Ear acupuncture for anxiety in patients with COPD attending pulmonary rehabilitation: a feasibility study

Conclusion: Ear acupuncture was a feasible adjunctive treatment option for this sample of patients with COPD, attending PR. A larger trial is needed to confirm efficacy.
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Physiotherapists Source Type: research

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Systematic review of the effectiveness of community-based self-management interventions among primary care COPD patients, Published online: 23 November 2018; doi:10.1038/s41533-018-0111-9Further work is needed to ensure that self-management of chronic lung disease in primary care settings actively improves patients’ quality of life. While self-management is beneficial to patients in secondary care with severe chronic obstructive pulmonary disease (COPD), few studies have examined self-management effectiveness in primary care patients with milder COPD. Kate Jolly at the University of Birmingham, UK, and co-workers ide...
Source: npj Primary Care Respiratory Medicine - Category: Primary Care Authors: Source Type: research
.Introduction: The VitaBreath (Philips-Respironics, Murrysville, PA) is a portable noninvasive ventilator developed to provide short-term relief of dyspnea associated with physical exertion in COPD patients.Objectives: 1) to evaluate patients’ expectation for usefulness of VitaBreath in daily life; 2) to identify the clinical profile of patients who had the most positive anticipation of usefulness.Methods: In this multi-center prospective survey, the VitaBreath was introduced to COPD patients by using a short video; patients could handle the device, but did not use it. The perception of usefulness was rated using a 1...
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Noninvasive Ventilatory Support Source Type: research
Objective: to evaluate the incidence of psychiatric pathology (PP) in home-ventilated patients.Methodology: observational retrospective study in which a database of home-ventilated patients (Jan 12-Oct 17) was evaluated.Results: n: 326 patients(50.9% men). The indications for NIV were COPD (44.2%), obesity hypoventilation syndrome (OHS)(35.3%), restrictive pathology(12.6 %), sleep apnea-hypopnea syndrome (OSA)(4.6%) and heart failure refractory to treatment(3.3%). The compliance was 7.4±2.9 hours/day. 21.8% patients presented a diagnosis of PP(19 depression, 10 anxiety, 15 mixed anxiety-depressive disorder, 12 subst...
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Noninvasive Ventilatory Support Source Type: research
Background: Phenotypic differences between early-onset (EODA) and adult-onset (AODA) difficult asthma in adulthood are not well described.Aim: To characterise EODA and AODA in difficult asthma.Methods: The Wessex AsThma CoHort of difficult asthma (WATCH) is a longitudinal study at University Hospital Southampton (UHS) UK set up in 2015. To date, 380 patients are enrolled from the UHS tertiary difficult asthma clinic. Clinical features of EODA (age ≤18 yrs) and AODA (age>18 yrs) are presented here.Results: Of 368 patients with available data, 51.6% had EODA and 48.4% AODA (median age of onset 4.0 yrs v 40.5 yrs respectively (p
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Monitoring Airway Disease Source Type: research
Background: Multiple co-morbidities are associated with disease control, healthcare utilization and quality of life in difficult asthma.Aim: To evaluate the prevalence of comorbidities in patients with difficult asthma in the Wessex AsThma CoHort of difficult asthma (WATCH).Methods: Our prospective observation cohort study has enrolled 380 patients with severe asthma. History of co-morbidities is collected at enrolment. Data is presented as percentages and chi squared tests were used to calculate differences between groups.Results: Comorbidity(n)Prevalence (%)Gender Difference(male % vs female %)Age of Onset Difference (ea...
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Monitoring Airway Disease Source Type: research
Goal: When the literature is exemined, there is a limited number of publications for balance problems in patients with chronic obstructive pulmonary disease(COPD). For this reason, aim of this study is investigate how pulmonary rehabilitation effect balance control in patients with COPD.Methods: 37 patients with COPD(24 males, 13 females; mean age :57±6 years) who aplied to pulmonary rehabilitation unit in 6 months were included in the study.clinical files of all patients were evaluated and demographic data were recorded. Antropometric evaluations were performed, respiratory functions, exercise capacites were assess...
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Rehabilitation and Chronic Care Source Type: research
Background: Personalised therapy for COPD patients is debated. We investigated whether the rate of FEV1 decline differs between patients with and without ICS-containing medications, stratified by blood EOS level.Methods: The UK Clinical Practice Research Datalink (primary care records) and Hospital Episode Statistics (hospital records) were used to identify COPD patients with ≥2 FEV1 measurements ≥6 months apart. Follow-up started from first FEV1 until censoring at death, leaving database or first ICS-containing prescription (if not baseline ICS-containing user). The nearest blood EOS 2 years prior to the start of fo...
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Epidemiology Source Type: research
Conclusion: All the HCPs felt that the TANDEM intervention will be beneficial for some patients.
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: General Practice and Primary Care Source Type: research
Conclusions: The TANDEM trial was well received by the study participants. Participants perceived the CBA intervention as mitigating the substantial burden of COPD and anxiety/depression, providing self-management skills and tools, which in turn increased confidence and ability to manage their conditions.
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: General Practice and Primary Care Source Type: research
Background: There is a need to increase physical activity (PA) in COPD patients. A novel strategy is the combination of pulmonary rehabilitation (PR) with a coaching programme that provides patients with feedback on their activity levels and weekly targets.Objectives: To study the benefits of a web-based PAEP with set targets and feedback based on objectively measured PA in COPD patients attending PR.Methods: 44 COPD patients (22 males, 69±11years, FEV1 54±19%pred, 3793±2209 steps/day) were assessed at baseline (Visit 1) and randomised to either receive a 12-week PAEP web-based human coaching together ...
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Physiotherapists Source Type: research
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