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

NCT04739488 | Completed DMC

• 1 other identifier: Yasemin Ceyhan
• Study Type: interventional
• Target: 67
• Locations: 1 country
• Sites: 1

Brief 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.

Conditions

COPD; Breathlessness; Aerocele

Keywords

COPD; Inhaler training; Breathing Exercises; Dyspnea; Quality of Life

Outcome Measures

Primary Outcomes (6)

• 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.

• 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.

• 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.

• 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.

• 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.

• 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 α coefficient could not be calculated.

  It was administered to patients in both groups when they were first enrolled in the study.

Secondary Outcomes (5)

• COPD assessment test (CAT)

  It was administered to patients in both groups when they came for control four weeks later.

• Breathing Exercise and Inhaler Application Skill Chart

  It was administered to patients in breathing ezercises and inhaler training group when they came for control four weeks later.

• Inhaler Application Skill Chart

  It was administered to patients in inhaler training group when they came for control four weeks later.

• St. George's respiratory questionnaire (SGRQ)

  It was administered to patients in both groups when they came for control four weeks later.

• Modified medical research council (mMRC)

  It was administered to patients in both groups when they came for control four weeks later.

Study Arms (2)

Breathing exercise and inhaler training

EXPERIMENTAL

This group were given pursed lip breathing exercise and inhaler training.

Device: Inhaler training; Behavioral: Breathing exercises

inhaler training

EXPERIMENTAL

This group were given only inhaler training

Device: Inhaler training

Interventions

Inhaler training DEVICE

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.

Breathing exercise and inhaler training; inhaler training

Breathing exercises BEHAVIORAL

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.

Breathing exercise and inhaler training

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• 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

You may not qualify if:

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

Sponsors & Collaborators

• Kirsehir Ahi Evran Universitesi: lead
• Assistant Professor Pınar TEKİNSOY KARTIN: collaborator

Study Sites (1)

Kırşehir Ahi Evran University Faculty of Health Sciences

Kırşehir, Centrum, 40100, Turkey (Türkiye)

Location

Related Publications (1)

• Ceyhan Y, Tekinsoy Kartin P. The effects of breathing exercises and inhaler training in patients with COPD on the severity of dyspnea and life quality: a randomized controlled trial. Trials. 2022 Aug 26;23(1):707. doi: 10.1186/s13063-022-06603-3.

  PMID: 36028881 DERIVED

MeSH Terms

Conditions

Pulmonary Disease, Chronic Obstructive; Dyspnea

Interventions

Breathing Exercises

Condition Hierarchy (Ancestors)

Lung Diseases, Obstructive; Lung Diseases; Respiratory Tract Diseases; Chronic Disease; Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Respiration Disorders; Signs and Symptoms, Respiratory; Signs and Symptoms

Intervention Hierarchy (Ancestors)

Mind-Body Therapies; Complementary Therapies; Therapeutics; Exercise Movement Techniques; Physical Therapy Modalities

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor Yasemin CEYHAN

Model Details: quantitative and qualitative methods

Study Record Dates

• First Submitted: January 5, 2021
• First Posted: February 4, 2021
• Study Start: September 10, 2017
• Primary Completion: December 20, 2018
• Study Completion: December 25, 2019
• Last Updated: February 4, 2021

Record last verified: 2021-02

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)