EFFECTS OF OUTPATIENT PULMONARY REHABILITATION ON LUNG FUNCTION IN PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE: AN INTEGRATIVE REVIEW
Palavras-chave:
Chronic Obstructive Pulmonary Disease, Pulmonary rehabilitation, Lung functionResumo
INTRODUCTION: Chronic obstructive pulmonary disease (COPD) is a condition characterized by persistent airflow limitation accompanied by progressive airway obstruction. COPD is a significant cause of death globally, associated with reduced quality of life and hospitalization. Pulmonary rehabilitation (PR) is based on specific therapies to improve the patient's condition. It is an important factor in COPD cases as it relates to lung function, which assesses forced expiratory volume in the first second (FEV1) and forced vital capacity (FVC) using a spirometer. OBJECTIVE: To demonstrate the effects of outpatient pulmonary rehabilitation on lung function in patients with COPD. METHODOLOGY: Based on the objective, 7 original articles were chosen, selected through a search in the PubMed (Public Medline), VHL (Virtual Health Library), and SciELO (Scientific Electronic Library Online) databases, found using the Boolean operator "and", utilizing the Health Science Descriptors (DeCS) "Chronic obstructive pulmonary disease", "Rehabilitation" and "Quality of Life". RESULTS: The lung function of the sample was an important indicator to measure the effectiveness of outpatient PR, consisting of physical exercises, guidance, and lifestyle changes; however, there were discrepancies between studies. CONCLUSION: It is evident that outpatient PR is an important tool in the treatment of COPD, as observed through spirometry measures, where the sample that underwent PR showed improvement or maintenance mainly in FEV1; however, this cannot be taken as an established fact.
Referências
DUFFY, S. P.; CRINER, G. J. Chronic Obstructive Pulmonary Disease. Medical Clinics of North America, v. 103, n. 3, p. 453–461, maio 2019.
GLOBAL INITIATIVE FOR CHRONIC OBSTRUCTIVE LUNG DISEASE. Global Strategy for the Diagnosis, Management, and Prevention of Chronic Obstructive Pulmonary Disease (2024 Report). [s.l: s.n.]. Disponível em: <https://goldcopd.org/wp-content/uploads/2024/02/GOLD-2024_v1.2 11Jan24_WMV.pdf>.
WANG, J. et al. Observation of the curative effect of device-guided rehabilitation on respiratory function in stable patients with chronic obstructive pulmonary disease. Medicine, v. 98, n. 8, p. e14034, fev. 2019.
ADELOYE, D. Global, regional, and national prevalence of, and risk factors for, chronic obstructive pulmonary disease (COPD) in 2019: a systematic review and modelling analysis. The Lancet Respiratory Medicine, v. 10, n. 5, mar. 2022.
ROCHESTER, C. L. et al. An Official American Thoracic Society/European Respiratory Society Policy Statement: Enhancing Implementation, Use, and Delivery of Pulmonary Rehabilitation. American Journal of Respiratory and Critical Care Medicine, v. 192, n. 11, p. 1373–1386, dez. 2015
KO, F. W. et al. Effect of short‐course exercise training on the frequency of exacerbations and physical activity in patients with COPD: A randomized controlled trial. Respirology, v. 26, n. 1, p. 72–79, 15 jun. 2020.
MA, Y. et al. Efficacy and safety of pulmonary rehabilitation training on lung function, quality of life, and T cell immune function in patients with stable chronic obstructive pulmonary disease: a randomized controlled trial. Annals of Palliative Medicine, v. 11, n. 5, p. 1774–1785, maio 2022.
WANG, G.; CAI, Y. APPLICATION OF EXERCISE COMBINED WITH LUNG REHABILITATION IN RESPIRATORY DISEASE. Revista Brasileira de Medicina do Esporte, v. 28, n. 1, p. 17–19, mar. 2022.
YUDHAWATI, R.; RASJID HS, M. Effect of Yoga on FEV1, 6-Minute Walk Distance (6-MWD) and Quality of Life in Patients with COPD Group B. Advances in Respiratory Medicine, v. 87, n. 5, p. 261–268, 31 out. 2019.
CUI, S. et al. Effects and long-term outcomes of endurance versus resistance training as an adjunct to standard medication in patients with stable COPD: a multicenter randomized trial. BMC Pulmonary Medicine, v. 24, n. 1, 2024.
LEE, S. W. et al. The effect of lung-conduction exercise in chronic obstructive pulmonary disease. Medicine, v. 101, n. 3, p. e28629, 21 jan. 2022.
JIANG, Linhong; LI, Peijun; SHI, Jinjie; et al. Effects of pulmonary-based Qigong exercise in stable patients with chronic obstructive pulmonary disease: a randomized controlled trial. BMC Complementary Medicine and Therapies, v. 23, n. 1, 2023.