Efficacy of the Respiratory Rehabilitation Exercise Training Package in Hospitalized Elderly Patients With Acute Exacerbation of Chronic Obstructive Pulmonary Disease: Randomized Control Trial
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Chronic Obstructive Pulmonary Disease (COPD)
- Sponsor
- Chest Hospital, Ministry of Health and Welfare, Taiwan
- Enrollment
- 61
- Locations
- 1
- Primary Endpoint
- Change from baseline in dyspnea at 4th day
- Status
- Completed
- Last Updated
- 11 years ago
Overview
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.
Investigators
Lin-Yu Liao
Head Nurse
Chest Hospital, Ministry of Health and Welfare, Taiwan
Eligibility Criteria
Inclusion Criteria
- Not provided
Exclusion Criteria
- •unstable vital signs
- •blood oxygen concentration lower than 90%
- •unstable psychological status, hemoptysis, pneumothorax, pulmonary edema, or using the respirator
Outcomes
Primary Outcomes
Change from baseline in dyspnea at 4th day
Time Frame: At baseline and at the 4th day of the study
Measured by the Borg Rating of Perceived Exertion Scale.
Secondary Outcomes
- Change from baseline in cough severity at 4th day(At baseline and at the 4th day of the study)
- Change from baseline in exercise tolerance at 4th day(At baseline and at the 4th day of the study)
- Change from baseline in sputum expectoration at 4th day(At baseline and at the 4th day of the study)