Descripción y análisis del estado actual de los programas asistenciales de rehabilitación pulmonar en cuatro ciudades de Colombia

Abstract

Purpose: there are many studies reporting the benefits of pulmonary rehabilitation, but few of them exhibit the behavior and activitiesof these services. This article presents the characteristics of services, parts management and training level of team members, inaddition to the variables or instruments used to measure the effectiveness and impact in these programs. Methodology: it was madea cross sectional convenience sample which included seven pulmonaryrehabilitation services in four Colombian cities (Bogotá, Medellín, Manizales and Cali), selected by the coverage, for having at leastone year of experience and for being formally established and recognized nationwide. The interdisciplinary team of each serviceanswered a survey that was validated through a pilot test and expert consensus. Participation was voluntary.Results: labor onset pulmonary rehabilitation services correspond toan average of a decade, with COPD and asthma pathologies of attention. The programs are characterized by an outpatient treatmentwith an average duration of eight to twelve weeks, with a frequency of an hour three times a week. Also, the director of the service is regularly a pulmonologist and the coordinator a physiotherapist (57.14%). The posgradual training of these professionals is notable, and they report to have procedural, administrative and communicative skills, but qualify regular there research skills. The physical and technological resources are well tested. 71.42% have done impact studies, but only 28.57% have been published. All have in commontraining in upper limbs, lower limbs, respiratory muscles,counseling, functional assessment and quality of life. Conclusions:The effectiveness and impact of programs is measured by the walkingtest, quality of life questionnaires and activities of daily living

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