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Efficacy of a respiratory rehabilitation exercise training package in hospitalized elderly patients with acute exacerbation of COPD: a randomized control trial.

Liao LY, Chen KM, Chung WS, Chien JY - Int J Chron Obstruct Pulmon Dis (2015)

Bottom Line: All participants (median age =70 years, male =60.70%, and peak expiratory flow 140 L) completed the study.In the patients of the experimental group, dyspnea and cough decreased and exercise tolerance and sputum expectoration increased significantly compared with those of the patients in the control group (all P<0.05).Results of this study suggest that the respiratory rehabilitation exercise training package reduced symptoms and enhanced the effectiveness of the care of elderly inpatients with AECOPD.

View Article: PubMed Central - PubMed

Affiliation: Department of Nursing, Chest Hospital, Ministry of Health and Welfare, Rende District, Tainan, Taiwan ; College of Nursing, Kaohsiung Medical University, Sanmin District, Kaohsiung, Taiwan.

ABSTRACT

Clinical trials identifier: NCT02329873.

Background: Acute exacerbation (AE) of COPD is characterized by a sudden worsening of COPD symptoms. Previous studies have explored the effectiveness of respiratory rehabilitation for patients with COPD; however, no training program specific to acute exacerbation in elderly patients or unstable periods during hospitalization has been developed.

Objective: To evaluate the effects of a respiratory rehabilitation exercise training package on dyspnea, cough, exercise tolerance, and sputum expectoration among hospitalized elderly patients with AECOPD.

Methods: A randomized control trial was conducted. Pretest and posttest evaluations of 61 elderly inpatients with AECOPD (experimental group n=30; control group n=31) were performed. The experimental group received respiratory rehabilitation exercise training twice a day, 10-30 minutes per session for 4 days. The clinical parameters (dyspnea, cough, exercise tolerance, and sputum expectoration) were assessed at the baseline and at the end of the fourth day.

Results: All participants (median age =70 years, male =60.70%, and peak expiratory flow 140 L) completed the study. In the patients of the experimental group, dyspnea and cough decreased and exercise tolerance and sputum expectoration increased significantly compared with those of the patients in the control group (all P<0.05). Within-group comparisons revealed that the dyspnea, cough, and exercise tolerance significantly improved in the experimental group by the end of the fourth day (all P<0.05).

Conclusion: Results of this study suggest that the respiratory rehabilitation exercise training package reduced symptoms and enhanced the effectiveness of the care of elderly inpatients with AECOPD.

No MeSH data available.


Related in: MedlinePlus

Flowchart of the Participants’ Selection Process of the Study.
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f1-copd-10-1703: Flowchart of the Participants’ Selection Process of the Study.

Mentions: The study was conducted in two pulmonary wards of the Chest Hospital, Ministry of Health and Welfare, in Southern Taiwan. Sixty-two patients were recruited of which 31 were assigned to the respiratory rehabilitation exercise training package (experimental) group and 31 were assigned to the control group. One experimental group participant withdrew from the study due to discharge (Figure 1). Sample size calculation was based on previous studies,23 and we estimated that a sample of 60 (experimental =30, control =30) would have 80% power to detect a 35% difference in the dyspnea score.


Efficacy of a respiratory rehabilitation exercise training package in hospitalized elderly patients with acute exacerbation of COPD: a randomized control trial.

Liao LY, Chen KM, Chung WS, Chien JY - Int J Chron Obstruct Pulmon Dis (2015)

Flowchart of the Participants’ Selection Process of the Study.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4555970&req=5

f1-copd-10-1703: Flowchart of the Participants’ Selection Process of the Study.
Mentions: The study was conducted in two pulmonary wards of the Chest Hospital, Ministry of Health and Welfare, in Southern Taiwan. Sixty-two patients were recruited of which 31 were assigned to the respiratory rehabilitation exercise training package (experimental) group and 31 were assigned to the control group. One experimental group participant withdrew from the study due to discharge (Figure 1). Sample size calculation was based on previous studies,23 and we estimated that a sample of 60 (experimental =30, control =30) would have 80% power to detect a 35% difference in the dyspnea score.

Bottom Line: All participants (median age =70 years, male =60.70%, and peak expiratory flow 140 L) completed the study.In the patients of the experimental group, dyspnea and cough decreased and exercise tolerance and sputum expectoration increased significantly compared with those of the patients in the control group (all P<0.05).Results of this study suggest that the respiratory rehabilitation exercise training package reduced symptoms and enhanced the effectiveness of the care of elderly inpatients with AECOPD.

View Article: PubMed Central - PubMed

Affiliation: Department of Nursing, Chest Hospital, Ministry of Health and Welfare, Rende District, Tainan, Taiwan ; College of Nursing, Kaohsiung Medical University, Sanmin District, Kaohsiung, Taiwan.

ABSTRACT

Clinical trials identifier: NCT02329873.

Background: Acute exacerbation (AE) of COPD is characterized by a sudden worsening of COPD symptoms. Previous studies have explored the effectiveness of respiratory rehabilitation for patients with COPD; however, no training program specific to acute exacerbation in elderly patients or unstable periods during hospitalization has been developed.

Objective: To evaluate the effects of a respiratory rehabilitation exercise training package on dyspnea, cough, exercise tolerance, and sputum expectoration among hospitalized elderly patients with AECOPD.

Methods: A randomized control trial was conducted. Pretest and posttest evaluations of 61 elderly inpatients with AECOPD (experimental group n=30; control group n=31) were performed. The experimental group received respiratory rehabilitation exercise training twice a day, 10-30 minutes per session for 4 days. The clinical parameters (dyspnea, cough, exercise tolerance, and sputum expectoration) were assessed at the baseline and at the end of the fourth day.

Results: All participants (median age =70 years, male =60.70%, and peak expiratory flow 140 L) completed the study. In the patients of the experimental group, dyspnea and cough decreased and exercise tolerance and sputum expectoration increased significantly compared with those of the patients in the control group (all P<0.05). Within-group comparisons revealed that the dyspnea, cough, and exercise tolerance significantly improved in the experimental group by the end of the fourth day (all P<0.05).

Conclusion: Results of this study suggest that the respiratory rehabilitation exercise training package reduced symptoms and enhanced the effectiveness of the care of elderly inpatients with AECOPD.

No MeSH data available.


Related in: MedlinePlus