The Breath project (Project Number: 2022-1-PL01-KA220-HED-000089283) has been Co-funded by the European Union. Views and opinions expressed are however those of the author or authors only and do not necessarily reflect those of the European Union or the Foundation for the Development of the Education System. Neither the European Union nor the entity providing the grant can be held responsible for them.

A Pilot Study on a Nurse Rehabilitation Program: Could It Be Applied to COVID-19 Patients?

Moreira, J.; Fonseca, P.; Miguel, S.

Thematic Area
Management, Rehabilitation paths
Summary
Background: An aging population, pollution and an increase in life habits that are harmful to respiratory health, and more recently the COVID-19 pandemic, have led to an increase in chronic respiratory diseases. Thus, this pilot study aims to describe an intervention program on the training of respiratory patients to maintain airway permeability and preventing complications. Methods: An observational, analytical, and prospective study was proposed. After the initial evaluation of each user during hospitalization, the program started with two sessions, at discharge for the second phase, and fifteen days after discharge for the third phase. Throughout the program’s implementation, the modified Medical Research Council scale and the Barthel Index were applied. Results: The population studied aged between 39 and 76 years, diagnosed with pneumonia or chronic obstructive pulmonary disease, showed a significant improvement in the degrees of dyspnea and levels of functionality, as well as an adequate level of learning. Conclusions: This program positively impacted the patients’ independence by reducing dyspnea and increasing functionality of the patients included in this study. The set of exercises and techniques can be replicated at home and may be fundamental in the management of respective recovery, as well as in the COVID-19 pandemic.
Relevance
This paper shows the positive impact of a respiratory rehabilitation program aiming to reduce psychic and muscle tension, reduce muscle overload, ensure airway permeability and improve tolerance to effort, through specific respiratory exercises and energy conservation techniques, It seems that theses strategies can contribute to decrease dyspnea levels, increase functionality and provide self-management of acute respiratory symptoms.
Keywords
coronavirus; rehabilitation nursing; respiratory tract diseases; breathing exercises; quality of life