Zusammenfassung
Die pneumologische Rehabilitation hat sich vor allem bei Patienten mit chronisch-obstruktiver Lungenerkrankung (COPD) als effektive multidisziplinäre Maßnahme erwiesen. Diese Übersicht stellt systematisch die Ergebnisse zur Nachhaltigkeit der Effekte dar, die zeigen, dass für Lebensqualität und Leistungssteigerung auch noch nach einem Jahr signifikante Verbesserungen nachzuweisen sind. Es gibt allerdings noch Forschungsbedarf für mittelbare Effekte wie Anzahl und Dauer von Krankenhausaufenthalten sowie für stationäre und kombinierte Rehabilitationsformen und für Rehabilitation bei nicht COPD-bedingten Lungenerkrankungen.
Summary
The efficacy of pulmonary rehabilitation with a multi-disciplinary approach has been demonstrated especially in patients with chronic obstructive pulmonary disease (COPD). This review focuses particularly on the long-term outcome of pulmonary rehabilitation. Significant improvements have been demonstrated with respect to quality of life and exercise capacity up to one year after rehabilitation. Further investigations are still required on other outcome measures such as effects on repeated hospitalization, different types of rehabilitation (in-patient, out-patient, combined), and on rehabilitation of patients with non-obstructive pulmonary diseases.
Schlüsselwörter
pneumologische Rehabilitation - Langzeiteffekte - interstitielle Lungenerkrankung - chronisch-obstruktive Lungenerkrankung
Key words
pulmonary rehabilitation - long-term outcome - interstitial lung disease - chronic obstructive lung disease
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Dr. med. Uta Ochmann
Institut und Poliklinik für Arbeits- und Umweltmedizin der LMU München
Ziemssenstraße 1
80336 München
Phone: 089/51602470
Fax: 089/51604444
Email: uta.ochmann@med.uni-muenchen.de