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Alternative Therapy for Acute Exacerbation of Chronic Obstructive Pulmonary Disease: Moving Cupping Along Meridians
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Published on: September 27, 2024

How do COPD patients respond to exacerbations?

Jaap C A Trappenburg1, David Schaap, Evelyn M Monninkhof

  • 1Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX Utrecht, The Netherlands. J.C.A.trappenburg@umcutrecht.nl

BMC Pulmonary Medicine
|August 23, 2011
PubMed
Summary

Most patients with Chronic Obstructive Pulmonary Disease (COPD) take self-management actions during exacerbations, like rest or increased inhaler use. However, contacting healthcare providers remains low, especially for smokers.

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Home-Based Prescribed Pulmonary Exercise in Patients with Stable Chronic Obstructive Pulmonary Disease
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Home-Based Prescribed Pulmonary Exercise in Patients with Stable Chronic Obstructive Pulmonary Disease

Published on: August 24, 2019

Area of Science:

  • Pulmonary Medicine
  • Respiratory Health
  • Patient Self-Management

Background:

  • Timely treatment of COPD exacerbations is crucial, yet many go unreported and untreated.
  • Understanding patient self-management actions during symptom deterioration is limited.
  • Previous research focused on treatment-seeking, not other self-management strategies.

Purpose of the Study:

  • To determine the incidence and timing of patient self-management actions during COPD exacerbations.
  • To identify determinants of different self-management responses.
  • To investigate three specific types of patient actions: type-A (rest, breathing techniques, sputum clearing), type-B (increased bronchodilator use), and type-C (contacting healthcare provider).

Main Methods:

  • A multicentre observational study followed 121 COPD patients for 6 weeks.
  • Daily symptom recording via diary was employed.
  • Three types of self-management actions (A, B, C) were assessed daily.

Main Results:

  • Type-A actions occurred in 70.7% and type-B in 62.7% of exacerbations.
  • Type-C actions (contacting healthcare provider) were observed in 17.3% of exacerbations.
  • Smokers were less likely to use type-A and B actions. Type-C actions correlated with severe airflow limitation and prior hospitalizations.

Conclusions:

  • Patients demonstrate willingness to engage in timely self-management during COPD exacerbations.
  • The low rate of contacting healthcare providers warrants further investigation regarding self-management barriers or healthcare accessibility issues.