Chronic obstructive pulmonary disease patients who are aged between 40-80 years. Chronic obstructive pulmonary disease, symptom management program, symptom experience, physical function
Conditions
Interventions
The symptom management program is an implementation for eight weeks. The program consists of the following main activities: 1) Group activities to provide knowledge about the disease, treatment, self-
Experimental Behavioral,Active Comparator Behavioral
Symptom management program,The usual care group
Sponsors
Faculty of Nursing, Thammasat University
Eligibility
Sex/Gender
All
Age
40 Years to 80 Years
Inclusion criteria
Inclusion criteria: 1) The participants have stable COPD stage 1-3 (mild-severe) based on GOLD 2020, diagnosed by a physician and confirmed by spirometry test, which indicated that FEV1/FVC<0.7. 2) Age 40-80 years 3) Participants can perform activities of daily living on their own. The activities of daily living will be assessed using the Chula Activities of Daily Living Index (CAI). The cut-off score is less than four out of nine, meaning they are less able to conduct daily activities. 4) The participants stay with the family caregivers for at least six months. 5) Participants or family caregivers can access the Line application. 6) Participants are willing to participate in this program. 7) Participants can read, write and communicate in the Thai language.
Exclusion criteria
Exclusion criteria: 1) Participants are stressed by life events such as one of their partner's or a family member's death. 2) Participants have comorbidities, including congestive heart failure, cancer, myocardial infarction, neurological disease, uncontrollability or severe psychosis, severe schizophrenia, or walking problems. 3) Participants do not want to participate in the study or participate in other self-management programs or pulmonary rehabilitation. 4) Cognitive impairment, severe dementia, or severe Alzheimer's disease. 5) Visual or hearing impairment 6) Hospitalization within four weeks before participating in this study. 7) Difficulty walking on their own. 8) An anxiety or depression score greater than or equal to 11 using the Hospital Anxiety and Depression Scale (HAD), where a score greater than or equal to 11 means having anxiety or depression that is considered a psychiatric disorder.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Symptom experience 0, 4, 8 weeks modified Medical Research Council dyspnea scale, COPD Assessment Test, Multidimensional Assessment of Fatigue, Pittsburgh Sleep Quality Index, Hospital Anxiety and Depression Scale | — |
Secondary
| Measure | Time frame |
|---|---|
| Physical functions 0,4,8 weeks 6-minute walk test | — |
Countries
Thailand
Contacts
Public ContactApinya Kochamat
Faculty of Nursing, Thammasat University
Outcome results
None listed