Abstract
Objective: The pulmonary rehabilitation (PR) is multidisciplinary, evidence-based and personalized treatment approach for patients with a symptomatic chronic respiratory disease and reduced daily living activities. In this study, we aimed to determine the knowledge level of chest physicians about PR in our city. Methods: A standardized questionnaire consisting of 10 questions was conducted to a total of 40 chest diseases specialist and assistant doctors who are working at the university hospital, training and research hospital and a private hospital in Diyarbakir city and its purlieus. The questions about the definition of PR, goals, evaluation criteria, patient who candidate for rehabilitation and rehabilitation team, were asked in questionnaire. Ten points was given for each correct answer to closed-ended questions. The knowledge level were identified as low, moderate and high when points were
References
- Woolf CR. A rehabilitation program for improving exer- cise tolerance of patients with chronic lung disease. Can Med Assoc J 1972;106:1289-1292.
- Hodgkin J, Farrell M, Gibson S, et al. Pulmonary reha- bilitation. Official ATS statement. Am Rev Respir Dis 1981;124:663-666.
- Ries AL, Bauldoff GS, Carlin BW et al. Pulmonary reha- bilitation: joint ACCP/AACVPR evidence based clini- cal practice guidelines: update. Chest 2007;131:4-42.
- Celli BR, Zu Wallack RL. Pulmonary Rehabilitation. In: Broaddus M, Nadel M, eds. Murray and Nadel’s Text- book of Respiratory Medicine. 4th ed. Elsevier Sound- ers, 2006:2421-2429.
- Nici L, Donner C, Wouters E, et al. ATS/ERS Pulmonary Rehabilitation Writing Committee. American Thoracic Society/ European Respiratory Society statement on pulmonary rehabilitation. Am J Respir Crit Care Med 2006;173:1390-1413.
- Nici L, Zu Wallack R. An official American Thoracic Society workshop report: the integrated care of the COPD patient. Proc Am Thorac Soc 2012;9:9-18.
- Troosters T, Casaburi R, Gosselink R, Decramer M. Pul- monary rehabilitation in chronic obstructive pulmonary disease. Am J Respir Crit Care Med 2005;172:19-38.
- Spruit MA, Singh SJ, Garvey C, et al. An official American Thoracic Society/European Respiratory Society Statement: key concepts and advances in pulmonary rehabilitation. Am J Respir Crit Care Med 2013;188:13-64.
- Bolton CE, Bevan-Smith EF, Blakey JD et al. British Thoracic Society guideline on pulmonary rehabilita- tion in adults. Thorax 2013; 68 Suppl 2:ii1-30. doi: 10.1136/thoraxjnl-2013-203808.
- Mathers CD, Loncar D. Projections of global mortality and burden of disease from 2002 to 2030. PLoS Med 2006;3:442.
- Global Strategy for the Diagnosis, Management and Prevention of COPD. Global Initiative for Chronic Ob- structive Lung Disease (GOLD); http://www.goldcopd. org. Updated 2014. Accessed 01 September, 2014.
- Waschki B, Spruit MA, Watz H, et al. Physical activ- ity monitoring in COPD: compliance and associations with clinical characteristics in a multicenter study. Respir Med 2012;106:522-530.
- Van Remoortel H, Hornikx M, Demeyer H, et al. Dai- ly physical activity in subjects with newly diagnosed COPD. Thorax 2013;68:962-963.
- Natanek SA, Gosker HR, Slot IG, et al. Pathways associated with reduced quadriceps oxidative fibres and endurance in COPD. Eur Respir J 2013;41:1275- 1283.
- Shrikrishna D, Patel M, Tanner RJ, et al. Quadriceps wasting and physical inactivity in patients with COPD. Eur Respir J 2012;40:1115-1122.
- Donaire-Gonzalez D, Gimeno-Santos E, Balcells E, et al. Physical activity in COPD patients: patterns and bouts. Eur Respir J 2013;42:993-1002.
- Hernandes NA, Sant’Anna T, Furlanetto K, et al. Which is the variable of physical activity monitoring that better correlates with functional exercise capacity in COPD? Eur Respir J 2013;42: Suppl. 57, 1983s.
- Spruit MA, Wouters EF. New modalities of pulmonary rehabilitation in patients with chronic obstructive pul- monary disease. Sports Med 2007;37:501-518
- Puhan MA, Gimeno-Santos E, Scharplatz M, et al. Pulmonary rehabilitation following exacerbations of chronic obstructive pulmonary disease. Cochrane Da- tabase Syst Rev 2011; 10: CD005305.
- Walsh JR, McKeough ZJ, Morris NR, et al. Metabolic disease and participant age are independent predic- tors of response to pulmonary rehabilitation. J Cardio- pulm Rehabil Prev 2013;33:249-256.
- Carreiro A, Santos J, Rodrigues F. Impact of comor- bidities in pulmonary rehabilitation outcomes in pa- tients with chronic obstructive pulmonary disease. Rev Port Pneumol 2013;19:106-113.
- Man WD, Polkey MI, Donaldson N, et al. Commu- nity pulmonary rehabilitation after hospitalisation for acute exacerbations of chronic obstructive pul- monary disease: randomised controlled study. BMJ 2004;329:1209.
- Revitt O, Sewell L, Morgan MD, et al. A short out- patient pulmonary rehabilitation programme reduces readmission following a hospitalisation for an exacer- bation of COPD. Respirology 2013;18:1063-1068.
- Jones SE, Green SA, Clark AL, et al. Pulmonary re- habilitation following hospitalisation for acute exac- erbation of COPD: referrals, uptake and adherence. Thorax 2014;69:181-182
- Johnston K, Young M, Grimmer K, et al. Frequency of referral to and attendance at a pulmonary rehabilita- tion program amongst patients admitted to a tertiary hospital with chronic obstructive pulmonary disease. Respirology 2013;18:1089-1094.
- Johnston KN, Young M, Grimmer KA, et al. Barriers to, and facilitators for, referral to pulmonary rehabilita- tion in COPD patients from the perspective of Aus- tralian general practitioners: a qualitative study. Prim Care Respir J 2013;22:319-324.
Abstract
Amaç: Pulmoner rehabilitasyon (PR) semptomatik kronik
solunum hastalığı olan ve günlük yaşam aktiviteleri
azalmış̧ hastalar için multidisipliner, kanıta dayalı ve kişiye
özel tedavi yaklaşımıdır. Bu çalışmada ilimizde göğüs
hastalıkları hekimlerinin PR konusunda bilgi düzeylerinin
ölçülmesini amaçladık.
Yöntemler: Diyarbakır ili ve çevresinde üniversite hastanesi,
eğitim araştırma hastanesi ve devlet hastanelerinde
çalışan toplam 40 göğüs hastalıkları uzmanı ve asistanın
doktoruna PR’la ilgili toplam 10 sorudan oluşan standart
bir anket uygulandı. Ankette PR tanımı, hedefleri, değerlendirme
ölçütleri, rehabilitasyona aday hasta ve rehabilitasyon
ekibi ile ilgili sorular soruldu. Şıklı sorulara verilen
her bir doğru yanıta 10 puan verildi. Bilgi seviyesi, puan
50’nin altında olunca düşük, 50-70 arası orta, 80-100 arası
yüksek olarak tanımlandı.
Bulgular: Katılımcıların yaş ortalaması 36,1±7,79 ve
göğüs hastalıkları alanında çalışma süreleri 5,57±7,71
yıl idi. Üniversite hastanesi doktorlarının %78,9’u, Eğitim
araştırma hastanesi doktorlarının %57,1’i, devlet hastanesi
doktorlarının %50’i soruların yarısından fazlasına
doğru cevap verdi.
Sonuç: İlimizdeki göğüs hastalıkları hekimlerinin PR konusundaki
bilgi seviyesi büyük oranda düşük ve orta düzeydedir. Pulmoner rehabilitasyonla ilgili tıp fakültelerinde
eğitim müfredatı oluşturulmasının ve mezuniyet sonrası
eğitimler ile sahadaki hekimlerin bilgilendirilmesinin bu
konuyla ilgili farkındalığı artıracağı ve hekim ve hastaların
PR’a ilgisini arttıracağı düşüncesindeyiz
References
- Woolf CR. A rehabilitation program for improving exer- cise tolerance of patients with chronic lung disease. Can Med Assoc J 1972;106:1289-1292.
- Hodgkin J, Farrell M, Gibson S, et al. Pulmonary reha- bilitation. Official ATS statement. Am Rev Respir Dis 1981;124:663-666.
- Ries AL, Bauldoff GS, Carlin BW et al. Pulmonary reha- bilitation: joint ACCP/AACVPR evidence based clini- cal practice guidelines: update. Chest 2007;131:4-42.
- Celli BR, Zu Wallack RL. Pulmonary Rehabilitation. In: Broaddus M, Nadel M, eds. Murray and Nadel’s Text- book of Respiratory Medicine. 4th ed. Elsevier Sound- ers, 2006:2421-2429.
- Nici L, Donner C, Wouters E, et al. ATS/ERS Pulmonary Rehabilitation Writing Committee. American Thoracic Society/ European Respiratory Society statement on pulmonary rehabilitation. Am J Respir Crit Care Med 2006;173:1390-1413.
- Nici L, Zu Wallack R. An official American Thoracic Society workshop report: the integrated care of the COPD patient. Proc Am Thorac Soc 2012;9:9-18.
- Troosters T, Casaburi R, Gosselink R, Decramer M. Pul- monary rehabilitation in chronic obstructive pulmonary disease. Am J Respir Crit Care Med 2005;172:19-38.
- Spruit MA, Singh SJ, Garvey C, et al. An official American Thoracic Society/European Respiratory Society Statement: key concepts and advances in pulmonary rehabilitation. Am J Respir Crit Care Med 2013;188:13-64.
- Bolton CE, Bevan-Smith EF, Blakey JD et al. British Thoracic Society guideline on pulmonary rehabilita- tion in adults. Thorax 2013; 68 Suppl 2:ii1-30. doi: 10.1136/thoraxjnl-2013-203808.
- Mathers CD, Loncar D. Projections of global mortality and burden of disease from 2002 to 2030. PLoS Med 2006;3:442.
- Global Strategy for the Diagnosis, Management and Prevention of COPD. Global Initiative for Chronic Ob- structive Lung Disease (GOLD); http://www.goldcopd. org. Updated 2014. Accessed 01 September, 2014.
- Waschki B, Spruit MA, Watz H, et al. Physical activ- ity monitoring in COPD: compliance and associations with clinical characteristics in a multicenter study. Respir Med 2012;106:522-530.
- Van Remoortel H, Hornikx M, Demeyer H, et al. Dai- ly physical activity in subjects with newly diagnosed COPD. Thorax 2013;68:962-963.
- Natanek SA, Gosker HR, Slot IG, et al. Pathways associated with reduced quadriceps oxidative fibres and endurance in COPD. Eur Respir J 2013;41:1275- 1283.
- Shrikrishna D, Patel M, Tanner RJ, et al. Quadriceps wasting and physical inactivity in patients with COPD. Eur Respir J 2012;40:1115-1122.
- Donaire-Gonzalez D, Gimeno-Santos E, Balcells E, et al. Physical activity in COPD patients: patterns and bouts. Eur Respir J 2013;42:993-1002.
- Hernandes NA, Sant’Anna T, Furlanetto K, et al. Which is the variable of physical activity monitoring that better correlates with functional exercise capacity in COPD? Eur Respir J 2013;42: Suppl. 57, 1983s.
- Spruit MA, Wouters EF. New modalities of pulmonary rehabilitation in patients with chronic obstructive pul- monary disease. Sports Med 2007;37:501-518
- Puhan MA, Gimeno-Santos E, Scharplatz M, et al. Pulmonary rehabilitation following exacerbations of chronic obstructive pulmonary disease. Cochrane Da- tabase Syst Rev 2011; 10: CD005305.
- Walsh JR, McKeough ZJ, Morris NR, et al. Metabolic disease and participant age are independent predic- tors of response to pulmonary rehabilitation. J Cardio- pulm Rehabil Prev 2013;33:249-256.
- Carreiro A, Santos J, Rodrigues F. Impact of comor- bidities in pulmonary rehabilitation outcomes in pa- tients with chronic obstructive pulmonary disease. Rev Port Pneumol 2013;19:106-113.
- Man WD, Polkey MI, Donaldson N, et al. Commu- nity pulmonary rehabilitation after hospitalisation for acute exacerbations of chronic obstructive pul- monary disease: randomised controlled study. BMJ 2004;329:1209.
- Revitt O, Sewell L, Morgan MD, et al. A short out- patient pulmonary rehabilitation programme reduces readmission following a hospitalisation for an exacer- bation of COPD. Respirology 2013;18:1063-1068.
- Jones SE, Green SA, Clark AL, et al. Pulmonary re- habilitation following hospitalisation for acute exac- erbation of COPD: referrals, uptake and adherence. Thorax 2014;69:181-182
- Johnston K, Young M, Grimmer K, et al. Frequency of referral to and attendance at a pulmonary rehabilita- tion program amongst patients admitted to a tertiary hospital with chronic obstructive pulmonary disease. Respirology 2013;18:1089-1094.
- Johnston KN, Young M, Grimmer KA, et al. Barriers to, and facilitators for, referral to pulmonary rehabilita- tion in COPD patients from the perspective of Aus- tralian general practitioners: a qualitative study. Prim Care Respir J 2013;22:319-324.
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Research Article |
| Authors | |
| Publication Date | September 1, 2014 |
| Published in Issue | Year 2014 Volume: 5 Issue: 3 |