Medicus 2013;22(2):133-138
ZAKLJUČAK
Ovim istraživanjem pokazali smo da interdisciplinarni pro-
gram plućne rehabilitacije kod bolesnika s opstruktivnom
plućnom bolesti (astma, KOPB) očito utječe na poboljšanje
kvalitete života. Povećava se subjektivni osjećaj kontrole bo-
lesti, uz objektivno smanjenje stupnja depresivnosti i anksi-
oznosti, bolesnici postižu bolju toleranciju napora uz dužu
hodnu prugu nakon rehabilitacije. U parametrima plućne
funkcije dolazi do poboljšanja FEV
1
i IC-a, a FVC i PEF ne
pokazuju značajne promjene. Dobiveni rezultati u skladu su
sa smjernicama koje se temelje na dokazima. Naši bolesnici
dobili su preporuku da ponove rehabilitaciju za 6 mj.
138
Dr. Tajana Jalušić Glunčić, specijalist pulmolog
KBC Zagreb
Klinika za plućne bolesti „Jordanovac“
10000 Zagreb, Jordanovac 104
e-mail:
23. 4. 2013.
April 23, 2013
14. 5. 2013.
May 14, 2013
ADRESA ZA DOPISIVANJE:
PRIMLJENO/RECEIVED:
PRIHVAĆENO/ACCEPTED:
LITERATURA
1.
NICI L, DONNER C, WOUTERS E i sur. American Thoracic So-
ciety/European Respiratory Society statement on pulmonary
rehabilitation. Am J Respir Crit Care Med 2006;173:1390-413.
2.
TROOSTERS T, CASABURI R, GOSSELINK R i sur. Pulmonary
rehabilitation in chronic obstructive pulmonary disease. Am J
Respir Crit Care Med 2005;172:19-38.
3.
COTE CG, CELLI BR. Pulmonary rehabilitation and the BODE
index in COPD. Eur Respir J 2005;26:630-6.
4.
PUHAN MA, SCHARPLATZ M, TROOSTERS T i sur. Respirato-
ry rehabilitation after acute exacerbation of COPD may reduce
risk for readmission and mortality – a systematic review. Re-
spir Res 2005;6:54.
5.
Du MOULIN M, TAUBE K, WEGSCHEIDER K i sur. Home-
based exercise training as maintenance after outpatient pul-
monary rehabilitation. Respiration 2009;77:139-45.
6.
SHARMA S, ARNEJA A. Pulmonary Rehabilitation. eMedi-
cine 2012. Dostupno na;
cle/319885-overview. Datum pristupa: 21.5.2013.
7.
STAV D, RAZ M, SHPIRER I. Three years of pulmonary reha-
bilitation: inhibit the decline in airflow obstruction, improves
exercise endurance time, and body-mass index, in chronic ob-
structive pulmonary disease. BMC PulmMed 2009;9:26.
8.
BINGISSER RM, JOOS L, FRÜHAUF B i sur. Pulmonary reha-
bilitation in outpatients with asthma or chronic obstructive
lung disease. A pilot study of a “modular” rehabilitation pro-
gramme. Swiss Med Wkly 2001;131:407-11.
9.
SEWELL L, SINGH SJ, WILLIAMS JE i sur. How long should
outpatient pulmonary rehabilitation be? A randomized con-
trolled trial of 4 weeks versus 7 weeks. Thorax 2006;61:767-71.
10. SALMAN GF, MOSIER MC, BEASLEY BW i sur. Rehabilitation
for patients with chronic obstructive pulmonary disease: me-
ta-analysis of randomized controlled trials. J Gen Intern Med
2003;18:213-21.
11. RINGBAEK T, MARTINEZ G, LANGE P. A comparison of the
assessment of quality of life with CAT, CCQ, and SGRQ in
COPD patients participating in pulmonary rehabilitation.
COPD 2012;9:12-5.
12. RIES AL, BAULDOFF GS, CARLIN BW i sur. Pulmonary Reha-
bilitation: Joint ACCP/AACVPR Evidence-Based Clinical Prac-
tice Guidelines. Chest 2007; 131(5 Suppl):4S-42S.
13. NICI L, DONNER C, WOUTERS E i sur. American Thoracic So-
ciety/European Respiratory Society statement on pulmonary
rehabilitation. Am J Respir Crit Care Med 2006;173:1390-413.
14. PUENTE-MAESTU L, SÁNZ ML, SÁNZ P i sur. Comparison
of effects of supervised versus self-monitored training pro-
grammes in patients with chronic obstructive pulmonary dis-
ease. Eur Respir J 2000;15:517-25.
15. BREYER MK, BREYER-KOHANSAL R, FUNK GC i sur. Nordic
walking improves daily physical activities in COPD: a ran-
domised controlled trial. Respir Res 2010;11:112.
16. JASTRZEBSKI D, OCHMAN M, ZIORA D i sur. Pulmonary re-
habilitation in patients referred for lung transplantation. Adv
Exp Med Biol 2013;755:19-25.
17. BECKERMANM, MAGADLE R, WEINERM i sur. The Effects of
1 Year of Specific Inspiratory Muscle Training in Patients With
COPD. Chest 2005;128;3177-82.
18. GOSSELINK R, De VOS J, Van den HEUVEL SP i sur. Impact of
inspiratory muscle training in patients with COPD what is the
evidence? ERJ 2011;37:416-25.
19. WARD JA, AKERS G, WARD DG i sur. Feasibility and effective-
ness of a pulmonary rehabilitation programme in a communi-
ty hospital setting. Br J Gen Pract 2002;52:539-42.
20. RIES AL. Pulmonary Rehabilitation: Summary of an evi-
dence-based guideline. Respir Care 2008;53:1203-7.
Jalušić Glunčić T., Basara Toromanović L., Maletić O.
