OPTIMIZATION OF THE OUTPATIENT STAGE OF REHABILITATION OF PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH THE DEVELOPMENT AND PROGRESSION OF CHRONIC PULMONARY HEART
Abstract
The low effectiveness of measures aimed at reducing the rate of progression of COPD and the development of complications of the disease are explained, among other things, by insufficient contact of medical personnel with patients, low level of knowledge of patients about their disease, inability to use existing knowledge in practice. 110 outpatient patients with chronic obstructive pulmonary disease aged from 37 to 69 years were examined, 76 of them were men (69.1%) and 34 were women (30.9%). The average age of the examined patients was 55.2±1.2 years. In accordance with the stated goal, the effectiveness of remote monitoring of the outpatient stage of rehabilitation of patients with the development and progression of chronic pulmonary heart was evaluated. The introduction of elements of remote monitoring of the outpatient stage of rehabilitation of patients with chronic obstructive pulmonary disease with the development and progression of CHL improves clinical and functional indicators, quality of life indicators characterizing both physical and mental health, which justifies the active use of its elements in the management of this category of patients. The inclusion of remote-control elements in comprehensive rehabilitation programs developed taking into account the severity of complications of the underlying disease contributes to the optimization of the therapeutic and preventive process, improving the quality of life of patients and the potential reduction of material costs associated with the burden of the underlying disease.
References
Будневский А.В., Лукашов В.О., Кожевникова С.А. Рационализация терапии хронической обструктивной болезни легких в амбулаторной практике. Прикладные информационные аспекты медицины. 2011; 14(1): 105–11.
Будневский А.В., Трибунцева Л.В., Кожевникова С.А. Система мониторинга больных хронической обструктивной болезнью легких. Материалы V Съезда врачей-пульмонологов Сибири и Дальнего Востока. Благовещенск. 2013: 75–8.
Епифанов В.А. Восстановительная медицина. Учебник. ГЭОТАР-Медиа; 2013.
Таютина Т.В., Багмет А.Д., Недашковская Н.Г. Хроническая обструктивная болезнь легких в структуре пульмонологической патологии в Ростовской области. Клиническая медицина. 2019; 98(1): 56–60.
Таютина Т.В., Багмет А.Д., Лысенко А.В. и др. Клинико-функциональные особенности хронической обструктивной болезни легких у больных пожилого возраста в Ростовской области. Успехи геронтол. 2021; 34(1): 84–9.
Таютина Т.В., Лысенко А.В., Казарян Т.М., Лысенко Д.С. Роль функциональных и инструментальных методов исследования в диагностике и контроле за течением хронической обструктивной болезни легких у пожилых. Успехи геронтол. 2021; 34(5): 750–5.
Трибунцева Л.В., Будневский А.В. Система мониторинга лечебно-диагностического процесса у больных хронической обструктивной болезнью легких. Вестник новых медицинских технологий. 2013; 20(4): 50–3.
Bourbeau J. Making pulmonary rehabilitation a success in COPD. Swiss. Med. Wkly. 2010; 140(13): 67–70.
Finkelstein J., Cha E., Scharf S. Chronic obstructive pulmonary disease as an independent risk factor for cardiovascular morbidity. International Journal of Chronic Obstructive Pulmonary Disease. 2009; 4: 337–49.
Man S.F., S. van Eeden, Sin D.D. Vascular risk in chronic obstructive pulmonary disease. Canadian Journal of Cardiology. 2012; 6: 653–66.
Soriano J.B. High prevalence of undiagnosed airflow limitation in patients with cardiovascular disease. Chest. 2010; 2: 333–40.
REFERENCES
Budnevskij A.V., Lukashov V.O., Kozhevnikova S.A. Ratsionalizatsiya terapii khronicheskoj obstruktivnoj bolezni legkikh v ambulatornoj praktike. [Rationalization of therapy for chronic obstructive pulmonary disease in outpatient practice]. Prikladnye informatsionnye aspekty meditsiny. 2011; 14(1): 105–11. (in Russian).
Budnevskij A.V., Tribuntseva L.V., Kozhevnikova S.A. Sistema monitoringa bol’nykh khronicheskoj obstruktivnoj bolezn’yu legkikh. [Monitoring system for patients with chronic obstructive pulmonary disease]. Materialy V S”ezda vrachej-pul’monologov Sibiri i Dal’nego Vostoka. Blagoveshhensk. 2013: 75–8. (in Russian).
Epifanov V.A. Vosstanovitel’naya meditsina. [Restorative medicine]. Uchebnik. GEHOTAR-Media Publ.; 2013. (in Russian).
Tayutina T.V., Bagmet A.D., Nedashkovskaya N.G. Khronicheskaya obstruktivnaya bolezn’ legkikh v strukture pul’monologicheskoj patologii v Rostovskoj oblasti. [Chronic obstructive pulmonary disease in the structure of pulmonological pathology in the Rostov region]. Klinicheskaya meditsina. 2019; 98(1): 56–60. (in Russian).
Tayutina T.V., Bagmet A.D., Lysenko A.V. i dr. Kliniko-funktsional’nye osobennosti khronicheskoj obstruktivnoj bolezni legkikh u bol’nykh pozhilogo vozrasta v Rostovskoj oblasti. [Clinical and functional features of chronic obstructive pulmonary disease in elderly patients in the Rostov region]. Uspekhi gerontol. 2021; 34(1): 84–9. (in Russian).
Tayutina T.V., Lysenko A.V., Kazaryan T.M., Lysenko D.S. Rol’ funktsional’nykh i instrumental’nykh metodov issledovaniya v diagnostike i kontrole za techeniem khronicheskoj obstruktivnoj bolezni legkikh u pozhilykh. [The role of functional and instrumental research methods in the diagnosis and monitoring of chronic obstructive pulmonary disease in the elderly]. Uspekhi gerontol. 2021; 34(5): 750–5. (in Russian).
Tribuntseva L.V., Budnevskij A.V. Sistema monitoringa lechebno-diagnosticheskogo protsessa u bol’nykh khronicheskoj obstruktivnoj bolezn’yu legkikh. [System for monitoring the diagnostic and treatment process in patients with chronic obstructive pulmonary disease]. Vestnik novykh meditsinskikh tekhnologij. 2013; 20(4): 50–3. (in Russian).
Bourbeau J. Making pulmonary rehabilitation a success in COPD. Swiss. Med. Wkly. 2010; 140(13): 67–70.
Finkelstein J., Cha E., Scharf S. Chronic obstructive pulmonary disease as an independent risk factor for cardiovascular morbidity. International Journal of Chronic Obstructive Pulmonary Disease. 2009; 4: 337–49.
Man S.F., S. van Eeden, Sin D.D. Vascular risk in chronic obstructive pulmonary disease. Canadian Journal of Cardiology. 2012; 6: 653–66.
Soriano J.B. High prevalence of undiagnosed airflow limitation in patients with cardiovascular disease. Chest. 2010; 2: 333–40.