{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,4,6]],"date-time":"2022-04-06T02:32:42Z","timestamp":1649212362717},"reference-count":33,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pneumologie"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>In Deutschland findet die Lungenrehabilitation (PR) traditionell in Rehabilitationskliniken statt. Nach der aktuellen deutschen Richtlinie \u201eDiagnostik und Beurteilung asbestbedingter Berufskrankheiten\u201c kann PR auch als ambulantes Programm mit den wesentlichen Elementen der station\u00e4ren PR (Kompakt-Rehabilitation [KR]) angeboten werden. Unser Projekt untersuchte die Auswirkungen der KR auf Akzeptanz, k\u00f6rperliche Leistungsf\u00e4higkeit und Lebensqualit\u00e4t bei Patienten mit berufsbedingten Lungenerkrankungen. KR umfasste 24 Einheiten \u00e0 90 Minuten mit Physiotherapie und Atemtherapie sowie ger\u00e4tegest\u00fctztes Kraft- und Ausdauertraining. Ziel unserer Studie war es, die Auswirkungen der KR bei Patienten mit Berufskrankheiten der Atemwege und einem gesetzlich verankerten Recht auf PR zu untersuchen. Eine Randomisierung war daher nicht geplant. 148 versicherte Personen mit einer best\u00e4tigten beruflichen Erkrankung der Lunge wurden von den Berufsgenossenschaften zur Teilnahme eingeladen. 126 Patienten (85\u200a%) nahmen die Einladung an, und 78 Teilnehmer (Durchschnittsalter 71 Jahre) schlossen das gesamte Programm ab (53\u200a%). Gutartige asbestbedingte Erkrankungen (Plaques, Pleuraverdickungen, Asbestose) dominierten mit rund 80\u200a%. Gebrechlichkeit, Depression und Demenz sind typische Hindernisse. Unter strikter Einhaltung der gew\u00e4hlten Einschluss- und Ausschlusskriterien und Trainingsbedingungen traten keine unerw\u00fcnschten Ereignisse auf. Die Messergebnisse am Beginn der KR wurden mit denen bei Beendigung verglichen. KR f\u00fchrte zu einer signifikanten (p\u200a&lt;\u200a0,01) Verbesserung aller Parameter der k\u00f6rperlichen Leistung: 6-Minuten-Gehtest: +\u200a36\u200am, Ergometertest: +\u200a9 Watt, Handdynamometrie: +\u200a29\u2006N, Quadriceps-Krafttest: +\u200a84\u2006MKI. Die Inspirationskapazit\u00e4t der Atemmuskulatur (Pimax: +\u200a1,1\u200akPa) verbesserte sich ebenfalls (p\u200a&lt;\u200a0,01). Der SF-36 zeigte eine Verbesserung der Lebensqualit\u00e4t (p\u200a&lt;\u200a0,05) in den Subdom\u00e4nen \u201egeistiges Wohlbefinden\u201c (+\u200a3,7) und \u201ek\u00f6rperliche Rollenfunktion\u201c (+\u200a4,2). Somit erweist sich die KR unter Ber\u00fccksichtigung der gew\u00e4hlten Einschluss- und Ausschlusskriterien als sichere und effektive Therapie. KR wird von Patienten ohne schwere Komorbidit\u00e4ten weithin akzeptiert und erzielt positive Effekte, die mit denen vergleichbar sind, die in Rehabilitationskliniken nachgewiesen wurden. Ambulante KR eignet sich daher zur Behebung des Mangels an strukturierten und zertifizierten Rehabilitations- und Schulungsangeboten in Rehabilitationskliniken und zur Verstetigung der dort erzielten Effekte f\u00fcr versicherte Patienten mit berufsbedingten Atemwegs- und Lungenerkrankungen.<\/jats:p>","DOI":"10.1055\/a-1627-1497","type":"journal-article","created":{"date-parts":[[2021,10,28]],"date-time":"2021-10-28T23:29:43Z","timestamp":1635463783000},"page":"35-46","source":"Crossref","is-referenced-by-count":0,"title":["Effekte einer ambulanten Kompaktrehabilitation auf k\u00f6rperliche Leistungsf\u00e4higkeit und Lebensqualit\u00e4t bei Patienten mit Berufskrankheiten der Lunge\n          ,"],"prefix":"10.1055","volume":"76","author":[{"given":"Alexander","family":"Oldenburger","sequence":"additional","affiliation":[{"name":"ZWANZIG-NEUN-F\u00dcNF Essen GmbH"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Helmut","family":"Teschler","sequence":"additional","affiliation":[{"name":"Ruhrlandklinik, Universit\u00e4tsmedizin Essen"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sebastian","family":"Teschler","sequence":"additional","affiliation":[{"name":"ZWANZIG-NEUN-F\u00dcNF Essen GmbH"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Friedrich","family":"Ernst","sequence":"additional","affiliation":[{"name":"BG Klinikum Bergmannstrost, Halle"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andreas","family":"Goergens","sequence":"additional","affiliation":[{"name":"Berufsgenossenschaft Holz und Metal (BGHM), Dortmund"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,10,28]]},"reference":[{"key":"ref3","doi-asserted-by":"publisher","first-page":"396","DOI":"10.1159\/000337271","article-title":"Long-term efficacy of pulmonary rehabilitation in patients with occupational respiratory diseases","volume":"84","author":"U Ochmann","year":"2012","journal-title":"Respiration"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"e13","DOI":"10.1164\/rccm.201309-1634ST","article-title":"An official American Thoracic Society\/European Respiratory Society statement: key concepts and advances in pulmonary rehabilitation","volume":"188","author":"M A Spruit","year":"2013","journal-title":"Am J Respir Crit Care Med"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"82","DOI":"10.1007\/s10039-013-1953-6","article-title":"Rehabilitation bei berufsbedingten Atemwegs- und Lungenerkrankungen","volume":"15","author":"U Ochmann","year":"2013","journal-title":"Trauma Berufskrankh"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD003793.pub3","article-title":"Pulmonary rehabilitation for chronic obstructive pulmonary disease","author":"B McCarthy","year":"2015","journal-title":"Cochrane Database Syst Rev"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD005305.pub3","article-title":"Pulmonary rehabilitation following exacerbations of chronic obstructive pulmonary disease","author":"M A Puhan","year":"2011","journal-title":"Cochrane Database Syst Rev"},{"key":"ref9","volume-title":"Empfehlung f\u00fcr die Begutachtung asbestbedingter Berufskrankheiten. 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