ERHAN UĞURLU, HAKAN ALKAN, Göksel ALTINIŞIK, Öznur ATAMAN, Mukaddes ŞENER, Esra Huriye GÖÇER, Sibel ÖZKURT, Fatma EVYAPAN

Awareness about disease and pulmonary rehabilitation in chronic obstructive pulmonary disease: A survey study

Purpose: Superiority of pulmonary rehabilitation (PR) in patients with COPD have been entered the major guidelines of the disease and become gold standard of care in the management of COPD. Our aim is to evaluate the patients’ awareness about their own illness and PR which supports behavioral interventions by encouraging exercise training, cooperative self-management depending on the patients themselves. Materials and methods: The study was included 200 patients. Patients who are competent enough to complete the questionnaire and diagnosed as COPD according to Global Inıtıatıve for Chronic Obstructive Lung Disease(GOLD) criteria and at least 1 year on follow patients enrolled in the study. Questionnaire which is employed in our study is developed by a review of the current literature and consist of 3 parts. First part aims to investigate socio-demographics like age, gender, education and whereabouts. Second part (questions 1-9) evaluate the knowledge and awareness of COPD and 3rd part (10-22) investigate the awareness of PR. Results: Among the patients 93% (n=186) were male and 7% (n=14) were female. Mean age was 65.11±10.00 years. Mean duration of the disease was 7.8±6.69 years. Correct answer rates to the questions “is there another treatment modality for COPD other than medication” and “have you ever heard a treatment named pulmonary rehabilitation” were 14.5% and 7.5%, respectively. Conclusion: We found that the awareness of pulmonary rehabilitation is very low. Therefore, in our opinion it is essential to find out new methods, novel strategies to increase the awareness of pulmonary rehabilitation in COPD patients.

Kronik obstrüktif akciğer hastalığında hastalık ve pulmoner rehabilitasyon farkındalığı: Bir anket çalışması

Amaç: KOAH tanısı olan hastalarda pulmoner rehabilitasyonun (PR) üstünlüğü hastalığın majör rehberlerine girmiştir ve KOAH’ lı hastaların standart bakımı olarak kabul edilmiştir. Bizde mevcut hastalıkları hakkında bilgi düzeylerini ölçmek ve eksersizeğitimleri, işbirlikçi özyönetimi teşvik eden programlarıyla davranışşal müdahaleleri destekleyen, pulmoner rehabilitasyonun hastalar tarafından bilinip bilinmediğini araştırmak istedik. Gereç ve Yöntem: Çalışmaya 200 hasta dahil edildi. Global Inıtıatıve for Chronic Obstructive Lung Disease (GOLD) kriterlerine göre KOAH tanısı almış, en az 1 yıldır takipte, anketteki soruları cevaplayabilecek fizik ve mental yeterli kapasiteye sahip olan hastalar çalışmaya dahil edildi. Çalışmada kullandığımız literatür derlenerek hazırlanan anket, 3 bölümden oluşmaktadır. Birinci bölüm hastanın yaş, cinsiyet, eğitim düzeyi, yaşadığı yer gibi sosyodemografik özellikleri sorgulayan bölümdür. İkinci bölüm (1-9 arası sorular) KOAH bilgi düzeyi ve farkındalığını, üçüncü bölüm (10-22 arası sorular) ise PR farkındalığını değerlendiren bölümdür. Bulgular: Hastaların %93 (n=186)’ ü erkek, %7 (n=14) kadındı. Ortalama yaşları ise 65.11±10.00. Ortalama KOAH süresi ise 7.8±6.69. KOAH’da ilaç tedavisi dışında bir tedavi duydunuz mu ve pulmoner rehabilitasyon isimli bir tedavi duydunuz mu sorularına verilen doğru cevap oranı %14.5 ve %7.5 dur. Sonuç:KOAH hastalarında pulmoner rehabilitasyonun farkındalığını oldukça düşük bulduk. Bu nedenle bu hastalarda farkındalığı artırmak için yeni stratejiler, yeni methodlar geliştirilmelidir.

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