In patients with COPD and a history of recent exacerbation, to compare the quality of life after completing a joint program of health education and respiratory rehabilitation with those patients who only receive respiratory rehabilitation. To compare lung function, the distance traveled in the 6-minute walk test and in the test of the shuttle between both groups. Also, to compare between both groups adherence to inhaled treatment, physical activity, and emotional condition. Finally, to compare the number of visits to emergencies and hospitalizations, and on the other hand, the number of mild, moderate and severe exacerbations between both groups
In this trial we selected COPD patients with a history of recent exacerbation to be submitted to a respiratory rehabilitation program with or without a individualized program of health education. We try to demonstrate a better improvement in the quality of life after completing a joint program of health education and respiratory rehabilitation in this patients than those one who only receive respiratory rehabilitation. We also want to demonstrate an improvement in lung function, the distance travelled in the 6-minute walk test and in the test of the shuttle, the adherence to inhaled treatment, the physical activity, the emotional condition, the number of visits to emergencies and hospitalizations and the number of mild, moderate and severe exacerbations between both groups.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
66
The education sessions will be given in 3 opportunities (15-30, 45 and at 90 days from diagnosis of the exacerbation) and it will be individualized. The program will include measures of self-care and self-management recommended in patients with COPD: 1. Plan of action in an exacerbation. 2. Education related to COPD. 3. Information on pharmacological medication. 4. Management of the exacerbation. 5. Management of stress and / or anxiety. 6. Nutritional recommendations. 7. Physical exercise recommendations. 8. Healthy lifestyle recommendations. The first session will last 90 minutes and will be explain according to the contents of the manual "Controlling COPD". A presentation designed for this purpose will be displayed and this manual will be provided to patients to carry out their reading at home. The second and third sessions will last 15 minutes and the purpose will be to resolve doubts.
Quality of life after 6 months of education
To compare the quality of life related to health measured by the Saint George respiratory questionnaire after 6 months between patients who received health education and those who did not receive it.
Time frame: Six months
Quality of life after 6 months of education
To compare health relate quality of life measured by the EuroQoL questionnaire, after 6 months between patients who received health education and those who did not receive it.
Time frame: Six months
Quality of life after 6 months of education
To compare health relate quality of life measured by COPD Assessment Test (CAT) after 6 months between patients who received health education and those who did not receive it.
Time frame: Six months
Pulmonary function after 6 months of education
To compare pulmonary function measured by spirometry after 6 months between patients who received health education and those who did not receive it.
Time frame: Six months
Distance traveled in the 6-minute walk test and in the shuttle walking test after 6 months of education
To compare the distance traveled in the 6-minute walk test and in the shuttle walking test after 6 months between patients who received health education and those who did not receive it.
Time frame: Six months
Adherence to inhaled treatment after 6 months of education
To compare adherence to inhaled treatment after 6 months between patients who received health education and those who did not receive it.
Time frame: Six months
Physical activity of patients after 6 months of education
To compare the physical activity of patients measured by International Physical Activity Questionnaire (IPAQ) after 6 months between patients who received health education and those who did not receive it.
Time frame: Six months
Physical activity of patients after 6 months of education
To compare the physical activity of patients measured by an accelerometer after 6 months between patients who received health education and those who did not receive it.
Time frame: Six months
Emotional state of patients after 6 months of education
To compare the emotional state of patients measured by Hospital Anxiety and Depression Scale (HADS) after 6 months between patients who received health education and those who did not receive it.
Time frame: Six months
Number of visits to the emergency department, number of hospital admissions and days of hospital admission of patients after 6 months of education
To compare the number of visits to the emergency department, the number of hospital admissions and the days of hospital admission after 6 months between patients who received health education and those who did not receive it.
Time frame: Six months
Number of mild, moderate and severe exacerbations of patients after 6 months of education
To compare the number of mild, moderate and severe exacerbations after 6 months between patients who received health education and those who did not receive it.
Time frame: Six months
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