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PULMONARY REHABILITATION AND ITS IMPACT ON THE QUALITY OF LIFE OF PATIENTS WITH COPD
Chronic obstructive pulmonary disease (COPD) is characterized by chronic airflow limitation, which is not completely reversible after bronchodilator use. Airflow limitation is often progressive and associated with the abnormal inflammatory response of the lungs to toxic gases or particles. This disease is one of the major causes of morbidity and mortality in the world, defined by such nomenclature due to the difficulty of differentiating pulmonary emphysema from chronic bronchitis (PRESTO and DAMÁZIO, 2005; ZANCHET et al, 2005 FERNANDES, 2009).
Pulmonary rehabilitation (PR) is recommended for the treatment of COPD, as it generates improvement in exercise capacity, respiratory muscle strength and quality of life. Studies have found increased walking distance on the six-minute walk test, maximal upper limb load, maximal inspiratory pressure, and quality of life (ZANCHET et al, 2005).
In relation to sleep, COPD causes intermittent hypoxemia with pulmonary alterations in patients, which can alter sleep and generate cough, dyspnea, decrease oxygen saturation and consequently worsen the quality of sleep and life of these individuals (MARTIN et al, 2018).
The aim of this report is to show the importance of pulmonary rehabilitation in sleep and life quality in COPD patients
The experience took place through a meeting with the presence of 21 people, aged 50 to 80 years, with COPD, participants of a Pulmonary Rehabilitation program in a city in the interior of São Paulo. In the first moment, the COPD theme was approached with the participants and their families, in order to generate knowledge for them about their illnesses and enable them to recognize their potential and difficulties.
After this presentation, a space was provided for participants, family members and / or companions present to reflect and discuss the theme and their experiences with the disease, in addition to exposing their doubts and sharing their progress after pulmonary rehabilitation.
Participants were pleased to participate, showing that opportunities such as these are critical for them to share their anxieties, answer questions and report on their progress. Moreover, they showed that participating in experiences such as these enables improvements in quality of life, even with the presence of the disease, and correct attitudes towards treatment.
Pulmonary rehabilitation has been shown to be critical for patients with lung disease and COPD treatment.
Rehabilitation, COPD, Sleep, Empowerment for Health
Amanda Rabay Rodrigues, Amanda Costa Lopes, Valéria Beghelli Ferreira, Paulo Antônio de Morais Faleiros