1
|
Moreira J, Fonseca P, Miguel S. A Pilot Study on a Nurse Rehabilitation Program: Could It Be Applied to COVID-19 Patients? INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:14365. [PMID: 36361244 PMCID: PMC9654829 DOI: 10.3390/ijerph192114365] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 09/30/2022] [Revised: 10/25/2022] [Accepted: 10/25/2022] [Indexed: 06/16/2023]
Abstract
(1) Background: An aging population, pollution and an increase in life habits that are harmful to respiratory health, and more recently the COVID-19 pandemic, have led to an increase in chronic respiratory diseases. Thus, this pilot study aims to describe an intervention program on the training of respiratory patients to maintain airway permeability and preventing complications. (2) Methods: An observational, analytical, and prospective study was proposed. After the initial evaluation of each user during hospitalization, the program started with two sessions, at discharge for the second phase, and fifteen days after discharge for the third phase. Throughout the program's implementation, the modified Medical Research Council scale and the Barthel Index were applied. (3) Results: The population studied aged between 39 and 76 years, diagnosed with pneumonia or chronic obstructive pulmonary disease, showed a significant improvement in the degrees of dyspnea and levels of functionality, as well as an adequate level of learning. (4) Conclusions: This program positively impacted the patients' independence by reducing dyspnea and increasing functionality of the patients included in this study. The set of exercises and techniques can be replicated at home and may be fundamental in the management of respective recovery, as well as in the COVID-19 pandemic.
Collapse
Affiliation(s)
- José Moreira
- Nursing Department, University of Évora, Largo do Senhor da Pobreza, 7000-811 Évora, Portugal
- Comprehensive Health Research Centre, 1600-560 Lisbon, Portugal
- National School of Public Health, 1600-560 Lisbon, Portugal
| | | | - Susana Miguel
- Department of Head and Neck Surgery and Endocrinology, Portuguese Institute of Oncology, 1099-023 Lisbon, Portugal
| |
Collapse
|
2
|
Wang J, Hu H, Du H, Luo M, Cao Y, Xu J, Chen T, Guo Y, Li Q, Chen W, Zhang Y, Han J, Wan H. Clinical Efficacy Protocol of Yinhuapinggan Granules: A Randomized, Double-Blind, Parallel, and Controlled Clinical Trial Program for the Intervention of Community-Acquired Drug-Resistant Bacterial Pneumonia as a Complementary Therapy. Front Pharmacol 2022; 13:852604. [PMID: 35847015 PMCID: PMC9279864 DOI: 10.3389/fphar.2022.852604] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2022] [Accepted: 06/08/2022] [Indexed: 11/13/2022] Open
Abstract
Background: Community-acquired bacterial pneumonia (CABP) is an important health care concern in the worldwide, and is associated with significant morbidity, mortality, and health care expenditure. Streptococcus pneumoniae is the most frequent causative pathogen of CABP. Common treatment for hospitalized patients with CABP is empiric antibiotic therapy using β-lactams in combination with macrolides, respiratory fluoroquinolones, or tetracyclines. However, overuse of antibiotics has led to an increased incidence of drug-resistant S. pneumoniae, exacerbating the development of community-acquired drug-resistant bacterial pneumonia (CDBP) and providing a challenge for physicians to choose empirical antimicrobial therapy. Methods: Traditional Chinese medicine (TCM) is widely used as a complementary treatment for CDBP. Yinhuapinggan granules (YHPG) is widely used in the adjuvant treatment of CDBP. Experimental studies and small sample clinical trials have shown that YHPG can effectively reduce the symptoms of CDBP. However, there is a lack of high-quality clinical evidence for the role of YHPG as a complementary drug in the treatment of CDBP. Here, we designed a randomized, double-blind, placebo-controlled clinical trial to explore the efficacy and safety of YHPG. A total of 240 participants will be randomly assigned to the YHPG or placebo group in a 1:1 ratio. YHPG and placebo will be added to standard treatment for 10 days, followed by 56 days of follow-up. The primary outcome is the cure rate of pneumonia, and the secondary outcomes includes conversion rate of severe pneumonia, lower respiratory tract bacterial clearance, lactic acid (LC) clearance rate, temperature, C-reactive protein (CRP), criticality score (SMART-COP score), acute physiological and chronic health assessment system (APACHEII score) and clinical endpoint events. Adverse events will be monitored throughout the trial. Data will be analyzed according to a pre-defined statistical analysis plan. This research will disclose the efficacy of YHPG in acquired drug-resistant pneumonia. Clinical Trial Registration: https://clinicaltrials.gov, identifier ChiCTR2100047501.
Collapse
Affiliation(s)
- Jiaoli Wang
- Zhejiang Chinese Medical University, Hangzhou, China
- Department of Respiratory Medicine, Hangzhou First People’s Hospital, Hangzhou, China
| | - Haoran Hu
- College of Basic Medical Science, Zhejiang Chinese Medical University, Hangzhou, China
| | - Haixia Du
- College of Life Science, Zhejiang Chinese Medical University, Hangzhou, China
| | - Man Luo
- Department of Respiratory Medicine, Hangzhou First People’s Hospital, Hangzhou, China
| | - Yilan Cao
- College of Basic Medical Science, Zhejiang Chinese Medical University, Hangzhou, China
| | - Jiaping Xu
- College of Basic Medical Science, Zhejiang Chinese Medical University, Hangzhou, China
| | - Tianhang Chen
- College of Life Science, Zhejiang Chinese Medical University, Hangzhou, China
| | - Yilei Guo
- College of Basic Medical Science, Zhejiang Chinese Medical University, Hangzhou, China
| | - Qixiang Li
- College of Basic Medical Science, Zhejiang Chinese Medical University, Hangzhou, China
| | - Wen Chen
- College of Basic Medical Science, Zhejiang Chinese Medical University, Hangzhou, China
| | - Yifei Zhang
- Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China
| | - Jin Han
- College of Basic Medical Science, Zhejiang Chinese Medical University, Hangzhou, China
| | - Haitong Wan
- Zhejiang Chinese Medical University, Hangzhou, China
- College of Life Science, Zhejiang Chinese Medical University, Hangzhou, China
| |
Collapse
|