstatus, anxiety and depression in patients with chronic obstructive pulmonary disease (COPD),but the response in younger and elderly patients has not been fully established. The aim of thisstudy was to investigate the effectiveness of pulmonary rehabilitation in elderly people. Materials and Method: Younger (>=65 years) and older (>65 years) patients with stableCOPD underwent an 8 week outpatient pulmonary rehabilitation procedure twice weekly, alongwith home exercise training. Dyspnea, incremental shuttle walk distance, health status with St.George's Respiratory Questionnaire, anxiety and depression score were assessed before andafter pulmonary rehabilitation. A comparison was made between younger and elderly patients. Results: The study group included 109 patients with COPD. There were 52 patients (meanage 58.96±4.63 yrs) in the younger group and 57 patients (mean age 73.58±5.75 yrs) in the elderly one. The increase in walking distance in younger patients was 76.86±93.18m (p<0.0001)and 34.64±60.35m (p<0.0001) in the elderly group after the data was compared to the baseline. In the younger group, the decrease in BORG score was -0.46±1.50 (p=0.04) whereas it was-0.12±0.96 (p=0.35) among the elderly patients. Although St. George's RespiratoryQuestionnaire and hospital anxiety-depression score improved significantly after pulmonary rehabilitation in younger patients, the improvement was only on the 'total' score in the elderly.Comparing the mean changes after pulmonary rehabilitation, both age groups showed similarimprovements in dyspnea, St. George's Respiratory Questionnaire and hospital anxiety-depression score (p=NS). Only walking distance increased more in the younger ages after pulmonaryrehabilitation (p=0.006). Conclusion: Elderly patients with COPD can benefit from pulmonary rehabilitation just asyounger patients can and need not be excluded because of age

Anahtar Kelime:

Konular: Rehabilitasyon Geriatri ve Gerontoloji

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	gurgun a, Korkmaz P, ÜZÜMCÜGİL KARAPOLAT H, TUNCEL Ş (2013). PULMONARY REHABILITATION RESPONSE IN ELDERLY AND YOUNGER PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE. , 427 - 433.
Chicago	gurgun alev,Korkmaz Pervin,ÜZÜMCÜGİL KARAPOLAT HALE,TUNCEL Şenay PULMONARY REHABILITATION RESPONSE IN ELDERLY AND YOUNGER PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE. (2013): 427 - 433.
MLA	gurgun alev,Korkmaz Pervin,ÜZÜMCÜGİL KARAPOLAT HALE,TUNCEL Şenay PULMONARY REHABILITATION RESPONSE IN ELDERLY AND YOUNGER PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE. , 2013, ss.427 - 433.
AMA	gurgun a,Korkmaz P,ÜZÜMCÜGİL KARAPOLAT H,TUNCEL Ş PULMONARY REHABILITATION RESPONSE IN ELDERLY AND YOUNGER PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE. . 2013; 427 - 433.
Vancouver	gurgun a,Korkmaz P,ÜZÜMCÜGİL KARAPOLAT H,TUNCEL Ş PULMONARY REHABILITATION RESPONSE IN ELDERLY AND YOUNGER PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE. . 2013; 427 - 433.
IEEE	gurgun a,Korkmaz P,ÜZÜMCÜGİL KARAPOLAT H,TUNCEL Ş "PULMONARY REHABILITATION RESPONSE IN ELDERLY AND YOUNGER PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE." , ss.427 - 433, 2013.
ISNAD	gurgun, alev vd. "PULMONARY REHABILITATION RESPONSE IN ELDERLY AND YOUNGER PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE". (2013), 427-433.

APA	gurgun a, Korkmaz P, ÜZÜMCÜGİL KARAPOLAT H, TUNCEL Ş (2013). PULMONARY REHABILITATION RESPONSE IN ELDERLY AND YOUNGER PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE. Türk Geriatri Dergisi, 16(4), 427 - 433.
Chicago	gurgun alev,Korkmaz Pervin,ÜZÜMCÜGİL KARAPOLAT HALE,TUNCEL Şenay PULMONARY REHABILITATION RESPONSE IN ELDERLY AND YOUNGER PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE. Türk Geriatri Dergisi 16, no.4 (2013): 427 - 433.
MLA	gurgun alev,Korkmaz Pervin,ÜZÜMCÜGİL KARAPOLAT HALE,TUNCEL Şenay PULMONARY REHABILITATION RESPONSE IN ELDERLY AND YOUNGER PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE. Türk Geriatri Dergisi, vol.16, no.4, 2013, ss.427 - 433.
AMA	gurgun a,Korkmaz P,ÜZÜMCÜGİL KARAPOLAT H,TUNCEL Ş PULMONARY REHABILITATION RESPONSE IN ELDERLY AND YOUNGER PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE. Türk Geriatri Dergisi. 2013; 16(4): 427 - 433.
Vancouver	gurgun a,Korkmaz P,ÜZÜMCÜGİL KARAPOLAT H,TUNCEL Ş PULMONARY REHABILITATION RESPONSE IN ELDERLY AND YOUNGER PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE. Türk Geriatri Dergisi. 2013; 16(4): 427 - 433.
IEEE	gurgun a,Korkmaz P,ÜZÜMCÜGİL KARAPOLAT H,TUNCEL Ş "PULMONARY REHABILITATION RESPONSE IN ELDERLY AND YOUNGER PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE." Türk Geriatri Dergisi, 16, ss.427 - 433, 2013.
ISNAD	gurgun, alev vd. "PULMONARY REHABILITATION RESPONSE IN ELDERLY AND YOUNGER PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE". Türk Geriatri Dergisi 16/4 (2013), 427-433.