评估COPD患者在项目“PulmoRehab – 通过针对COPD患者的个性化护理系统提供医疗服务获取途径,包括基于人工智能方法的远程监控和远程康复”中的康复效果

Katarzyna Bogacz, Anna Szczegielniak, Łukasz Czekaj, Andrzej Jarynowski, Robert Kitłowski, Stanisław Maksymowicz, Danuta Lietz-Kijak, Bartosz Pańczyszak, Jacek Łuniewski, Edyta Krajczy, Mirosław Lenczuk, Jacek Sahajdak, Krzysztof Kassolik, Szymon Kaliciński, Jan Szczegielniak

 

Katarzyna Bogacz, Anna Szczegielniak, Łukasz Czekaj et al – Assessment of rehabilitation effectiveness in patients with COPD as part of the project “PulmoRehab – Access to healthcare services through a personalized care system for patients with COPD, including remote monitoring and tele-rehabilitation based on Artificial Intelligence methods” –  Fizjoterapia Polska 2024; 24(1); 6-11

DOI: https://doi.org/10.56984/8ZG2EF8D9D

摘要
引言。在项目“PulmoRehab – 通过针对COPD患者的个性化病人护理系统提供医疗服务获取途径,包括基于人工智能方法的远程监控和远程康复”的框架下,SP ZOZ专科医院内政部和行政管理部在Głuchołazy及其10个合作伙伴进行了针对慢性阻塞性肺病(COPD)患者的远程康复研究。该远程康复计划基于个性化方法和技术,允许患者在家中或方便的地点使用治疗。该项目旨在通过为COPD患者提供远程健康服务获取途径,减少医疗保健中的社会不平等。
材料与方法。研究涉及80名年龄在50至76岁之间,在内政部和行政管理部的圣约翰保罗二世专科医院住院,符合特定标准的患者。对远程康复计划的资格认定考虑了运动耐受性、呼吸困难、疲劳、肺通气功能和饱和度的评估。该计划包括适应患者个别需求的练习。
结果。使用XLSTAT软件2021.2.2进行结果分析显示,在康复前后肺功能测量值之间存在统计学显著差异。同样,在6分钟步行测试和血氧饱和度的结果中也观察到显著改善。远程康复计划在改善COPD患者的呼吸健康参数方面被证明是有效的。
结论:
远程康复计划改善了COPD患者的肺通气功能。它减少了呼吸困难的感觉,减少了疲劳,改善了SpO2,并增加了运动耐受性,证明了所应用的康复的有益效果。
所获得的结果鼓励对具有随机化使用的代表性群体进行进一步研究。
关键词:
远程康复,慢性阻塞性肺病
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Eligibility of COPD patients for physiotherapy based on a six minute walk test and treadmill test

Katarzyna Bogacz, Marek Woszczak, Jacek Łuniewski, Marcin Krajczy, Bartosz Pańczyszak, Jan Szczegielniak, Marek Kiljański

K. Bogacz, M. Woszczak, J. Łuniewski, M. Krajczy, B. Pańczyszak, J. Szczegielniak, M. Kiljański – Eligibility of COPD patients for physiotherapy based on a six minute walk test and treadmill test; Fizjoterapia Polska 2018; 18(1); 96-106

DOI: https://doi.org/10.56984/8ZG0768F5

Abstract

Objective. The aim of the paper was to assess the results of physiotherapy of COPD patients whose elgibility for the relevant rehabilitation model was assessed with the help of the 6-MWT test and the treadmill test according to the modified Bruce protocol.
Materials and methods. 80 individuals suffering from COPD treated as in-patients at the MSWiA Specialist Hospital in Głuchołazy between May 2017 and September 2017 were examined. After a 3-week comprehensive physiotherapy, the exercise stress test, spirometry test and dyspnoea assessment on the modified 10-point Borg scale were repeated in both groups of COPD patients.
Results. Calculations were performed using the IBM SPSS software. In order to assess consistency between the distribution of the results with the normal distribution, the Kolmogorov-Smirnov test was used. As the distribution differed from the normal distribution, nonparametric methods were used for further analysis. In order to assess the significance of differences between the two groups in terms of quantitative variables, Mann-Whitney tests were used, while Wilcoxon tests were used for dependent samples to assess the significance of changes over time in the same patients (bound pairs). The statistical significance threshold was set at p < 0.001.
Conclusions
1. A significant improvement was noticed in the level of exercise stress tolerance after physiotherapy both among patients assessed according to the modified Bruce test and patients assessed with the 6-minute walk test.
2. A significant improvement was shown in the values of spirometric indicators after physiotherapy both among patients assessed according to the modified Bruce test and patients assessed with the 6-minute walk test.
3. A significant decrease was shown in the level of dyspnoea after physiotherapy both among patients assessed according to the modified Bruce test and patients assessed with the 6-minute walk test.

Key words:

COPD, modified Bruce protocol, 6-MWT test, physiotherapy

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