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1.
Pneumologie ; 74(8): 496-504, 2020 Aug.
Artículo en Alemán | MEDLINE | ID: mdl-32583378

RESUMEN

The German Respiratory Society (DGP) has commissioned Assembly 12 "Rehabilitation, Prevention and Tobacco Control" to develop recommendations for the implementation of pulmonary rehabilitation in COVID-19 patients. This position paper is based on the current state of knowledge, which develops daily. This position paper describes the health consequences in COVID-19 as well as the indications for pulmonary rehabilitation. Rehabilitative therapies in COVID-19 are already indicated on the ward or intensive care unit, continue as early pulmonary rehabilitation in the acute hospital and as pulmonary rehabilitation in pulmonary rehabilitation centers. The main focus of this position paper is to propose recommendations for the content-related implementation of a multimodal, interdisciplinary pulmonary rehabilitation in COVID-19 patients.


Asunto(s)
Betacoronavirus , Infecciones por Coronavirus/rehabilitación , Infecciones por Coronavirus/terapia , Neumonía Viral/rehabilitación , Neumonía Viral/terapia , Guías de Práctica Clínica como Asunto , Síndrome de Dificultad Respiratoria/terapia , Insuficiencia Respiratoria/terapia , Terapia Respiratoria/normas , COVID-19 , Infecciones por Coronavirus/complicaciones , Infecciones por Coronavirus/epidemiología , Humanos , Pulmón/fisiopatología , Pulmón/virología , Pandemias , Neumonía Viral/complicaciones , Neumonía Viral/epidemiología , Síndrome de Dificultad Respiratoria/etiología , Insuficiencia Respiratoria/prevención & control , SARS-CoV-2 , Sociedades Médicas
2.
Pneumologie ; 71(12): 837-842, 2017 Dec.
Artículo en Alemán | MEDLINE | ID: mdl-28982206

RESUMEN

The quality of life can be severely impaired in patients with COPD. In addition to physical restraints, they often suffer from psychological comorbidities (e. g. anxiety, depression). Psychological comorbidities are often associated with dysfunctional beliefs about the illness and its treatment. Such dysfunctional beliefs, in turn, are likely to negatively affect patients' quality of life as well as their communication with physicians and their illness behavior in general. It is therefore important for physicians to adapt their communication to account for patients' dysfunctional beliefs. This paper will review the role of dysfunctional beliefs and psychological comorbidities in COPD. It will also elaborate on potential ways to adjust communication between physicians and patients accordingly.


Asunto(s)
Comunicación , Atención Dirigida al Paciente/métodos , Relaciones Médico-Paciente , Enfermedad Pulmonar Obstructiva Crónica/psicología , Adaptación Psicológica , Ansiedad/diagnóstico , Ansiedad/psicología , Ansiedad/terapia , Barreras de Comunicación , Comorbilidad , Cultura , Depresión/diagnóstico , Depresión/psicología , Depresión/terapia , Humanos , Conducta de Enfermedad , Cuidados a Largo Plazo/psicología , Terapia por Inhalación de Oxígeno/psicología , Cooperación del Paciente/psicología , Enfermedad Pulmonar Obstructiva Crónica/diagnóstico , Enfermedad Pulmonar Obstructiva Crónica/terapia , Calidad de Vida/psicología , Cuidado Terminal/psicología
3.
Pneumologie ; 66(2): 111-8, 2012 Feb.
Artículo en Alemán | MEDLINE | ID: mdl-22337330

RESUMEN

Anxiety and depression are prevalent comorbid conditions in COPD. Furthermore, diseases related anxieties (fear of progression, end-of-life fear) occur very often. Anxiety can have a negative impact on patients' quality of life and is sometimes even considered as a risk factor for re-hospitalisation. There are only a few studies that focus on disease related anxieties in COPD. The aim of our study was to investigate the associations between disease related anxieties (fear of progression, end-of-life fear), psychological health status and quality of life in COPD patients. 132 patients with COPD (GOLD II-IV) participated in the study. Results of a MANOVA showed no differences between diseases related anxieties among patients with different disease severity (GOLD II-IV). Furthermore, the results showed significant associations between end-of-life fear, fear of progression, depression and quality of life. Further analyses showed that there is a need for managing end-of-life fears and improving end-of-life care. Overall, our study showed, that health disease related anxieties play an important role in COPD and still do not receive enough attention.


Asunto(s)
Trastornos de Ansiedad/psicología , Actitud Frente a la Muerte , Trastorno Depresivo/psicología , Progresión de la Enfermedad , Miedo , Estado de Salud , Enfermedad Pulmonar Obstructiva Crónica/psicología , Calidad de Vida/psicología , Adaptación Psicológica , Anciano , Evaluación de la Discapacidad , Femenino , Humanos , Masculino , Persona de Mediana Edad , Pronóstico , Enfermedad Pulmonar Obstructiva Crónica/clasificación , Enfermedad Pulmonar Obstructiva Crónica/rehabilitación , Encuestas y Cuestionarios , Cuidado Terminal/psicología
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