The impact on health status in short- and long-terms of a novel and non-orthodox real-world COPD rehabilitation effort in rural India: an appraisal
| Autor: | Madan Sarma, Parthasarathi Bhattacharyya, Pallav Bhattacharyya, Kajal Chatterjee, Dipanjan Saha, Saibal Mazumdar, Avijit Chowdhury, Bodhisattwa Chakraborty, Rupak Ghosh |
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| Rok vydání: | 2018 |
| Předmět: |
Spirometry
Male medicine.medical_specialty medicine.medical_treatment Respiratory System Agents Developing country Pursed lip breathing India International Journal of Chronic Obstructive Pulmonary Disease Breathing Exercises extensive training 03 medical and health sciences Pulmonary Disease Chronic Obstructive 0302 clinical medicine Quality of life Patient Education as Topic Intervention (counseling) Preventive Health Services Medicine Humans 030212 general & internal medicine Curriculum Aged Original Research COPD Rehabilitation Exercise Tolerance medicine.diagnostic_test business.industry respiratory function tests rural COPD General Medicine Health Status Disparities Middle Aged medicine.disease Quality Improvement Exercise Therapy Self Care 030228 respiratory system quality of life single point intensive education and training Physical therapy Female Rural Health Services business |
| Zdroj: | International Journal of Chronic Obstructive Pulmonary Disease |
| ISSN: | 1178-2005 |
| Popis: | Parthasarathi Bhattacharyya,1 Rupak Ghosh,1 Dipanjan Saha,1 Bodhisattwa Chakraborty,1 Pallav Bhattacharyya,1 Madan Sarma,1 Saibal Mazumdar,2 Kajal Chatterjee,2 Avijit Chowdhury3 1Department of Pulmonology, Institute of Pulmocare and Research, Kolkata, India; 2Department of General Medicine, Liver Foundation, Kolkata, India; 3Gastroenterology Department, Liver Foundation, Kolkata, India Background: Rehabilitation has been an integral part of management of COPD. Since the implementation of the standard rehabilitation protocol is hardly possible in the rural developing world, aiming to make a feasible alternate effort may be worthwhile.Methods: COPD patients diagnosed through spirometry were first stabilized with 6 weeks of uniform pharmacotherapy. Subsequently, they were subjected to a curriculum-based intensive single-session intervention with education, bronchial hygiene, and exercise training. The latter involved whole body exercise, pursed lip breathing, and diaphragmatic exercise. The participants continued to practice the exercises under real-world encouragement and supervision from trained volunteers. The impact was appraised in terms of change in health status through COPD assessment test (CAT) score measurements at stabilization, and after 6 weeks and 1 year of the intensive training and education.Results: At stabilization, 70 out of 96 selected COPD subjects (73%) turned up (with mean age 62±9 years and mean FEV1 as 1.16±0.39 L) showing improvement as per CAT score (p=0.0001) from pharmacotherapy. After practicing the imparted education and training for 6 weeks, all these 70 participants had further significant improvement in the health status (n=70, p=0.00001). This improvement, been reinforced and supervised, continued to last even at 1 year (n=54, p=0.0001).Conclusion: The self-managed practice of a single-session education and training under real-world supervision can bring forth significant long-term improvement in the health status of COPD sufferers. Such simple and feasible intervention may substitute formal COPD rehabilitation programs in resource constraint situations. Keywords: rural COPD, extensive training, single point intensive education and training, quality of life, respiratory function tests |
| Databáze: | OpenAIRE |
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