Bước đầu đánh giá mức độ cải thiện các thông số lâm sàng ở bệnh nhân mắc bệnh phổi tắc nghẽn mạn tính giai đoạn ổn định được trị liệu phục hồi chức năng tại Bệnh viện 199 Đà Nẵng

Abstract

Pulmonary rehabilitation plays a crucial role in managing chronic obstructive pulmonary disease, enhancing respiratory function, and improving patients' quality of life. Objective: To evaluate the effectiveness of respiratory rehabilitation for COPD patients in Da Nang City and establish a specialized pulmonary  rehabilitation model for this population. Subjects and Methods: This study included 51 patients diagnosed with stable COPD according to GOLD 2023 criteria, who attended 199 Hospital for consultation and treatment from February to October 2024. Using a prospective clinical intervention, we evaluated patients both before and after intervention. Data were collected via medical history interviews, clinical examinations, SpO2 measurements, respiratory function tests, and assessments with mMRC and CAT scores, as well as a 6-minute walk test. Patients underwent an 8-week respiratory rehabilitation program with structured guidance. Results: The average was 67.8 ± 9.1 years. Overweight prevalence was 21.6 %, and 15.7% of patients were underweight. Smoking history was noted in 68.6 % of patients, mostly males. The majority were in GOLD stage 2 (58.8 %), followed by stage 3 (27.5 %) and stage 4 (3.9 %). Significant improvements were observed in FEV1, FEV1/VC, FEV1/FVC, and PEF (p < 0.001) post-intervention. Breathlessness improved, with mMRC scores dropping from 1.41 to 1.33; CAT scores indicated enhanced quality of life, and the walking distance increased by an average of 33.59 m, with 21.6 % of patients achieving over 50m of improvement. The 8-week rehabilitation program, which included 1 in-person consultation, 8 guided online sessions, and 16 self-directed sessions, was the most preferred by patients and resulted in notable improvements in quality of life. Conclusion: Pulmonary rehabilitation significantly improves respiratory function, oxygen saturation during exertion, quality of life, walking capacity, and reduces breathlessness in COPD patients.