探索在拉丁美洲为慢性呼吸系统疾病患者实施和实施的肺康复计划：范围审查

IF 3.1 3区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

Respiratory medicine Pub Date : 2025-08-22 DOI:10.1016/j.rmed.2025.108310

Walter Sepúlveda-Loyola , Clarice Tang , Alejandro Álvarez-Bustos , Iván Cuyul-Vásquez , Nik Ensor , Guilherme Grzelkovski , Nicole Schneider , Ashley Winter , Felicity C. Blackstock , Sheree Smith , Navneet Chadha , Pat G. Camp

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引用次数: 0

摘要

尽管肺康复（PR）在改善慢性呼吸系统疾病患者的运动耐量、身体功能和缓解呼吸困难方面已被证明有效，但在拉丁美洲地区，对PR研究项目的实施了解甚少。目的：本综述分析了拉丁美洲公关研究的实施情况，对既定ATS标准的遵守情况，以及该地区公关项目有效性的评估。方法检索截至2025年6月的6个数据库（CINAHL、Medline、Embase、Scielo、Web of Science和Health and Medical Collection），包括以英语、西班牙语或葡萄牙语发表的研究。研究纳入了拉丁美洲成年人参与的任何公关项目。结果共纳入53项研究（2522例），分别来自巴西（n = 33）、哥伦比亚（n = 11）、古巴（n = 4）、智利（n = 3）、阿根廷（n = 1）和乌拉圭（n = 1）。大多数PR参与者是COPD患者（87%）。公关项目包括一个多学科团队参与的锻炼和教育项目。主要评价指标为生活质量、呼吸困难、有氧能力和肌力。有氧训练纳入46项研究（87%），力量训练纳入38项研究（72%）。结果测量包括35项研究的生活质量（66%），45项研究的呼吸困难（85%），44项研究的有氧能力（83%）和24项研究的肌肉力量（45%）。30项研究（57%）遵循了PR的国际建议。结论：在拉丁美洲，PR已从基本治疗方法过渡到更全面、基于证据的干预措施。但是，差距仍然存在，特别是在演习方式、评估、专业小组和遵守国际准则方面。

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Exploring pulmonary rehabilitation programs implemented and conducted in Latin America for people with chronic respiratory conditions: A scoping review

Background

Although pulmonary rehabilitation (PR) has demonstrated efficacy in improving exercise tolerance, physical function and alleviating dyspnea in individuals with chronic respiratory conditions, there is little understanding on the delivery of PR research programs in the Latin American region. Objective: This review analyzed the implementation of PR research in Latin America, adherence to established ATS criteria, and the evaluation of PR program effectiveness in the region.

Methods

The search was conducted in six databases (CINAHL, Medline, Embase, Scielo, Web of Science and Health and Medical Collection) to June 2025, including studies published in English, Spanish, or Portuguese. Studies with adults from Latin America participating in any PR program were included.

Results

We identified 53 studies (2522 individuals) from Brazil (n = 33), Colombia (n = 11), Cuba (n = 4), Chile (n = 3), Argentina (n = 1) and Uruguay (n = 1). Most PR participants were individuals with COPD (87 %). PR programs included exercise and educational programs involving a multidisciplinary team. Quality of life, dyspnea, aerobic capacity and muscle strength were the main assessments. Aerobic training was included in 46 studies (87 %) and strength training in 38 studies (72 %). Outcome measures included quality of life in 35 studies (66 %), dyspnea in 45 studies (85 %), aerobic capacity in 44 studies (83 %) and muscle strength in 24 studies (45 %). Thirty studies (57 %) followed international recommendations for PR.

Conclusion

In Latin America, PR has transitioned from basic therapeutic approaches to more comprehensive, evidence-based interventions. However, disparities remain, particularly in the exercise modalities, assessments, professional team and adherence to international guidelines.

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来源期刊

Respiratory medicine 医学-呼吸系统

CiteScore

7.50

自引率

0.00%

发文量

199

审稿时长

38 days

期刊介绍： Respiratory Medicine is an internationally-renowned journal devoted to the rapid publication of clinically-relevant respiratory medicine research. It combines cutting-edge original research with state-of-the-art reviews dealing with all aspects of respiratory diseases and therapeutic interventions. Topics include adult and paediatric medicine, epidemiology, immunology and cell biology, physiology, occupational disorders, and the role of allergens and pollutants. Respiratory Medicine is increasingly the journal of choice for publication of phased trial work, commenting on effectiveness, dosage and methods of action.