ASSESSMENT OF RESPIRATORY REHABILITATIONIN PATIENTS WITH BRONCHIECTASISAT THECENTER FOR RESPIRATORY OF BACH MAI HOSPITAL

Abstract

Objective: To evaluate the results of respiratory rehabilitation for patients with chronic bronchiectasis at the Center for Respiratory of Bach Mai Hospital. Method: A before-and-after study was conductedamong 31 patients with chronic bronchiectasis prospectively recruited during treated at the Respiratory Center of Bach Mai Hospital from Oct, 2017 to Aug, 2018. Results: The mean age of study patients was 61.84±8.61; the male/female ratio was approximately 1/1. The number of patients hospitalized because of cough with sputum alone and difficulty breathing alone accounted for 74.2% and 67.7%. After completing respiratory rehabilitation therapy as medically indicated,The patient’s 6-minute walking distance increased by 47.4 ± 53.8 meters, the percentage of patients with the level of dyspnea mMRC 0-1 before the intervention was 48.4%, increased to 77.7%.The indices of ventilation function FEV1%, FVC% and FEV1/FVC% before intervention were 44%, 57.9% and 58%;respectivelyincreased to 46%, 59.7% and 59.6%. Conclusion: The applied respiratory rehabilitation exercises within thestudy’s patients initially showed positive results in improving respiratory function for patients with bronchiectasis.It should be instructed to patients with bronchiectasis to do at home. In addition, appropriate respiratory rehabilitation programs need to be developed for specific patient groups.