Evaluation of Three Months Combined Hospital and Home-Based Tailored Rehabilitation Program in COPD Patients Recently Admitted to Chest Department of Assiut University Hospital
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 70
- 主要终点
- Six-Minute Walk Test (6MWT)
研究概览
简要总结
This study evaluates the effect of a structured three-month pulmonary rehabilitation (PR) program, delivered both in-hospital and at home, on exercise capacity, respiratory symptoms, and functional status in stable COPD patients.
详细描述
Chronic Obstructive Pulmonary Disease (COPD) is a leading cause of mortality and morbidity worldwide, significantly reducing patients' physical activity and quality of life. This study investigates a tailored pulmonary rehabilitation program combining hospital-based and home-based components over 12 weeks. The hospital component includes patient education, nutritional support, structured exercise training for both upper and lower limbs, and smoking cessation strategies. The home program emphasizes continuity with daily walking, strength exercises, and lifestyle modifications. The program aims to improve exercise capacity, dyspnea scores, and quality of life. Assessments include the six-minute walk test (6MWT), CAT score, mMRC dyspnea scale, spirometry, arterial blood gas analysis, and the St George's Respiratory Questionnaire. Measurements are collected at baseline and after program completion to assess improvements.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 40 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Stable COPD patients diagnosed based on spirometry (post-bronchodilator FEV1/FVC <70%)
- •Age > 40 years
- •Moderate to severe COPD stage
- •Able and willing to participate in rehabilitation program
排除标准
- •Age < 40 years
- •Current acute COPD exacerbation at enrollment
- •Significant comorbid conditions limiting participation (e.g., uncontrolled diabetes mellitus, uncontrolled hypertension, left-sided heart failure, renal failure, liver cell failure)
- •Neuromuscular diseases, severe cognitive impairment, or psychiatric disturbance
- •Pregnant patients
- •Unwilling to participate in the rehabilitation program
研究组 & 干预措施
patients diagnosed with moderate-to-severe COPD (confirmed by spirometry) who are clinically stable
Participants undergo a 12-week structured PR program including both hospital-based sessions (education, structured exercise, nutrition counseling, smoking cessation) and home-based exercises (daily walking, strength training progression).
干预措施: Pulmonary Rehabilitation (Behavioral)
结局指标
主要结局
Six-Minute Walk Test (6MWT)
时间窗: 12 weeks
Measures the distance (in meters) a patient can walk in six minutes as a marker of exercise capacity and functional endurance.
次要结局
未报告次要终点
研究者
Taghreed Essam
resident at the chest department
Assiut University