症状管理计划对泰国慢性阻塞性肺病成人患者症状体验和身体功能的影响:单盲随机对照试验研究。

IF 1.1 Q3 NURSING Belitung Nursing Journal Pub Date : 2024-08-28 eCollection Date: 2024-01-01 DOI:10.33546/bnj.3393
Apinya Kochamat, Teeranut Harnirattisai, Evanne Juratovac
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引用次数: 0

摘要

背景:慢性阻塞性肺病(COPD)患者会出现一系列令人不快的症状,包括疲劳、呼吸困难、睡眠障碍、焦虑和抑郁,这些症状相互关联并相互影响。开发一种程序来处理同时出现的症状是一项挑战,但却能为慢性阻塞性肺病成人患者有效控制症状提供优势:本研究旨在确定症状管理计划对泰国慢性阻塞性肺病成人患者的症状体验和身体功能的影响:方法:采用重复测量设计进行随机对照试验(RCT)。112 名参与者被随机分配到对照组(51 人)或实验组(51 人)。实验组接受为期八周的症状管理计划和常规护理,而对照护理组只接受常规护理。数据收集时间为 2023 年 1 月至 2023 年 8 月的基线、第 4 周和第 8 周,使用的数据包括人口统计学数据、改良医学研究委员会 (mMRC)、匹兹堡睡眠质量指数 (PSQI)、疲劳多维评估 (MAF)、医院焦虑抑郁评估量表 (HADS)、慢性阻塞性肺病评估测试 (CAT) 和 6 分钟步行距离 (6-MWD)。假设采用重复测量多变量方差分析(MANOVA)进行分析:结果:在第 4 周和第 8 周,症状管理计划对实验组的症状体验和身体功能产生了明显影响(F = 5.257,p p p 结论:实施症状管理计划可帮助实验组患者减轻症状,提高身体功能:实施症状管理计划可帮助慢性阻塞性肺病患者有效控制症状。在临床环境中,护士应将该计划纳入常规护理中,以提高慢性阻塞性肺病患者的生活质量。该计划可以帮助患者保持身体功能,同时减少对家庭和社会的依赖:泰国临床试验登记处(TCTR20230111006)。
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The effects of a symptom management program on symptom experience and physical function in Thai adults with chronic obstructive pulmonary disease: A single-blind randomized controlled trial study.

Background: Adults with Chronic Obstructive Pulmonary Disease (COPD) experience a range of unpleasant symptoms, including fatigue, dyspnea, sleep disturbances, anxiety, and depression, that are interrelated and impact one another. Developing a program to handle simultaneous symptoms poses challenges but offers advantages for adults with COPD in efficiently managing symptoms.

Objective: This study aimed to determine the effects of a symptom management program on symptom experience and physical function in Thai adults with COPD.

Methods: A randomized controlled trial (RCT) with a Repeated Measures design was performed. One hundred and two participants were allocated randomly to either the control group (n = 51) or the experimental group (n = 51). The experimental group received eight weeks of the symptom management program and usual care, while the control care group received only usual care. Data were collected from January 2023 to August 2023 at baseline, 4th weeks, and 8th weeks using the demographic data, the modified Medical Research Council (mMRC), the Pittsburgh Sleep Quality Index (PSQI), the Multidimensional Assessment of Fatigue (MAF), the Hospital Anxiety and Depression Assessment Scale (HADS), the COPD Assessment Test (CAT), and 6-Minute Walk Distance (6-MWD). The hypotheses were analyzed using Repeated Measures Multivariate Analysis of Variance (MANOVA).

Results: The symptom management program significantly impacted the experimental group's symptom experience and physical function at Weeks 4 and 8 (F = 5.257, p <0.001). There were significantly improved mean scores for the mMRC, MAF, 6MWD, and CAT (p <0.001, p <0.05). No statistically significant differences were observed in the PSQI, HADS-Anxiety, and HADS-Depression over time.

Conclusion: Implementing a symptom management program can help patients with COPD efficiently manage their symptoms. In clinical settings, nurses should integrate this program into routine nursing care to enhance the quality of life for patients suffering from COPD. The program can help patients preserve physical functionality while reducing dependence on family and society.

Trial registry number: Thai Clinical Trials Registry (TCTR20230111006).

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