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Year 2012, Volume: 1 Issue: 1, 24 - 29, 12.07.2012

Ayşe Akıncı , Rukiye Pınar

Abstract

References

  • American Thoracic Society Respiratory Society (2004) Standards for the Diagnosis and management of Patients with COPD. American Thoracic Society & European Thoracic Society, p.113-119. & European
  • American Thoracic Society (1999) Dyspnea: mechanisms, assessment, and management: a consensus statement. Am J Respir Crit Care Med, 159(1):321–340.
  • Atasever A, Başoğlu ÖK, Bacakoğlu FK (2005) Stabil Kronik Obstrüktif Akciğer Hastalığı ol- gularında yaşam kalitesini etkileyen faktörler. Türk Toraks Dergisi, 6(1): 25-30.
  • Barnett M (2006) Chronic Obstructive Pulmonary Disease. Newyork, John Wiley&Sons Ltd.
  • BTS Statement (2001) Pulmonary rehabilitation. Thorax, 56(11): 827-834.
  • Buckholz GT, von Gunten CF (2009) Nonpharma- cological management of dyspnea. Curr Opin Support Palliat Care, 3(2): 98-102.
  • Carrieri-Kohlman V, Gormley JM, Douglas MK et al. (1996) Exercise training decreases dyspnea and the distress and anxiety associated with it. Chest, 110(6): 1526-1535.
  • Demir G, Akkoca Ö, Doğan R ve ark. (2003) KOAH’da dispne ve yaşam kalitesinin değer- lendirilmesi. Tüberküloz ve Toraks Dergisi, 51(4): 365-372.
  • Di Marco F, Verga M, Reggente M et al. (2006) Anxiety and depression in COPD patients: the roles of gender and disease severity. Respir Med, 100(10): 1767-1774.
  • Gift AG, Moore T, Soeken K (1992) Relaxation to reduce dyspnea and anxiety in COPD pa- tients. Nurs Res, 41(4): 242-6.
  • Gigliotti F, Romagnoli I, Scano G (2003) Breathing retraining and exercise conditioning in pa- tients with chronic obstructive pulmonary di- sease (COPD): A physiological approach. Res- pir Med, 97(3): 197-204.
  • Gosselink R (2003) Controlled breathing and dyspnea in patients with Chronic Obstructive Pulmonary Disease. J Rehabil Res Dev, 40(5) Supplement 2: 25-34.
  • Halpin D, Rudolf M (2006) Current COPD. N Yıldı- rım, T Demir (Çeviri Editörü). Second Edition, İstanbul, Tenedoks Yayıncılık ve Org. San. Ltd. Şti.
  • Janssens JP, de Muralt B, Titelion V (2000) Management of dspnea in severe Chronic Obstructive Pulmonary Disease. J Pain Symp- tom Manage, 19(5): 378-392.
  • Thomas JR, von Gunten CF (2003) Management of dyspnea. J Support Oncol, 1(1): 23-34.
  • Lamb J, Borycki E, Marciniuk D (2002) Compre- hensive Management of Chronic Obstructive Pulmonary Disease. J Bourbeau, D Nault, E Borycki (Eds), London, B.C. Decker, p.149- 170.
  • Larson JL, Johnson JH, Angst DB (1996) Rehabilitation Nursing Process and Applicati- on. SP Hoeman (Ed). Second Edition, St Louis, Mosby, p.361-400.
  • Maltais F, Hershfield S, Stubbing D, Wijkstra P, Hatzoglou A, Loveridge B, Pereira G, Goldstein RS. (2002) Comprehensive Manage- ment of Chronic Obstructive Pulmonary Di- sease. J Bourbeau, D Nault, E Borycki (Eds), London, B.C. Decker, p.185-214.
  • McBride S, Graydon J, Sidani S et al. (1999) The therapeutic use of music for dyspnea and anxiety in patients with COPD who live at ho- me. Journal of Holistic Nursing, 17(3): 229- 50.
  • McCarley C (1999) A model of chronic dyspnea. J Nurs Scholarship, 31 (3): 231-236.
  • Neder JA, Sword D, Ward SA et al. (2002) Home based neuromuscular electrical stimulation as a new rehabilitative strategy for severely disabled patients with chronic obstructive pulmonary disease (COPD). Thorax, 57(4): 333-337.
  • Nguyen HQ, Carrieri-Kohlman V (2005) Dyspnea self-management in patients with chronic obstructive pulmonary disease: moderating effects of depressed mood. Psychosomatics, 46(5): 402–410.
  • O’Donnell DE, Webb K, McGuire M (2002) Comprehensive Management of Chronic Obst- ructive Pulmonary Disease. J Bourbeau, D Nault, E Borycki (Eds), London, B.C. Decker, p.149-170.
  • Ries AL, Bauldoff GS, Carlin BW, Casaburi R, Emery CF, Mahler DA, Make B, Rochester CL, ZuWallack R, Herrerias C (2007) Pulmonary rehabilitation: Joint ACCP/AACVPR evidence based clinical practice guidelines. Chest, 131(5Suppl): 4S-42S.
  • Roberts D (2008) Walking aids, chest-wall vibration, and neuroelectrical muscle stimula- tion relieve breathlessness in COPD. Evid Based Nurs, 11(4):118
  • Rochester CL (2003) Exercise training in Chronic Obstructive Pulmonary Disease. J Rehabil Res Dev, 40(5) Supplement 2: 59-80.
  • Sibuya M, Yamada M, Kanamaru A et al. (1994) Effect of chest wall vibration on dyspnea in patients with chronic respiratory disease. Am J Respir Crit Care Med, 149(5): 1235-1240.
  • Singh VP, Rao V, Prem V et al. (2009) Comparison of the effectiveness of music and progressive muscle relaxation for anxiety in COPD—A randomized controlled pilot study. Chronic Respiratory Disease, 6(4): 209-216
  • Stulbarg MS, Carrieri-Kohlman V, Demir-Deviren S et al. (2002) Exercise training improves outcomes of a dyspnea self-management program. J Cardpulm Rehabil, 22(2):109-121
  • Suzuki M, Namura K, Ohno Y et al. (2008) The effect of acupuncture in the treatment of chronic obstructive pulmonary disease. J Alternative Compl Med, 14(9): 1097-105.
  • Thomas LA (2004) COPD Dyspnea Management by Family Caregivers. Unpublished Doctoral Dissertation, USA, University of South Flo- rida.
  • Tiep BL (1997) Disease management of COPD with pulmonary rehabilitation. Chest, 112(6): 1630-1656.
  • Urden LD, Stacy KM (2000). Priorites in Critical Care Nursing. Third Edition. St. Louis, Mosby, p. 306-309.
  • Üskül TB, Selvi A, Melikoğlu A ve ark. (2006) Göğüs hastalıkları kliniğinde yatan hastalarda anksiyete ve depresyon düzeyleri ile sosyo- demografik faktörlerin ve hastalık tanılarının ilişkisi. Akciğer Arşivi, 7(1): 11-15.
  • van der Valk P, Monninkhof E, van der Palen J et al. (2004) Management of stable COPD. Patient Educ Couns, 52(3): 225-229.
  • Van Manen JG, Bindels PJ, Dekker FW et al. (2002) Risk of depression in patient with chronic obstructive pulmonary disease and its determinants. Thorax, 57(5): 412-416.
  • Vivodtzev I, Pepin JL, Vottero G et al. (2006) Improvement in quadriceps strength and dyspnea in daily tasks after 1 month of elect- rical stimulation in severely deconditioned and malnourished COPD. Chest, 129(6): 1540-1548.

Kronik Obstrüktif Akciğer Hastaliği Olan Hastalarda Dispne Rehabilitasyonu

Year 2012, Volume: 1 Issue: 1, 24 - 29, 12.07.2012

Ayşe Akıncı , Rukiye Pınar

Abstract

Hastaların aktivite düzeyini ve yaşam kalitesini düşüren dispne hemen hemen tüm Kronik Obstrüktif Akciğer Hastalığı (KOAH) olan hastaların yaşadığı en önemli semptomdur. KOAH’lı hastaların yaşadıkları en önemli semptomun dispne olması nedeniyle son zamanlarda dispneyi ortadan kaldırmaya yönelik programlar ve bunların etkinliği üzerinde durulmaktadır. KOAH’lı hastalara yönelik pulmoner rehabilitasyon programları pulmoner hastalığın fizyo ve psikopatolojisini düzeltmeye yönelik bir çok girişimi kapsayan kapsamlı bir programdır. Oysa dispneye yönelik bir rehabilitasyon programı sadece dispneyi kontrol altına almaya yönelik girişimleri kapsamaktadır. Dispneyi kontrol altına almak için farmakolojik ajanlar yanında dispne nedeniyle ortaya çıkan psikolojik ve davranışsal sorunları ortadan kaldırmak, kişilerin aktivite düzeyini ve yaşam kalitesini arttırmak amacıyla dispneye yönelik rehabilitasyon uygulan-malıdır. Dispne oluşumunda fizyolojik faktörler yanında bilişsel ve emosyonel faktörler de etkili olduğundan rehabilitasyon uygulamaları hem fizyolojik hem de bilişsel ve emosyonel faktörlere odaklanmalıdır. Bu makalede dispneye yönelik rehabilitasyon uygulamaları ele alındı.

Anahtar sözcükler: Kronik obsrtüktif akciğer hastalığı, dispne, rehabilitasyon.

 

ABSTRACT

Dyspnea that reduces activity level and quality of life of the patients is the most important symptom experienced by almost all of the Chronic Obstructive Pulmonary Disease (COPD) patients. Recently, it is mentioned that importance of dyspnea management programs and effectiveness of those programs because of the most important problem experienced by patients with COPD is dyspnea. Pulmonary rehabilitation programs for patients with COPD are comprehensive programs including a lot of interventions to improve pulmonary disease’s physiopathology and psychopathology. However, a rehabilitation program for dyspnea includes interventions to control only dyspnea. To take the control of dyspnea, in addition to the pharmacological agents, rehabilitation directed to the dyspnea should be implemented to eliminate psychological and behavioral problems caused by dyspnea, and to improve activity level and quality of life of the patients. Rehabilitation practices should focus on both physiological and cognitive and emotional factors because cognitive and emotional factors as well as the physiological factors have an effect in mecanism of dyspnea. In this article, rehabilitation practices directed to the dyspnea have been discussed.

Key Words: Chronic obstructive pulmonary disease, dyspnea, rehabilitation.


Keywords

Kronik obsrtüktif akciğer hastalığı dispne rehabilitasyon

References

  • American Thoracic Society Respiratory Society (2004) Standards for the Diagnosis and management of Patients with COPD. American Thoracic Society & European Thoracic Society, p.113-119. & European
  • American Thoracic Society (1999) Dyspnea: mechanisms, assessment, and management: a consensus statement. Am J Respir Crit Care Med, 159(1):321–340.
  • Atasever A, Başoğlu ÖK, Bacakoğlu FK (2005) Stabil Kronik Obstrüktif Akciğer Hastalığı ol- gularında yaşam kalitesini etkileyen faktörler. Türk Toraks Dergisi, 6(1): 25-30.
  • Barnett M (2006) Chronic Obstructive Pulmonary Disease. Newyork, John Wiley&Sons Ltd.
  • BTS Statement (2001) Pulmonary rehabilitation. Thorax, 56(11): 827-834.
  • Buckholz GT, von Gunten CF (2009) Nonpharma- cological management of dyspnea. Curr Opin Support Palliat Care, 3(2): 98-102.
  • Carrieri-Kohlman V, Gormley JM, Douglas MK et al. (1996) Exercise training decreases dyspnea and the distress and anxiety associated with it. Chest, 110(6): 1526-1535.
  • Demir G, Akkoca Ö, Doğan R ve ark. (2003) KOAH’da dispne ve yaşam kalitesinin değer- lendirilmesi. Tüberküloz ve Toraks Dergisi, 51(4): 365-372.
  • Di Marco F, Verga M, Reggente M et al. (2006) Anxiety and depression in COPD patients: the roles of gender and disease severity. Respir Med, 100(10): 1767-1774.
  • Gift AG, Moore T, Soeken K (1992) Relaxation to reduce dyspnea and anxiety in COPD pa- tients. Nurs Res, 41(4): 242-6.
  • Gigliotti F, Romagnoli I, Scano G (2003) Breathing retraining and exercise conditioning in pa- tients with chronic obstructive pulmonary di- sease (COPD): A physiological approach. Res- pir Med, 97(3): 197-204.
  • Gosselink R (2003) Controlled breathing and dyspnea in patients with Chronic Obstructive Pulmonary Disease. J Rehabil Res Dev, 40(5) Supplement 2: 25-34.
  • Halpin D, Rudolf M (2006) Current COPD. N Yıldı- rım, T Demir (Çeviri Editörü). Second Edition, İstanbul, Tenedoks Yayıncılık ve Org. San. Ltd. Şti.
  • Janssens JP, de Muralt B, Titelion V (2000) Management of dspnea in severe Chronic Obstructive Pulmonary Disease. J Pain Symp- tom Manage, 19(5): 378-392.
  • Thomas JR, von Gunten CF (2003) Management of dyspnea. J Support Oncol, 1(1): 23-34.
  • Lamb J, Borycki E, Marciniuk D (2002) Compre- hensive Management of Chronic Obstructive Pulmonary Disease. J Bourbeau, D Nault, E Borycki (Eds), London, B.C. Decker, p.149- 170.
  • Larson JL, Johnson JH, Angst DB (1996) Rehabilitation Nursing Process and Applicati- on. SP Hoeman (Ed). Second Edition, St Louis, Mosby, p.361-400.
  • Maltais F, Hershfield S, Stubbing D, Wijkstra P, Hatzoglou A, Loveridge B, Pereira G, Goldstein RS. (2002) Comprehensive Manage- ment of Chronic Obstructive Pulmonary Di- sease. J Bourbeau, D Nault, E Borycki (Eds), London, B.C. Decker, p.185-214.
  • McBride S, Graydon J, Sidani S et al. (1999) The therapeutic use of music for dyspnea and anxiety in patients with COPD who live at ho- me. Journal of Holistic Nursing, 17(3): 229- 50.
  • McCarley C (1999) A model of chronic dyspnea. J Nurs Scholarship, 31 (3): 231-236.
  • Neder JA, Sword D, Ward SA et al. (2002) Home based neuromuscular electrical stimulation as a new rehabilitative strategy for severely disabled patients with chronic obstructive pulmonary disease (COPD). Thorax, 57(4): 333-337.
  • Nguyen HQ, Carrieri-Kohlman V (2005) Dyspnea self-management in patients with chronic obstructive pulmonary disease: moderating effects of depressed mood. Psychosomatics, 46(5): 402–410.
  • O’Donnell DE, Webb K, McGuire M (2002) Comprehensive Management of Chronic Obst- ructive Pulmonary Disease. J Bourbeau, D Nault, E Borycki (Eds), London, B.C. Decker, p.149-170.
  • Ries AL, Bauldoff GS, Carlin BW, Casaburi R, Emery CF, Mahler DA, Make B, Rochester CL, ZuWallack R, Herrerias C (2007) Pulmonary rehabilitation: Joint ACCP/AACVPR evidence based clinical practice guidelines. Chest, 131(5Suppl): 4S-42S.
  • Roberts D (2008) Walking aids, chest-wall vibration, and neuroelectrical muscle stimula- tion relieve breathlessness in COPD. Evid Based Nurs, 11(4):118
  • Rochester CL (2003) Exercise training in Chronic Obstructive Pulmonary Disease. J Rehabil Res Dev, 40(5) Supplement 2: 59-80.
  • Sibuya M, Yamada M, Kanamaru A et al. (1994) Effect of chest wall vibration on dyspnea in patients with chronic respiratory disease. Am J Respir Crit Care Med, 149(5): 1235-1240.
  • Singh VP, Rao V, Prem V et al. (2009) Comparison of the effectiveness of music and progressive muscle relaxation for anxiety in COPD—A randomized controlled pilot study. Chronic Respiratory Disease, 6(4): 209-216
  • Stulbarg MS, Carrieri-Kohlman V, Demir-Deviren S et al. (2002) Exercise training improves outcomes of a dyspnea self-management program. J Cardpulm Rehabil, 22(2):109-121
  • Suzuki M, Namura K, Ohno Y et al. (2008) The effect of acupuncture in the treatment of chronic obstructive pulmonary disease. J Alternative Compl Med, 14(9): 1097-105.
  • Thomas LA (2004) COPD Dyspnea Management by Family Caregivers. Unpublished Doctoral Dissertation, USA, University of South Flo- rida.
  • Tiep BL (1997) Disease management of COPD with pulmonary rehabilitation. Chest, 112(6): 1630-1656.
  • Urden LD, Stacy KM (2000). Priorites in Critical Care Nursing. Third Edition. St. Louis, Mosby, p. 306-309.
  • Üskül TB, Selvi A, Melikoğlu A ve ark. (2006) Göğüs hastalıkları kliniğinde yatan hastalarda anksiyete ve depresyon düzeyleri ile sosyo- demografik faktörlerin ve hastalık tanılarının ilişkisi. Akciğer Arşivi, 7(1): 11-15.
  • van der Valk P, Monninkhof E, van der Palen J et al. (2004) Management of stable COPD. Patient Educ Couns, 52(3): 225-229.
  • Van Manen JG, Bindels PJ, Dekker FW et al. (2002) Risk of depression in patient with chronic obstructive pulmonary disease and its determinants. Thorax, 57(5): 412-416.
  • Vivodtzev I, Pepin JL, Vottero G et al. (2006) Improvement in quadriceps strength and dyspnea in daily tasks after 1 month of elect- rical stimulation in severely deconditioned and malnourished COPD. Chest, 129(6): 1540-1548.
There are 37 citations in total.

Details

Primary Language Turkish
Journal Section Research Article
Authors

Ayşe Akıncı

Rukiye Pınar

Publication Date July 12, 2012
Published in Issue Year 2012Volume: 1 Issue: 1

Cite

APA Akıncı, A., & Pınar, R. (2012). Kronik Obstrüktif Akciğer Hastaliği Olan Hastalarda Dispne Rehabilitasyonu. Cumhuriyet Hemşirelik Dergisi, 1(1), 24-29.