Influence of COPD Assessment Text (CAT) evaluation and rehabilitation education guidance on the respiratory and motor functions of COPD patients

Abstract

The study aimed to evaluate the influence of the COPD Assessment Test (CAT) evaluation and rehabilitation education guidance on the respiratory and motor functions of patients with chronic obstructive pulmonary disease (COPD). Forty-five patients with COPD admitted from Nov. 2012 to Nov. 2013 were treated with combined bronchodilators and inhaled corticosteroids. Thirty-five patients admitted from Nov. 2012 to Nov. 2013 and classified as a study group received rehabilitation education guidance on the basis of the treatment of the control group to compare the quality-of-life-scale score, dyspnea index score, and motor function of the two groups of patients after 48 weeks of treatment. After treatment, the CAT score of both groups of patients was significantly lowered. After 48 weeks of treatment, the respiratory function of both groups was significantly improved, but the Medical Research Council (MRC) scale for the study group after treatment was significantly lower than that for the control group. After 48 weeks of rehabilitation exercises, the 6-minute walk test (6MWT) for patients with COPD was significantly prolonged, but the test results were significantly higher for the study group after treatment than for the control group. After receiving CAT rehabilitation education, COPD patients had significantly improved life quality and significantly enhanced exercise tolerance. The treatment mode may be gradually introduced in future clinic and nursing work.

Effectiveness of nursing interventions for breathlessness in people with chronic obstructive pulmonary disease: A systematic review and meta‐analysis

“…Another RCT evaluated the effectiveness of pulmonary rehabilitation exercise and harmonica playing and reported no difference between groups (MD = −3.7, p = 0.6) using the Shortness of Breath Questionnaire (Alexander & Wagner, ). A two‐group pre–post study evaluated the effects of rehabilitation guidance (Liu et al., ) and reported significantly lower MRC scores after treatment in the experimental group than in controls (MD = not reported, p < 0.05). Finally, a one‐group pre–post study tested an intervention delivered to a group of patients in a pulmonary rehabilitation programme (Kyung & Chin, ) and found positive changes over time using the Borg Dyspnoea Scale (MD = 0.65, p < 0.001) and VAS Dyspnoea Scale (MD = 1.3, p = 0.01).…”

“…Six studies evaluated nursing interventions performed in clinics. The studies were conducted in the US (Alexander & Wagner, 2012;Carrieri-Kohlman et al, 2001), Sweden (Efraimsson, Hillervik, & Ehrenberg, 2008), Ireland (Wilson, Fitzsimons, Bradbury, & Elborn, 2008), Korea (Kyung & Chin, 2008) and China (Liu et al, 2015) and included a total of 310 participants. One RCT involved nurse-monitored exercise using video tapes on relaxation and breathing strategies and this study found no differences between groups (MD = −4.0, p = 0.1) using the Another RCT on smoking cessation reported no differences between groups (individual support + usual care (MD = 0.07, p = 0.80)) and group support + usual care (MD = 0.02, p = 0.10) using the Modified MRC Dyspnoea Scale (Wilson et al, 2008).…”

Effects of Particulate Matter Education on Self-Care Knowledge Regarding Air Pollution, Symptom Changes, and Indoor Air Quality among Patients with Chronic Obstructive Pulmonary Disease

“…Adequate interventions and education effectively help COPD patients to manage their disease, enhancing their health condition and quality of life [46,47]. Moreover, the CAT score represents the respiratory condition of patients and reflects their quality of life; accordingly, the reduction in CAT scores was associated with the improvement of COPD symptoms after performing rehabilitation and receiving health education [48]. The improvement in CAT scores suggests that prevention knowledge regarding PM in this study led to the improvement of participants' symptoms, such as chest tightness.…”