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IRCT20120215009014N476 IRCT 2023-07-12 Hamedan University of Medical Sciences Effect of lip bud and diaphragm breathing versus control group on the comfort and pulmonary function of chronic obstructive pulmonary disease patients Effect of lip bud and diaphragm breathing versus control group on the comfort and pulmonary function of chronic obstructive pulmonary disease patients: a randomized clinical trial 2023-07-23 anticipated 141 Complete https://irct.ir/trial/71056 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Random assignment of the patients to the intervention and control groups through the drawing of lots. To do this, we prepare three sheets and write "intervention 1" on one sheet and "intervention 2" on the second and "control" on the third one. Then, by referring each patient, one of the sheets will be randomly taken and the patient will be assigned to the interventions or control group. N/A Chronic obstructive pulmonary disease. Intervention 1: Intervention group 1:Routine treatment in addition to diaphragm breathing (the patient lies on the bed and puts a pillow under his head and knees. He puts one hand on his chest and the other hand on his abdomen. When breathing, the hand on the stomach moves upwards and during exhalation, the hand moves down on the stomach, while the other hand remains motionless on the chest during inhalation and exhalation. Inhalation should be through the nose and exhalation through the mouth) for 10 minutes, three times daily for 4 weeks. Intervention 2: Intervention group 2:Routine treatment plus lip bud breathing (the patient closes his mouth and takes a deep breath through his nose, then exhales while keeping his lips pursed (whistling or kissing) ) for 10 minutes, three times daily for 4 week. Intervention 3: Control group:Only routine treatment. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is It depends on the situation and the results of the study as well as the approval of the financial supporting organization.
public Leila Zand Hajiabadi
School of Nursing and Midwifery, Hamadan University of Medical Sciences, Shahid Fahmideh Ave.
Hamadan Iran (Islamic Republic of) 6517838695 +98 81 3838 0572 zandleila84@gmail.com Hamedan University of Medical Sciences scientific Dr. Seyed Reza Bozouei
School of Nursing and Midwifery, Hamadan University of Medical Sciences, Shahid Fahmideh Ave.
Hamadan Iran (Islamic Republic of) 6517838695 +98 81 3838 0572 borzoureza@umsha.ac.ir Hamedan University of Medical Sciences Iran (Islamic Republic of) Age 18 to 75 years Chronic obstructive pulmonary disease Hemoglobin at least 11 g/dL Temperature 36.5 to 37.5 Systolic blood pressure at least 100 mmHg 18 years 75 years Both Receiving supportive oxygen in the past 6 hours Heart, kidney or liver failure Diabetes Uncontrolled hypertension J44 Other chronic obstructive pulmonary disease Other Treatment - Other N/A Intervention group 1:Routine treatment in addition to diaphragm breathing (the patient lies on the bed and puts a pillow under his head and knees. He puts one hand on his chest and the other hand on his abdomen. When breathing, the hand on the stomach moves upwards and during exhalation, the hand moves down on the stomach, while the other hand remains motionless on the chest during inhalation and exhalation. Inhalation should be through the nose and exhalation through the mouth) for 10 minutes, three times daily for 4 weeks Intervention group 2:Routine treatment plus lip bud breathing (the patient closes his mouth and takes a deep breath through his nose, then exhales while keeping his lips pursed (whistling or kissing) ) for 10 minutes, three times daily for 4 week Control group:Only routine treatment Breathing rate. Timepoint: Before the intervention and 4 weeks after the intervention. Method of measurement: By clinical examination. Oxygen saturation (SPO2). Timepoint: Before the intervention and 4 weeks after the intervention. Method of measurement: Using pulse oximeter. Forced expiratory air pressure in the first second (FEV1). Timepoint: Before the intervention and 4 weeks after the intervention. Method of measurement: Using a spirometer. Patient comfort. Timepoint: Before intervention and 4 weeks after intervention. Method of measurement: Using visual analog scale (VAS). Hamedan University of Medical Sciences Approved 2023-06-10 Ethics Committee of Hamadan University of Medical Sciences Vice-chancellor for Research and Technology, Hamadan University of Medical Sciences, Shahid Fahmideh Ave Hamadan Hamadan Iran (Islamic Republic of)