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EN
Introduction Asthma is a chronic inflammatory disease of the respiratory system that results in a reduced airflow exhaled by respiratory tract, accompanied by a group of characteristic clinical symptoms: cough, dyspnoea, chest tightness and wheezing. Asthma, due to the course and treatment process, may modify the quality of life (QoL). Assessment of the quality of life in patients with asthma, including the degree of disease control, Body Mass Index (BMI) and ciggaret smoking. Material and methods The research was carried out among 124 patients with asthma. Data were collected by Internet using a diagnostic survey method consisting of the author’s questionnaire, the Asthma Control Test (ACT) and Saint George’s Hospital Questionnaire (SGRQ). The results were processed in the R program. In statistical analysis Spearman’s rho, Anderson-Darling test (Test AD), Mann-Whitney U test and the Kruskal-Wallis test were used. Statistical significance was accepted for p ≤ 0.05. Results Research results showed a deterioration in the quality of life of asthmatics. People with better disease control had a significantly higher quality of life. Patients with a higher BMI had a significantly lower quality of life (“Symptoms”, “Impact on life” domain, global score). Smoking cigarettes did not influence the quality of life. Conclusions Determinants of worse quality of life in asthma patients are primarily: poor control of the disease and a high BMI.
PL
Celem pracy było przedstawienie ambulatoryjnego programu rehabilitacji pulmonologicznej, opartego na formie stacyjnej oraz wstępna ocena jego skuteczności na wybrane parametry wydolności fizycznej i jakości życia chorych na POChP. Siedmiu pacjentów z ciężkim i bardzo ciężkim stadium POChP ukończyło program rehabilitacji pulmonologicznej. W programie pacjenci wykonywali 9 ćwiczeń w systemie stacyjnym i 10-minutowy marsz. Wykorzystano następujące metody pomiaru: Kwestionariusz Szpitala Św. Jerzego (SGRQ), Chronic Respiratory Questionnaire (CRQ), London Chest Activities of Daily Living Scale, skalę HADS, a także narastający i wytrzymałościowy wahadłowy test chodu (ISWT i ESWT). HR, SaO2 i stopień duszności (wg skali Borga) oceniono przed i po testach chodu. Zbyt mała liczba badanych i zbyt mała częstość zajęć nie pozwoliły na uzyskanie istotnej statystycznie poprawy badanych parametrów.
EN
The aim of the study was to present an ambulatory pulmonary rehabilitation programme, based on a circuit form and a preliminary evaluation in order to verify whether such a programme has an impact on exercise capacity and quality of life in patients suffering from COPD. Seven patients with severe and very severe COPD completed the rehabilitation programme. In each training session patients performed 9 circuit exercises and a 10-minute walk. In this study following assessments were used: St. George Respiratory Questionnaire (SGRQ), Chronic Respiratory Questionnaire (CRQ), London Chest Activities of Daily Living Scale, HAD scale, Incremental and Endurance Shuttle Walk Tests (ISWT & ESWT). HR, SaO2 and dyspnoea (Borg scale) were measured by means of pre- and post-exercise tests. A small number of patients who finished this programme and a little frequency of training sessions a week resulted in a lack of statistically significant outcomes.
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