The Role of Gender Regarding the Outcomes of Pulmonary Rehabilitation in Patients with COPD: A Retrospective Study

Authors : Yelda VAROL, Hülya ŞAHİN, İlknur NAZ GÜRŞAN, Berna KÖMÜRCÜOĞLU

Pages : 35-42

Doi:10.30621/jbachs.1031419

View : 16 | Download : 10

Publication Date : 2023-01-31

Article Type : Research Paper

Abstract :PURPOSE: Our aim is to compare the pulmonary rehabilitation outcomes of male and female patients diagnosed with COPD. METHODS: Outpatient PR program, consisting of 16 sessions, two times a week for two months was applied to the patients with COPD insert ignore into journalissuearticles values(41 males, 41 females);. arterial blood gas insert ignore into journalissuearticles values(ABG); analyzes and pulmonary function tests insert ignore into journalissuearticles values(PFT);, 6-minute walking test insert ignore into journalissuearticles values(6MWT);, dyspnea scale insert ignore into journalissuearticles values(mMRC);, health-related quality of life insert ignore into journalissuearticles values(QoL); questionnaire insert ignore into journalissuearticles values(SF-36);, disease-specific health status insert ignore into journalissuearticles values(SGRQ); were applied to all participants before and after PR. RESULTS: There was no statistically significant differences between the two groups before PR in terms of age, BMI, PFT parameters, and ABG results. Cigarette consumption was higher in meninsert ignore into journalissuearticles values(p=0.02);. Quality of life survey results insert ignore into journalissuearticles values(SGRQ, SF36);, HAD anxiety, mMRC were similar in both groups before PRinsert ignore into journalissuearticles values(p>0.05 for all);.After PR, both clinical and statistically significant improvements were detected in 6mWD in both groups insert ignore into journalissuearticles values(p <0.001 for both);. There was a significant improvement in all SGRQ scores in both genders insert ignore into journalissuearticles values(p<0.05 for all);. While significant improvement was observed in all parameters of SF36 in women, significant improvement was found in only some parameters of SF36 in male patients. While HAD anxiety and depression scores significantly improved in female patients after PR, only anxiety score in male patients improved insert ignore into journalissuearticles values(p=0.004, p=0.002, p=0.021);. CONCLUSION: This study showed that PR has had a positive effect on many outcome measures, regardless of gender. After PR; The walking distance and QoL scores increased, perception of dyspnea, anxiety and depression score decreased in women with COPD.
Keywords : COPD, pulmonary rehabilitation, gender, COPD, pulmonary rehabilitation, gender