4.高齢者胸部外科手術における術後リハビリテーション 呼吸器疾患を中心に

摘要

Respiratory rehabilitation is performed by a team of physicians,nurses,physiotherapists (respiratory therapists), nutritionists,and pharmacists together with the patient's family if necessary.In elderly patients,in whom chronic obstructive pulmonary disease (COPD) is often complicated before and after surgery,it is necessary to start respiratory physiotherapy and kinesiotherapy as the major therapies of respiratory rehabilitation in the early stage after surgery.Postoperative control of the amount of sputum, and recovery and maintenance of ventilatory gas exchange become possible by early respiratory rehabilitation,leading to prevention of complications, recovery of activities of daily living (ADL),and early discharge from hospital.