Effect of Home Based Pulmonary Rehabilitation on Exacerbation and Hospital Admission in Severe COPD
COPD Exacerbation
About this trial
This is an interventional treatment trial for COPD Exacerbation focused on measuring copd exacerbation, pulmonary rehabilitation, spirometry, hospital admission
Eligibility Criteria
Inclusion Criteria: Being between the ages of 18-75 Having a diagnosis of COPD stages C and D diagnosed according to the GOLD (Global Initiative for Chronic Obstructive Lung Disease) clinical diagnostic criteria Presence of dyspnea on exertion Stable clinical condition at the time of inclusion without infection or exacerbation in the previous 4 weeks Having the ability to use a smart phone and spirometer after training Exclusion Criteria: Patients with severe comorbid diseases, unstable coronary artery disease, collagen vascular diseases and needing high flow oxygen therapy (˃ 3-4 L \min). A history of effort-related syncope or any comorbidity (such as severe orthopedic or neurological deficits or unstable heart disease) that precludes exercise training. Participation in a pulmonary rehabilitation program within the past 12 months.
Sites / Locations
- SBU Yedikule Chest Diseases and Thoracic Surgery Training and Research HospitalRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Homespirometer Group (HsGr)
Control Group (CGr)
Patients will be taught to use the homespirometer device, download the phone application, use the application, use the video call feature, measure saturation and heart rate with the same device, and daily symptom scoring in the device's system. Patients will be asked to perform pulmonary function tests with a spirometer device, measure saturation and heart rate, score symptoms, and write down any problems related to their illness twice a week on days without exercise. The evaluations made after 2 tests. They will be sent to the researchers via the device.andthe video containing the exercises after the first training will be sent to them via whatsapp for the exercise compliance of the patients. In the first exercise week, the first 2 exercise sessions will be done one-on-one via video call, and the exercises will be done correctly.
The same exercise training will be taught to the study group and the same exercise video will be sent to the patients via WhatsApp. The first 2 exercise sessions will be done one-on-one via video call (via whatsapp), and the exercises will be done correctly. Patients will be given an exercise diary and asked to take notes on their weekly exercises.