Chronic Obstructive Pulmonary Disease (COPD)
Conditions
Keywords
Acute exacerbation of chronic obstructive pulmonary disease, Older adults, Respiratory rehabilitation exercise
Brief summary
The purpose of this randomized controlled trial was to evaluate the effects of a respiratory rehabilitation exercise training package on dyspnea, cough, exercise tolerance, and sputum expectoration of hospitalized elderly patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD). Using purposive sampling, 61 participants were recruited and randomly assigned to either the experimental group (n = 30) or the control group (n = 31). The experimental group participants received the respiratory rehabilitation exercise training twice a day and 10-30 minutes per session for four days. The control group participants received usual care and health education. Data were collected at baseline and at the end of the four-day intervention.
Detailed description
The respiratory rehabilitation exercise training package included: (a) Disease awareness: The doctor explained the disease to patients and their families through the chest X-ray, (b) Sputum clearance treatments: Easily understood postural drainage cards were provided to the patients and families to assist with proper sputum clearance procedures, (c) Pursed lip breathing training: Devices were provided to the patients to ensure that the breathing exercises were completed properly, (d) Upper-limb exercise with breathing pranayama: Towels were provided to the patients to assist with upper-limb exercises properly, (e) Walking training with breathing pranayama: Legs were elevated while inhaling, and returned to the position while exhaling, and (f) Assign a pulmonary rehabilitation program coordinator: Coordinators were assigned to assist the patients in nutrition management and health education.
Interventions
BEHAVIORALRespiratory rehabilitation exercise training
The respiratory rehabilitation exercise training package was conducted twice a day and 10-30 minutes per session for 4 days: (a) disease awareness, (b) sputum clearance treatments, (c) pursed lip breathing training, (d) upper-limb exercise with breathing pranayama, (e) walking training with breathing pranayama, and (f) assign a pulmonary rehabilitation program coordinator.
Sponsors
Chest Hospital, Ministry of Health and Welfare, Taiwan
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
No
Inclusion criteria
1. diagnosed with moderate COPD with moderate acute exacerbation 2. over 65 years of age 3. conscious clear 4. with shortness of breath or dyspnea that was not caused by heart disease, pneumothorax, or pulmonary edema 5. had received bronchodilator aerosol therapy or antibiotic treatment, but had not been treated with an antitussive
Exclusion criteria
1. unstable vital signs 2. blood oxygen concentration lower than 90% 3. unstable psychological status, hemoptysis, pneumothorax, pulmonary edema, or using the respirator
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline in dyspnea at 4th day | At baseline and at the 4th day of the study | Measured by the Borg Rating of Perceived Exertion Scale. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline in sputum expectoration at 4th day | At baseline and at the 4th day of the study | Assessed by recording the patients' feelings regarding sputum expectoration during the previous day. |
| Change from baseline in cough severity at 4th day | At baseline and at the 4th day of the study | Measured by the visual analog scale. |
| Change from baseline in exercise tolerance at 4th day | At baseline and at the 4th day of the study | Measured by the 6-minute walk distance |
Countries
Taiwan
Outcome results
None listed