Early symptom recognition and symptom management among exacerbation COPD patients: A qualitative study

Chatreewatanakul, Buntarika; Othaganont, Pranom; Hickman, Ronald L.

doi:10.1016/j.apnr.2021.151522

Cited by 7 publications

(9 citation statements)

References 10 publications

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“…They also noted that becoming aware of symptoms promoted symptom monitoring, creating a feedback loop between symptom monitoring and awareness. Another study found two patterns of symptom recognition in patients with an acute exacerbation of chronic obstructive pulmonary disease ( 37 ). Symptom recognition involved meaning, patterns, warning signs, prodromal symptoms, and risk factors.…”

Section: Discussionmentioning

confidence: 99%

Symptom Recognition as a Mediator in the Self-Care of Chronic Illness

Riegel

Barbaranelli

Ausili

et al. 2022

Front. Public Health

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BackgroundThe recognition of a symptom is needed to initiate a decision to engage in a behavior to ameliorate the symptom. Yet, a surprising number of individuals fail to detect symptoms and delay in addressing early warnings of a health problem.PurposeThe aim of this study was to test the hypothesis that symptom recognition mediates the relationship between monitoring for and management of symptoms of a chronic illness.MethodsA secondary analysis of existing cross-sectional data. A sample of 1,629 patients diagnosed with one or more chronic conditions was enrolled in the United States (US) (n = 407), Italy (n = 784) and Sweden (n = 438) between March 2015 and May 2019. Data on self-care monitoring, symptom recognition, and self-care management was assessed using the Self-Care of Chronic Illness Inventory. After confirming metric invariance in cultural assessment, we used structural equation modeling to test a mediation model where symptom recognition was conceptualized as the mediator linking self-care monitoring and self-care management with autonomous (e.g., Change your activity level) and consulting behaviors (e.g., Call your healthcare provider for guidance).ResultsSymptom recognition mediated the relation between self-care monitoring and autonomous self-care management behaviors (β = 0.098, β = 0.122, β = 0.081, p < 0.001 for US, Italy, and Sweden, respectively). No mediation effect was found for consulting self-care management behaviors.ConclusionOur findings suggests that symptom recognition promotes autonomous self-care behaviors in people with a chronic condition. Self-care monitoring directly affects consulting self-care management behaviors but not through symptom recognition. Further research is needed to fully understand the role of symptom recognition in the self-care process.

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Section: Discussionmentioning

confidence: 99%

Symptom Recognition as a Mediator in the Self-Care of Chronic Illness

Riegel

Barbaranelli

Ausili

et al. 2022

Front. Public Health

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“…According to above reporters, awareness of warning signs and prodromal symptoms depended on the perception of each patient who has experienced exacerbation individually. Most warning signs and prodromal symptoms, such as increasing of fatigue, cough, sputum production and breathlessness through hours into 2-7 days [3].…”

Section: The Characteristics Of Warning Signs and Prodromal Symptoms ...mentioning

confidence: 99%

“…Chatreewatanakul et al [3] studied about exacerbation experiences among COPD Thai patients. In Thailand, COPD is the fourth most common cause of death and the number of deaths due to COPD is increasing every year.…”

Section: The Characteristics Of Warning Signs and Prodromal Symptoms ...mentioning

confidence: 99%

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Early Warning Signs and Prodromal Symptoms of AECOPD Patients

Chatreewatanakul¹

2023

A Compendium of Chronic Obstructive Pulmonary Disease

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An acute exacerbation of chronic obstructive pulmonary disease (AECOPD) is a major problem leading to the most cause of death in chronic obstructive pulmonary disease (COPD) patients. Most cases of AECOPD occurred at home and outside the hospital. The COPD patients have the pattern of AECOPD according to their individual experiences. When the patients had AECOPD, also the warning signs and prodromal symptoms were happened differently. However, the characteristics of warning signs and prodromal symptoms could be described in three categories: 1) early signs and symptoms, 2) signs and symptoms that make the patients worse, and 3) time of occurrence. If the patients have been ill with COPD for a period of time until they can learn his/her early warning signs and prodromal symptoms of AECOPD by themselves or/and with their caregivers or/and with healthcare professionals, they will be able to quickly recognize their signs and symptoms when they occur and will be able to manage them as soon as according to their competency individually.

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“…Chronic Obstructive Pulmonary Disease (COPD) is still a significant global health concern, characterized by persistent airflow limitation and progressive respiratory symptoms, primarily emphysema and chronic bronchitis (1)(2)(3). Emphysema involves the gradual destruction of alveoli, leading to reduced gas exchange and airflow obstruction, while chronic bronchitis is marked by inflammation and scarring of the bronchial tubes, resulting in excessive mucus production and chronic cough.…”

Section: Introductionmentioning

confidence: 99%

Effects of Buteyko Breathing Technique Versus Diaphragmatic Breathing on Exercise Capacity and Quality of Life in Patients with Chronic Obstructive Pulmonary Disease

Mamoona Anwar,

Qurat ul Ain,

Arooj Fatimah

et al. 2024

JHRR

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Background: Chronic obstructive pulmonary disease (COPD) is a significant public health concern characterized by persistent respiratory symptoms and airflow limitation. Pulmonary rehabilitation has been shown to improve symptoms, quality of life, and physical function in patients with COPD. However, the impact of specific breathing techniques, particularly the Buteyko breathing technique and diaphragmatic breathing, on the functional capacity and respiratory performance of COPD patients remains underexplored. Objective: This study aimed to evaluate the effects of the Buteyko breathing technique versus diaphragmatic breathing on exercise capacity and quality of life in patients with COPD. Methods: A total of 48 patients with moderate to severe COPD were recruited from a pulmonary rehabilitation clinic and randomly assigned to either an intervention group (Buteyko breathing technique) or a control group (diaphragmatic breathing technique), with 24 participants in each group. The intervention group received Buteyko breathing training three times a week for eight weeks, in addition to standard care. The control group received diaphragmatic breathing training under the same conditions. The primary outcome was the distance walked in the six-minute walk test (6MWT). Secondary outcomes included the Timed Up and Go (TUG) test, Short Physical Performance Battery (SPPB) scores, Hospital Anxiety and Depression Scale (HADS) scores, Mini-Mental State Examination (MMSE) scores, and health-related quality of life assessed using the Patient Satisfaction Questionnaire (PSQ). Data were analyzed using SPSS version 25, with a significance level set at p<0.05. Ethical approval was obtained from the institutional review board, and all participants provided written informed consent. Results: The intervention group showed a significant improvement in the 6MWT distance, with a mean increase of 45 meters (p<0.01), compared to the control group’s mean increase of 10 meters. The TUG test time decreased significantly in the intervention group from 12.45 ± 1.23 seconds to 10.12 ± 1.10 seconds (p=0.002), while the control group improved from 12.78 ± 1.56 seconds to 11.34 ± 1.20 seconds. The SPPB score improved significantly in the intervention group from 8.34 ± 1.12 to 10.23 ± 1.30 (p=0.046), whereas the control group showed a modest improvement from 8.50 ± 1.10 to 9.56 ± 1.45. HADS-Anxiety scores decreased from 9.23 ± 2.45 to 7.12 ± 2.00 (p=0.025) in the intervention group, and HADS-Depression scores from 8.56 ± 2.34 to 6.34 ± 2.10 (p=0.015). MMSE scores increased in both groups but were not statistically significant. PSQ scores increased significantly in both groups post-intervention, with Group A improving from 70.45 ± 5.23 to 82.34 ± 4.78 (p=0.012) and Group B from 71.12 ± 5.10 to 78.89 ± 5.45. Conclusion: Diaphragmatic breathing training significantly enhances functional exercise capacity, reduces dyspnea, and improves quality of life in patients with moderate to severe COPD. These findings support the incorporation of diaphragmatic breathing exercises into standard pulmonary rehabilitation programs for COPD patients. Keywords: Chronic Obstructive Pulmonary Disease, Buteyko Breathing, Diaphragmatic Breathing, Pulmonary Rehabilitation, Exercise Capacity, Quality of Life, Six-Minute Walk Test, Timed Up And Go Test, Short Physical Performance

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Early symptom recognition and symptom management among exacerbation COPD patients: A qualitative study

Cited by 7 publications

References 10 publications

Symptom Recognition as a Mediator in the Self-Care of Chronic Illness

Symptom Recognition as a Mediator in the Self-Care of Chronic Illness

Early Warning Signs and Prodromal Symptoms of AECOPD Patients

Effects of Buteyko Breathing Technique Versus Diaphragmatic Breathing on Exercise Capacity and Quality of Life in Patients with Chronic Obstructive Pulmonary Disease

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