Preview

PULMONOLOGIYA

Advanced search

Medical-and-psychological rehabilitation programme for patients with chronic obstructive lung diseases

Abstract

Analysis of papers shows that treatment of patients with chronic obstructive lung diseases (COPD) requires a complex approach and a certain type of psychological addition to medication. A programme of medical-and-psychological rehabilitation based on results of investigation of clinical and psychological features of the patients was created to improve the treatment outcome. We performed a complex examination of 182 COPD patients. The results allowed to develop the programme of medical-and-psychological rehabilitation of the COPD patients which included positive information, regulated medication, and correction measures. This programme was tested in 112 patients. A statistically reliable tendency to harmonizing the consideration of the disease was noted. While applying the programme daytime and nighttime COPD symptoms and need in bronchodilators reduced in males and females, number of BALF neutrophils decreased and amount of alveolar macrophages grew. The statistical reliability of the results allows thinking that the treatment efficacy of the COPD patients is higher when using this programme. The programme can be applied by a group of specialists both in inpatient and outpatient facilities. The patients attending the educating course form a united supporting group.

About the Author

E. V. Sukhova
Самарский военно-медицинский институт
Russian Federation

Competing Interests:

No



References

1. American Thoracic Society Standarts for the diagnosis and care of patients with chronic obstructive pulmonary disease (COPD). Am. J. Respir. Crit. Care Med. 1995; 152 (5): 77-120.

2. Howeel J. Behavioral breanhlessness. In: Breathlessness. Ontario: Hamilton; 1992. 149-155.

3. What price psychotherapy? //Brt. Med. J. 1984; 208 (6420): 809-810.

4. Чучалин А.Г. Хронические обструктивные болезни легких. В кн.: Хронические обструктивные болезни легких. М.: ЗАО Изд-во "БИНОМ"; СПб.: Невский диалект; 1998. 11-25.

5. Burrows В. Predictors of loss of lung function and mortality in obstructive lung disease. Eur. Respir. Rev. 1991; 1: 340-345.

6. Higgins N.M. Chronic airways disease in the US: trends and determinants. Chest 1989; 96: 328-334.

7. Бажин Е.Ф., Голынкина E.A., Эткинд A.M. Метод исследования субъективного контроля. Психол. журн. 1984; 5 (3): 152-162.

8. Дровянникова Л.П. Опыт немедикаментозной коррекции дыхательной недостаточности при лечении бронхиальной астмы у пожилых. В кн.: Сборник резюме 7-го Национального конгресса по болезням органов дыхания. М.; 1997. 164.

9. Мазур Е.С. Психологические особенности курящих и некурящих больных хроническим обструктивным бронхитом. В кн.: Сборник — резюме 6-го Национального конгресса по болезням органов дыхания. Новосибирск 1996. 1558.

10. Никитин А.В., Кашин А.В., Чжу Бин Коррекция психосоматического статуса больных хроническими обструктивными заболеваниями легких. В кн.: Сборник резюме 7-го Национального конгресса по болезням органов дыхания. М; 1997. 1494.

11. Подрезова Л.А., Мартынова Н.В., Черейских Н.К., Стойкая Т.В. Некоторые аспекты реабилитации больных хроническим обструктивным бронхитом. В кн.: Сборник резюме 6-го Национального конгресса по болезням органов дыхания. Новосибирск; 1996. 1567.

12. Doccery D.W., Speizer F.E., Ferris B.G. et al. Cumulative and reversible effects of lifetime smoking on simple tests of lung function in adults. Am. Rev. Respir. Dis. 1988; 137: 286-292.

13. Gelder M.G. Psychological treatment for anxiety disorders. A review. J. Roy. Soc. Med. 1986; 79: 230-233.

14. Greben S.E. Psychotherapie today. Further consideretion of the essence of psychotherapie. Brit. J. Psychiatry 1987; 151: 283-287.

15. Greenberg G.D.6 Ryan J.J., Bourlier P.E. Psychological and neuropsychological aspects of COPD. Psychosomatics 1985, 26: 29-33.

16. Jones H.G. Psychotherapie research. J. Roy. Soc. Med. 1985; 78 (1): 3-6.

17. Sandhu H.S. Psychosocial issues in chronic obstructive pulmonary disease. Clin. Chest Mod. 1986; 7: 629-642.


Review

For citations:


Sukhova E.V. Medical-and-psychological rehabilitation programme for patients with chronic obstructive lung diseases. PULMONOLOGIYA. 2004;(5):36-41. (In Russ.)

Views: 309


ISSN 0869-0189 (Print)
ISSN 2541-9617 (Online)