Effect of Progressive Relaxation Exercıses on Dyspnea and Comfort Level in Individuals With COPD

NCT06459882 | Completed

• 1 other identifier: BakircaU
• Study Type: interventional
• Target: 42
• Locations: 1 country
• Sites: 1

Brief Summary

The study is a randomised controlled experimental study conducted to examine the effect of progressive relaxation exercises on dyspnea and comfort level in individuals with chronic obstructive pulmonary disease. The study was conducted between January and August 2023 in the Internal Medicine Clinic of Izmir Urla State Hospital. Stratified and block randomisation method was used in the study and 42 patients, 21 intervention group and 21 control group, were completed. Patients in the intervention group received 30-minute progressive relaxation exercises for 6 weeks. Patients in the control group did not receive any intervention other than standard care practices. The data of the study were collected by face-to-face interview method using the Descriptive Information Form, Medical Research Council Dyspnea Scale, General Comfort Scale-Short Form and Patient Follow-up Form. Descriptive statistics, Shapiro Wilk test, Levene's test, Mauchly's W test, independent sample T test, Mann Whitney U test, dependent sample t test, Wilcoxon Signed Ranks test, Friedman test, Benferoni test and Fisher's Exact test were used to analyse the data obtained from the study. It was determined that the mean dyspnea level scores of the patients in the intervention group at week 6 were lower than the control group and this difference between the groups was statistically significant (p\<0.05). It was determined that the decrease in the mean comfort level scores of the patients in the intervention group according to the follow-up periods was statistically significant (p\<0.05). According to the results of the study, progressive relaxation exercises can be recommended as an effective nursing intervention to provide dyspnea management in patients with COPD.

Conditions

Copd; Dyspnea; Nursing Caries

Outcome Measures

Primary Outcomes (2)

• dyspnea level

  Medical Research Council Scale: MMRC is an easily applicable 5-item scale that shows similar results with lung function tests and arterial blood gas measurement and is recommended for use in determining the dyspnea levels of COPD patients in GOLD guidelines. The dyspnea level is graded between 0-4. A score of 0 indicates the absence of dyspnea, and an increase in the rating indicates an increase in the severity of dyspnea.

  baseline, week 3, and week 6

• comfort level

  The scale consists of 28 items and three sub-dimensions: relief (9 items), relaxation (9 items) and overcoming problems (10 items). The lowest value of 1 indicates a low comfort level and the highest value of 6 indicates a high comfort level. In this study, the Cronbach alpha reliability coefficient of the scale was 0.74 for the intervention group and 0.82 for the control group.

  baseline, week 3, and week 6

Study Arms (2)

progressive relaxation exercises

EXPERIMENTAL

Patients in the intervention group received 30-minute progressive relaxation exercises for 6 weeks.

Behavioral: progressive relaxation exercises

control

NO INTERVENTION

Patients in the control group did not receive any intervention other than standard care practices.

Interventions

progressive relaxation exercises BEHAVIORAL

Patients in the intervention group received 30-minute progressive relaxation exercises for 6 weeks

progressive relaxation exercises

Eligibility Criteria

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

You may qualify if:

• years of age and over
• Inpatient treatment in the Internal Medicine Clinic of Izmir Urla State Hospital
• Standardised Mini Mental Test score ≥24
• Dyspnea severity ≥2 according to the MMRC dyspnoea scale
• Diagnosed with Stage II and Stage III COPD according to GOLD criteria
• Functional competence to participate in progressive relaxation exercises
• Able to access and use a smartphone
• COPD patients who agreed to participate in the study.

You may not qualify if:

• Have any speech and hearing problems
• Lung disease other than COPD, physical dependence and psychiatric illness diagnosed with
• COPD patients in the acute exacerbation period.

Sponsors & Collaborators

• Izmir Bakircay University: lead

Study Sites (1)

Izmir Bakırcay University

Izmir, 35665, 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 Officials

• Ayşegül Çelik, PhD

  Izmir Bakircay University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: QUADRUPLE
• Who Masked: PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Asst. Prof., RN, MSc, PhD

Study Record Dates

• First Submitted: June 11, 2024
• First Posted: June 14, 2024
• Study Start: January 1, 2023
• Primary Completion: August 15, 2023
• Study Completion: August 30, 2023
• Last Updated: June 17, 2024

Record last verified: 2024-06

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)