Nicht-medikamentöse Therapie bei COPD – Ein wichtiger Bestandteil in der Langzeitbehandlung

Die Nicht-medikamentöse Therapie spielt eine immer größere Rolle in der Langzeitbehandlung von Patienten mit COPD. Die wichtigste Maßnahme stellt dabei die Beendigung des inhalativen Tabakkonsums dar, um den Verlauf der COPD positiv zu beeinflussen und den jährlichen Lungenfunktionsverlust signifikant zu vermindern. Regelmäßige körperliche Aktivität steht im Zusammenhang mit weniger Exazerbationen und geringer Mortalität bei COPD. Sie wird für alle Schweregrade empfohlen. Die pneumologische Rehabilitation kann insbesondere die Lebensqualität und Belastbarkeit steigern und die Hospitalisierungsrate reduzieren. Die jährliche Influenzaschutzimpfung sowie die Pneumokokkenschutzimpfung werden in Deutschland für alle COPD-Patienten empfohlen.

Non-drug therapy plays an ever increasing role in the long-term treatment of patients with COPD. The most important such measure is the cessation of inhaled tobacco consumption which has a positive effect on the course of COPD and significantly reduces the yearly loss of pulmonary function. Regular physical activity is associated with less exacerbations and reduces the mortality. In the meantime this is recommended for all grades of severity. Pneumological rehabilitation can above all improve the quality of life, increase performance and reduce the rate of hospitalization. On account of their high levels of evidence the yearly influenza as well as pneumococcal vaccinations are recommended for all COPD patients in Germany.

Key words

Non-drug therapy - COPD - physical activity - exacerbation - pneumological rehabilitation - influenza vaccination - pneumococcal vaccination

• Literatur

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