Breathibg Exercises and Inhaler Trainingfor Chronic Obstructive Pulmonary Disease (COPD) Patients

COPD Clinical Trial

— COPD  

Official title:

The Effects of Breathing Exercises and Inhaler Training for Chronic Obstructive Pulmonary Disease Patients on the Severity of Dyspnea and Life Quality

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04739488
• Other study ID #: Yasemin Ceyhan
• Status: Completed
• Phase: N/A
• Start date: September 10, 2017
• Est. completion date: December 25, 2019

Study information

• Verified date: February 2021
• Source: Kirsehir Ahi Evran Universitesi
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The most common symptom of chronic obstructive pulmonary disease (COPD) is shortness of breath and causes a decrease in the patient's quality of life. The best way to relieve shortness of breath is inhaler therapy. However, it is known that patients frequently apply this treatment incorrectly. The aim of this study is to determine the effects of breathing exercises and inhaler training for COPD patients on the severity of dyspnea and life quality. For this, two patient groups with a total of 67 people were included in the study. While one group was trained on inhaler drug use, the other group was taught breathing exercises in addition to the inhaler drug use training. Patients were asked to continue the practices they learned regularly for 4 weeks. At the end of the study, it was observed that shortness of breath decreased and the quality of life increased in both patient groups.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 67
• Est. completion date: December 25, 2019
• Est. primary completion date: December 20, 2018
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• The individuals over the age of 18,
• Who had been diagnosed with COPD for at least three months,
• Using inhalers at least twice a day,
• Misusing their drug,
• Had not previously taken breathing exercise training
• Had not participated in a rehabilitation program

Exclusion Criteria:

• Mental disorders,
• Communication disabilities,
• Heart disease that could lead to dyspnea,
• Unstable angina

Related Conditions & MeSH terms

• Aerocele
• Breathlessness
• COPD
• Dyspnea
• Lung Diseases, Obstructive
• Pulmonary Disease, Chronic Obstructive

Intervention

Device:
• Inhaler training
This training was given to both intervention groups. How the patients used their inhaler medication was evaluated. The steps to use the correct inhaler medication were taught sequentially. It was applied with the patient. At the end of the training, brochures prepared by the researchers were given to the patients.

Behavioral:
• Breathing exercises
This training was given only to the group that received breathing exercise and inhaler training. Pursed lips breathing exercises were taught to the patients. Patients were asked to continue their breathing exercise for 10 minutes before using their inhaler medication. Thus, it was evaluated whether breathing exercises performed before using inhaler drugs provided benefit on drug effectiveness.

Locations

Country	Name	City	State
Turkey	Kirsehir Ahi Evran University Faculty of Health Sciences	Kirsehir	Centrum

Sponsors (2)

Lead Sponsor	Collaborator
Kirsehir Ahi Evran Universitesi	Assistant Professor Pinar TEKINSOY KARTIN

Country where clinical trial is conducted

Turkey, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Patient Information Form	Consisted of 19 questions including sociodemographic and disease features of the patients	It was administered to patients in both groups when they were first included in the study.
Primary	Breathing Exercise and Inhaler Application Skill Chart	Consisted of 18 items including the steps of breathing exercises and inhaler utilization to be applied to breathing exercises and inhaler group.	It was administered to patients in breathing ezercises and inhaler training group when they were first enrolled in the study.
Primary	Inhaler Application Skill Chart	Consisted of 10 items including only the skill of applying inhaler to be applied to the both group.; Correct steps were evaluated as 1 point and wrong steps as 0 points. It was administered to patients when they were first enrolled in the study and when they came for control four weeks later.	It was administered to patients in inhaler training group when they were first enrolled in the study.
Primary	COPD assessment test (CAT)	The scale developed by Jones et al. (2009) is used to measure the health status of individuals with COPD.	It was administered to patients in both groups when they were first enrolled in the study.
Primary	St. George's respiratory questionnaire (SGRQ)	It is a quality of life questionnaire specific to patients with COPD developed by Jones and Forde (2008).	It was administered to patients in both groups when they were first enrolled in the study.
Primary	Modified medical research council (mMRC)	It was developed by the British Medical Research Council in order to provide information about the degree of dyspnea experienced by the patient based on the patient's activity and the patient's perception of the disease. As it is a one-dimensional scale Cronbach's a coefficient could not be calculated.	It was administered to patients in both groups when they were first enrolled in the study.
Secondary	COPD assessment test (CAT)	The scale developed by Jones et al. (2009) is used to measure the health status of individuals with COPD.	It was administered to patients in both groups when they came for control four weeks later.
Secondary	Breathing Exercise and Inhaler Application Skill Chart	Consisted of 18 items including the steps of breathing exercises and inhaler utilization to be applied to breathing exercises and inhaler group.	It was administered to patients in breathing ezercises and inhaler training group when they came for control four weeks later.
Secondary	Inhaler Application Skill Chart	Consisted of 10 items including only the skill of applying inhaler to be applied to the both group.; Correct steps were evaluated as 1 point and wrong steps as 0 points. It was administered to patients when they were first enrolled in the study and when they came for control four weeks later.	It was administered to patients in inhaler training group when they came for control four weeks later.
Secondary	St. George's respiratory questionnaire (SGRQ)	It is a quality of life questionnaire specific to patients with COPD developed by Jones and Forde (2008).	It was administered to patients in both groups when they came for control four weeks later.
Secondary	Modified medical research council (mMRC)	It was developed by the British Medical Research Council in order to provide information about the degree of dyspnea experienced by the patient based on the patient's activity and the patient's perception of the disease. As it is a one-dimensional scale Cronbach's a coefficient could not be calculated.	It was administered to patients in both groups when they came for control four weeks later.