The Effect of Face Hand Fan Application on Dyspnea

NCT06265831 | Active Not Recruiting

• 1 other identifier: BU-FHS-NC-03
• Study Type: interventional
• Target: 61
• Locations: 1 country
• Sites: 1

Brief Summary

Diagnosing and managing dyspnea in patients with COPD is very important. Although pharmacological and non-pharmacological methods are used in the management of dyspnea, it is recommended that pharmacological methods be supported by non-pharmacological methods. Hand fan application, which is one of the non-pharmacological methods used in dyspnea management, provides an increase in self-efficacy in patients in addition to the stimulation of cold air flow to the trigeminal nerve branches, mucosa and skin. Although there are studies reporting that applying cold air to the face with a hand fan is effective in reducing the severity of dyspnea in different patient groups, the number of studies examining the effectiveness of applying cold air to the face with a hand fan in patients with COPD is quite limited. This project was planned to determine the effect of applying cold air to the face with a fan on the severity of dyspnea and quality of life in COPD patients.

Conditions

COPD

Keywords

dyspnea; COPD; quality of life

Outcome Measures

Primary Outcomes (1)

• Modified Borg Scale

  The Modified Borg Scale was first developed to measure the effort expended during physical exercise. Later, MBS was revised in 1982 and became a scale consisting of 12 items that diagnose the severity of dyspnea according to its degree. As the points on the scale increase, the severity of dyspnea increases (0: None, 0.5: Very very mild, 1: Very mild, 2: Mild, 3: Moderate, 4: Somewhat severe, 5: Severe, 6: 7: Very severe, 8: ….., 9: Very very serious, 10: Maximum). Although MBS was first used to define the severity of exertional dyspnea, it is now also used to evaluate the severity of resting dyspnea.

  a week (seven days)

Secondary Outcomes (1)

• Saint George Respiratory Questionnaire

  a week (seven days)

Study Arms (2)

Hand-fan application to the face

EXPERIMENTAL

At the first meeting of the hand-fan application to the face group, the Patient Identification Form, Vital Signs Form, Modified Borg Scale, and Saint George Respiratory Questionnaire Form will be filled out. Afterward, training will be given (accompanied by an academic advisor) on how to apply cold air to the face with a hand fan (3 times a day for 5 minutes) for dyspnea management. Additionally, patients will be given a hand-fan application brochure. The researchers will monitor the patient every day for a week (7 days), fill out the vital signs form, and the final test will be administered by the researchers on the 8th day.

Other: Hand-fan application to the face

Standard care group

NO INTERVENTION

In the standard care group, the Patient Diagnosis Form, Vital Signs Form, Modified Borg Scale, and Saint George Respiratory Questionnaire Form will be filled in at the first interview. The clinic's routine care protocol will be applied to the patients in the control group, and the researchers will fill out a vital signs form every day for a week, and the patients will be followed up.

Interventions

Hand-fan application to the face OTHER

Hand fan application is one of the applications recommended in managing dyspnea in evidence-based guidelines. Hand fan application effectively reduces shortness of breath by stimulating cold airflow to the 2nd and 3rd trigeminal nerve branches, mucosa, and skin.

Hand-fan application to the face

Eligibility Criteria

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

You may qualify if:

• Having been diagnosed with COPD at least 6 months ago,
• Being over 18 years of age,
• No open wounds on the face for any reason,
• Lung cancer, tuberculosis, asthma etc. absence of other respiratory system diseases,
• Not having a hearing or speech impairment,
• Not having a cognitive disability
• Volunteering to participate in the research.

You may not qualify if:

• Being diagnosed with COPD less than 6 months ago,
• Being under 18 years of age,
• Having an open wound on the face for any reason,
• Lung cancer, tuberculosis, asthma etc. Having other respiratory system diseases,
• Having hearing and speech impairment,
• Having a cognitive disability
• Not volunteering to participate in the research.

Sponsors & Collaborators

• Bartın Unıversity: lead
• The Scientific and Technological Research Council of Turkey: collaborator

Study Sites (1)

Necmiye ÇÖMLEKÇİ

Bartın, 74100, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Pulmonary Disease, Chronic Obstructive; Dyspnea

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

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Masking Details: Hospitalized patients with a diagnosis of COPD will be randomized into two groups. The intervention group will have a hand fan applied to the face and be monitored for a week, and the control group will receive routine care at the clinic. Investigators will evaluate outcome measures.
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Research Assistant, PhD

Model Details: Parallel group: two groups, an intervention group and a control group, receiving complementary therapy.

Study Record Dates

• First Submitted: February 10, 2024
• First Posted: February 20, 2024
• Study Start: April 1, 2023
• Primary Completion: November 30, 2023
• Study Completion: June 1, 2024
• Last Updated: June 18, 2024

Record last verified: 2024-06

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP

Locations

TU (1)