肺康复对特发性肺纤维化患者的影响:综合评价

Ana Beatriz Silva Araújo, Eziel Vieira da Silva, Maria Aurilene Sousa Farias, Widney Farias Ximenes, Amanda Souza Araújo, José Evaldo Gonçalves Lopes-Junior, Cesario Rui Callou-Filho, Juliana Pinto Montenegro
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引用次数: 0

摘要

特发性肺纤维化(IPF)是一种以肺组织进行性瘢痕形成为特征的慢性肺部疾病,主要影响60至70岁的个体,男性和吸烟者的患病率较高。它的预后很差,平均预期寿命长达5年。肺康复(Pulmonary Rehabilitation, PR)是一项综合干预,包括详细的患者评估和量身定制的治疗,旨在改善身体和情绪健康,促进长期的健康促进行为。为了评估PR在IPF患者中的有效性,我们进行了一项综合综述研究,重点研究了2010年至2020年发表的文章。结果显示运动耐量、功能能力和生活质量均有改善。虽然6分钟步行测试(6MWT)产生了不同的结果,但大多数患者表现出了收益。干预措施范围从单独的体育训练到结合运动和教育支持计划,持续6至12周,每周进行2-3次。尽管在干预期间有了明显的改善,但维持收益仍然是一项挑战,强调需要进一步研究以改进针对IPF患者特定需求的PR方案。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effects of Pulmonary Rehabilitation in Patients with Idiopathic Pulmonary Fibrosis: Integrative Review
Idiopathic Pulmonary Fibrosis (IPF) is a chronic lung condition characterized by progressive scarring of lung tissue, primarily affecting individuals aged 60 to 70, with a higher prevalence among men and smokers. It carries a poor prognosis, with an average life expectancy of up to 5 years. Pulmonary Rehabilitation (PR) is a comprehensive intervention involving detailed patient assessments and tailored therapies aimed at improving physical and emotional well-being, promoting long-term health-promoting behaviors. To assess the effectiveness of PR in IPF patients, an integrative review study was conducted, focusing on articles published from 2010 to 2020. Results showed improvements in exercise tolerance, functional capacity, and quality of life. While the Six-Minute Walk Test (6MWT) produced mixed results, most patients demonstrated gains. Interventions ranged from physical training alone to combined exercise and educational support programs, lasting 6 to 12 weeks, conducted 2-3 times weekly. Despite noted improvements during the intervention, sustaining gains remains a challenge, highlighting the need for further research to refine PR protocols tailored to IPF patients' specific needs.
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