RecruitingNot ApplicableNCT06707649

The Effectiveness of Self-Management Education and Telephone Follow-up in Patient with COPD Exacerbation

The Effectiveness of Self-Management Education and Telephone Follow-up on Self-Care Agency and Symptom Management in Patients with COPD Exacerbation: a Randomized Controlled Study


Sponsor

Kirsehir Ahi Evran Universitesi

Enrollment

150 participants

Start Date

Sep 1, 2024

Study Type

INTERVENTIONAL

Conditions

Summary

According to the 2024 GOLD guidelines, Chronic Obstructive Pulmonary Disease (COPD) is defined as heterogeneous lung condition characterized by chronic respiratory symptoms (dyspnea, cough, sputum production, and/or exacerbations) due to abnormalities of the airways (bronchitis, bronchiolitis) and/or alveoli (emphysema) that cause persistent, often progressive, airflow obstruction. COPD is one of the leading causes of mortality and morbidity in Turkey and worldwide. Since COPD is an incurable and lifelong disease, it is important for patients to have high levels of self-management. The main questions it aims to answer are: 1. Does self-management education and telephone follow-up intervention effect self-care agency and symptom management in people with COPD exacerbation? 2. Does self-management education effect self-care agency and symptom management in people with COPD exacerbation? This study will evaluate the effect of self-management education and telephone follow-up on self-care agency and symptom management. Patients hospitalized with COPD exacerbation will be trained in the hospital and will be followed up by phone call after discharge. During the study, 3 groups were planned; Group 1 will be educated and followed up by telephone Group 2 will only receive education and no telephone follow-up. Group 3 will not receive education and telephone follow-up, only standard care. It is planned to collect the data from the patients at the beginning of the study, at 1, 3 and 6 months. Main outcomes: * Level of self-care agency * Level of symptom management The results obtained will be interpreted by comparing between 3 groups.


Eligibility

Min Age: 18 Years

Inclusion Criteria7

  • Diagnosed with COPD for the last 1 year
  • Diagnosis of Global Initiative for Chronic Obstructive Lung Disease (GOLD) stage III or IV COPD documented by pulmonary function testing
  • Patients hospitalized for acute exacerbation of COPD;
  • Hospitalized for at least 3 days
  • Having a personal mobile phone and the ability to use it,
  • Being enough conscious and oriented to answer the questions,
  • Voluntary patients

Exclusion Criteria4

  • Under 18 years old
  • Withdrawal from the study at any phase
  • Inability to be contacted by phone/mobile phone,
  • Patient death

Interventions

OTHERSelf Management Education

Patients in this group will receive self-management education during the 3 days when they are in the hospital. On the first day of the training, COPD disease, causes of the disease, symptoms, reasons for alleviating complaints, practical information for living comfortably with COPD will be given. On the second day, emergency situations in COPD, what is an exacerbation and prevention suggestions and diaphragmatic breathing-cough exercises will be taught. On the last day, training will be given on pursed lip breathing, medication use, oxygen and nebulizer treatments. The education will be accompanied by a educational booklet prepared by researchers and expert opinion.

OTHERTelephone Follow-up

Patients will receive their first call one week after discharge. The calls will be scheduled weekly during the first month, biweekly in the second month, and monthly starting from the third month. During the calls, it is planned to repeat the educational content and answer the patient's questions.


Locations(1)

Kirsehir Training and Research Hospital

Kırşehir, Turkey (Türkiye)

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NCT06707649


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