Home-based Pulmonary Rehabilitation in Patients with COVID-19: The Efficiency in Pulmonary Function
نویسندگان
1 MSc of Nursing, Instructor, Department of Nursing, Nursing and Midwifery School, Islamic Azad University, Kerman Branch, Kerman, Iran
2 PhD. student, Department of Anatomical Science, School of Medicine, Kerman University of Medical Sciences, Kerman, Iran
3 MSc, Instructor, Department of Anesthesiology, Faculty of Allied Medical Sciences, Kerman University of medical science, Kerman, Iran
4 PhD. of Nursing, Assistance Professor, Department of Anesthesiology, Faculty of Allied Medical Sciences, Kerman University of medical science, Kerman, Iran
5 PhD. of physiotherapy, Assistance Professor, Department of physiotherapy, Paramedicine School, Kerman University of medical science, Kerman, Iran
6 MSc of Nursing, Instructor Department of Anesthesiology, Faculty of Allied Medical Sciences, Kerman University of medical science, Kerman, Iran
7 Associate Professor of Pulmonary Diseases, Department of Internal Medicine, Kerman University of medical science, Kerman, Iran
8 PhD. student in Epidemiology, HIV/STI surveillance research center, and WHO Collaborating Center for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
doi
10.32592/ircmj.2023.25.5.1724چکیده
Background: Coronavirus disease (COVID-19) is a viral disease that mostly affects the respiratory system and leads to respiratory failure. Alongside, pulmonary rehabilitation is one of the most important components in the management of respiratory system diseases and can rehabilitate persons after lung-damaged disease. Objectives: The present study aimed to determine the efficiency of Home-Based Pulmonary Rehabilitation in pulmonary function in patients with COVID-19 Methods: This simple randomized interventional study was conducted on 70 COVID-19 patients in Kerman, Iran. They were assigned to two equal groups of control and intervention. In the control group, patients received only routine post-discharge care, and in the intervention group, patients received home-based pulmonary rehabilitation procedures containing some movements to improve pulmonary function for four weeks after discharge. Results: Forced expiratory volume in 1 second (P<0.001), vital capacity (P<0.001) and these two parameters ratio (P<0.02), peak expiratory flow (P<0.001), in four weeks after discharge from the hospital in the intervention group was significantly higher than in the control group. Moreover, 6-min walk distance (P<0.001) was significantly increased, and the severity of dyspnea (P<0.001) was significantly reduced in the intervention group. As well, the number of patients with severe dyspnea decreased significantly (P<0.001). Conclusion: It seems that our home-based program can result in a marked improvement in vital capacity and other pulmonary function tests, as well as a reduction in dyspnea after discharge. In conclusion, this rehabilitation procedure is effective in pulmonary recovery in COVID-19 patients and can be used as a treatment procedure for recovery in these patients.
