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REHABILITATION IN MÁTRA MEDICAL INSTITUTE
Anetta Müller1, Erika Kerényi2, Erika Könyves3
1Eszterházy Károly College, Eger
2Mátra Medical Institution, Mátraháza
3University of Debrecen, Faculty of Applied Economics and Rural Development, Debrecen
Our research we organised at the Mátra Medical Institute in Mátraháza and Kékestetô among sick of asthma, COPD and hayfever.
Our aim was to prove the effect of climate therapy in the Mátra Medical Institute. The subalpine climate to plays a very important role in the
cure of the Respiratory diseases, because to improve the life quality of the sick and reduce the medicine uses afther the therapy. Our researche
took part more than 100 respiratory diseased.We analyse the data with SPSS.version 16. We measure average, standard deviation, Chi² probe,
t-probe. You can see our results in the article.
asthma, pulmonology ilnesses, climate therapy, life-quality
Mátra hospitals is the only sub-alpine air medical
institution in our country where in treatment of the
The asthma of all ages is a serious public health challenge
asthmatics, COPD patients and hay fever patients climate
worldwide. Asthma is the 25th reason included in the
impacts were added to the medicinal and the movement-
Disability Adjusted Life Years ranking in 2001, prevalence
therapy treatments good results have been achieved in
and quality of life and the impact of health spending under
improving the quality of the patients’ life and their needs of
considerable pressure and gives the task of doctors working
medicine. Mátraháza unit is about 700 m the unit Kékestetô
is 1000m above sea level. On this is height the house dust
Nearly 300 million people are concerned worldwide,
mites cannot live and the ragweed occurs extremely rarely.
prevalence is observed between 1–18%.
The clean air, dust and pollen free environment are extremely
Determining the prevalence of asthma in a wide
favourable conditions for the health institution. These are
repertoire of domestic literature (Nagy
et al., 1997; Mora,
also favourable conditions for the use of respiratory diseases,
et al., 2001; Virágh,
as they are popular practice spots for cure-terraces, Terra
Hungary, a significant increase in asthma over the last few
years. In 2005, 196 thousand were number of asthmatics
registered in the network of lung clinic and while it was only 78
thousand based on historical data 10 years ago (Somfay,
The number of getting asthma rising with 18,000 every
year. Outstanding is the rapid increase in the number of
The affect of climate on healthy and sick people has been
children with asthma. Examining each group of ages, cases
dealt for a long time. Genersich Andor, Hungary's chief
of the 20–30-year-old all makes up 1/5 of all patients.
medical director, opened the first 300-beds lungclinic in 1932
County Zala and Fejér and lead the distribution of
on 15 June. Official name: Hungarian Mátra (Royal), Miklós
number of asthmatics, while in Borsod-Abaúj-Zemplén and
Horthy hospital. The Director of the Institute defined
Pest County are less "infected" counties. This figure is much
climatology that it deals with all the effects of the wider
worse, if we check the asthma, together with changes in the
meteorological factors in living organisms. Based on his
number of patients of hay fever and bronchitis treated since
empirical experience he found that tubercolosis gets better
2000 from 390 to 650 thousand in 2006, an increase in the
and recover quickly with a certain climate. (Genersich,
Several internaitonal researches report the possibilities of
The use of natural curative factors gets special attention
high-mountain climate therapy. Mátraháza is known as „The
to diseases in both domestic and international context, which
Hungarian Davos”. Skiplaces of Switzerland, like St. Moritz,
could cost the drug treatments. The treatment of respiratory
Davos, Arosa, Saasa Fee, Pontresina and Interlaken, function
diseases, a number of useful medicinal factors: climate, salty
as skiplaces in winter and climate medical holiday home in
summer. The first lungclinic was in Davos. The mountain
Anetta Müller, Erika Kerényi, Erika Könyves
climate, clean air and plenty of sunshine seemed to ensure all
measurements (BMI index, FEV1, FEV1/FVC, 6-minute
main ingredients that were needed for the treatment of
tubercolosis before effective therapy treatments. Davos
The internationally validated Asthma Control Test (ACT)
means attraction for the growing number of people suffering
and the also validated St. George life quality test were used,
with asthma, other allergic diseases and atopic skin disease.
completed with other issues as well. The part of these issues
There are currently more than 14,000 patients treated every
were questioned about the social-demographic data of
year who came from Switzerland, Germany, the Netherlands
patients, smoking habits, continuing physiotherapy, develop-
and other countries here. The main aim of the Swiss Allergy
ment of the medicine demand after the 6-month interwall
and Asthma Research is to start an overall study to made the
immune system and its controlling more understandable.
Primarily analysed the life quality of asthmatic patients,
COPD patients and hay fever patient.
According to the researchers conducted high-altitude
The results of a questionnaire processed by the SPSS
climate therapy it is a very accepted method, which improves
16.0software. Expected average, standard deviation, median
the clinical symptoms of asthma. The climate therapy
and Mode values were calculated. The examination of
reduces airway inflammation and regulates the lymphocytes
coherence the Pearson Chi² test was used.
(lymphocytes) activity (Karagiannidis C.
et al., 2006),
is also an international research report.
In the main study, 113 (male n = 19, female n = 94
Previous studies (Müller-Kerenyi,
persons) respiratory patients were participated who had been
the Medical Mátrai treated 50 patients with asthma, allergy
and COPD showed that after the first month of the treatment
questionnaire was filled out by every fifth patient, who were
of the examined patients’ suffering the 3 types of desease
treated asthma, rhinitis or COPD disease from September of
needed significantly less medicine, than a half year later.
2009 til January of 2010 the department of pulmonology
35.4% of the patients were in Mátraháza, while 74.6% of
Materials and Methods
them were in Kékestetô for 3 weeks. The 16.9% were male,
83.1% were female of the survey respondents.
September–October 2009 launched a research in the
14.2% of the respondents live in the villages, 31% in
circle of asthma, hay fever patients and COPD patients in a
town, 30.1% in county and 24.8% live in the capital city.
medical background. Pest Anna chief medical officer,
Mátra hospital has nationwide authority, which was included
internal medicine, pulmonary rehabilitation specialist, and.
in the sample of patients as evidenced by residence because
Peter Kenyeres Dr, chief medical officer, anesthetist took
part in it from Mátrai Medical Centre.
The average age of the patients was 61.54 years (SD =
With our research we aim to prove that two units of Mátra
9.489), and therefore the 76.9% of the patients were retired.
hospitals in Mátraháza and Kékestetô play a significant role
Among the free time activities of the patients were not found
in treating patients with respiratory problems, improving
anything, which would be heavy physical stress or high load
quality of life of patients and reduce the needs of medicine.
to them. Typical recreational activity were the followings:
reading, watching TV, rebus, needlework, hiking.
How are asthma and allergy healing and the quality of
72.6% of the patients (82 persons) were asthmatic, 33.6%
life coming out after a medical treatment completed
(38 persons) were hay fever patient and 37.2% (42 persons)
with climate therapy in the institution of Mátra and
had COPD disease were diagnosed and treated. The most
commonly occurring respiratory disease was the asthma then
What factors affect patients to choose institutions?
the COPD and the lowest the hay fever patients. In the
sample 14 people were particapeted who have asthma and
COPD disease together, 35 people had allergic asthma
accompanied hay fever and the 4 people main who had
After hospitalize asthma, allergy and COPD patients
COPD disease and hay fever were at a time.
their quality of life improved and their needs of
medicine reduced. After the hospital treatment the
effect of treatment reduces with time.
Results and Discussion
From 2009 October 2010 until January in the institution,
the patients with asthmatic and allergic symptoms filled out
The motivation was questioned of choosing institution.
questionnaires, which, was internationally standardized,
For this question, we have more alternatives and the patients
based on St. George life quality (simplified by Professor
could mark more than one. 91.2% of the respondents (103
Somfay) and Asthma Control test. In the questionnaire was
people) mainly visited the institute because of the healing,
used both closed and open questions. The questions have
the same, 103 (91.2%) people because of the climatic spa-
factor. Therefore the most of patients know the climatic, spa-
completion of the questionnaire. The medical questionnaire
factor. Thus, the considerable history, the good reputation,
Effect of climate therapy and rehabilitation in Mátra Medical Institute
the developments of the last decade, and the well-introduced
treatment were compared with o two-sample t-tests and
brand in the home healthcare market resulted the very high
significant differences were experienced:
proportion of recurrent patients. Physician's recommendation
After the first month of hospital treatment the demand
was a determining factor, which was marked by the 68.1% of
of Steroid and Medrol of COPD patients was less than
the patients (77 persons). 68.1% of the patients (77 persons)
after the sixth month. (t=-3,767 df= 41, p= 0,001).
marked the previous positive experience, which motivated
After the first month of hospital treatment, the
Allergic rhinitis (hay fever) patients took less allergy
medicine then after the sixth month it increased
The formation of the average and diviation values
significantly (t =- 3.582 df = 37, p = 0.001).
of the certain functions compared the 1-6 months
After the first month of hospital treatment, the
after the treatment in Mátraháza or Kékestetô
Allergic rhinitis in (hay fever) patients used less nasal
1. month 2. month 3. month 4. month 5. month 6. month
spray than after the sixth month. (t=-3,822, df=37,
p=0,000). The results shows a very strong significant
difference (t =- 3.822, df = 37, p = 0.000)
After the first month of hospital treatment, the
asthmatic patients used is less inhalative device
(Ventolin, Berodual, Berotec) than after the sixth
month (t =- 9.815, df = 81, p = 0.000).
After the first month of hospital treatment the patients
used less steroids (t =- 2.840, df = 81, p = 0.006) and
intravenous injection (t = 1.997, df = 81, p = 0.049)
These data partly confirm that the personal hospital
treatment, climate therapy of Mátraháza added, significantly
improves the life quality, health status of asthmatic patients
and reduce the medicine demand. The research results
confirm that the investigations being continued with more
The disease is confined to the core activities of the extent of hospital
In the chart, can be observed that after the hospital
treatment in the first month in almost all activities, the
improvements in the last few years. Today, the inflammatory
average low is between 0 and 1, which means that patients in
nature of asthma proven and accepted fact. Therefore the
the hospital treatment after the first month the illness were
steroid-contained antiphlogistics play important role in the
not or only slightly limited in the everyday activities and
treatment of asthma. These drugs are very expensive and it
work.6 months later, the averages have increased, which
sets a significant burden on individuals and society as well,
indicates the reduction of the impact of the treatment and
because of the growing number of asthmatics.
their illnesses or symptoms are more limited in the above
The medicine demand can be significantly reduced by
hospital treatments, climate and movement therapy, which
The results of the hospital treatment after the first and
were justified by the examinations of patients who were
sixth months were compared with two-sample t-tests, and
treated in the Mátra Medical Institue.
walking, climbing stairs, dressing, washing, shopping,
housework, working and hobbies showed a very strong
significant difference (p <0.001). Thus, demonstrated that
after the therapeutic treatment in the Mátra Medical Institute
for (medication, physiotherapy and breathing exercises) in
Dr. Somfay Attila (2007):
Kezelési stratégiák asztmában. Mi a
the first months the asthmatics, allergy and COPD patients
beteg, az orvos, a hatóság és a gyártó érdeke? In: Asztma – COPD
could more easily carry out the test activities, then after the
treatment in the sixth month. This fact is important because
doing these daily activities without limits ensures the
ksh -a-s zule tes kor-varh ato -elett ar tam-2 0 0 6 -b an-vo lt-a-
patient's convenience and significantly affected of the quality
After the complex therapy not only the patients life
Kurt Blaser (1989):
The Swiss Institute of Allergy and Asthma
Research. In: Regulatory Process in Allergy and Asthma Int.
quality was better, but also decreased the medicine demand.
Arch Allergy Appl Immunol. 1989; 90:1–2
The results after the first and the sixth month of hospital
Anetta Müller, Erika Kerényi, Erika Könyves
Karagiannidis C, Hense G, Rueckert B, Mantel PY, Ichters B,
Légúti allergiás megbetegedések elôfordulási gyako-
Blaser K, Menz G, Schmidt-Weber CB. (2006):
risága egy budapesti gyermekorvosi praxisban. Gyermekgyó-
climate therapy reduces local airway inflammation and modulates
lymphocyte activation. In: Scand J Immunol. 2006 Apr;63(4):304-
Komplex allergológiai szûrôviszgálataok pubertás
10. (http://www.ncbi.nlm.nih.gov/pubmed/ 16623931)
korban. Med. Thor. 1998, 51, 221–223.p.
Genersich Andor (1932)
: A klimatológiai észlelésrôl. In:
10. Páll G., Éliás T., Máth J.:
A rizikófaktorok szerepe az allergiás
Népegészségügy. XIII. évfolyam. 1.szám. II. rész. 134–137.p.
betegségek kialakulásában. Allergol.Klin. Immunol. 2001,
Kerényi Erika-Müller Anetta (2009):
Javuló életminôség és
költséghatékonyság. A Mátrai Gyógyintézet asztmás, szénanát-
11. Virágh Z.:
Védd Környezetedet és Egészségedet! Kiadja: Ma-
hás és COPD-s betegei terápiás kezelésének hatásvizsgálata. In:
gyar Orvosok az Egészséges Környezetért Társaság és a „Fodor
Economica. A Szolnoki Fôiskola Tudományos Közleményei.
József” Országos Közegészségügyi Központ Környezetegész-
ségügyi Intézete, Budapest 2004.36-38.p.
Nagy E., Forrai Á., Bánfalvi I. és mtsai:
megbetegedések felkutatása középiskolás fiatalok közében.
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