Research Article
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EFFECT OF TRAINING AND REMINDER SHORT MESSAGES ON THE FATIGUE LEVEL OF INDIVIDUALS WITH COPD: A RANDOMIZED CONTROLLED STUDY

Year 2024, Volume: 5 Issue: 3, 104 - 111, 30.12.2024
https://doi.org/10.52831/kjhs.1538120

Abstract

Objective: The study aimed to determine the effect of education and reminder short messages on fatigue levels in individuals with Chronic Obstructive Pulmonary Disease (COPD).
Method: Randomized controlled experimental study (ClinicalTrials.gov: NCT06286072). The study was conducted with 105 patients hospitalized with the diagnosis of COPD between December 15, 2023, and May 15, 2024. The patients were randomized into three groups, 35 in each group. The first group was assigned as the education+message group, the second group as the education group, and the third group as the control group (routine treatment and care). The education content consisted of COPD and fatigue management. The education was completed in three days. Messages included reminders of the education content and motivational sentences. Questionnaires were applied to all patients at baseline and the end of 8 weeks to determine their personal information, degree of dyspnea, general COPD status, and fatigue level.
Results: In intragroup comparisons, dyspnea and fatigue levels decreased significantly and the general COPD status improved in the education+message group (p<0.001). In the education group, dyspnea severity decreased (p=0.014) and the general COPD status improved (p=0.013). There was no significant difference in the control group. There were significant differences (p<0.05) in intergroup comparisons and the strongest effect was in the education +message, education, and control groups (d1>d2>d3).
Conclusion: Education and 8-week short message intervention in patients with COPD effectively reduced dyspnea severity and fatigue and improved the general COPD status. Education alone was not successful in alleviating fatigue in the long term. Therefore, post-discharge patient follow-up should be taken into consideration.

Ethical Statement

Çalışmaya başlamadan önce Kırşehir Ahi Evran Üniversitesi Sosyal ve Beşeri Bilimler Bilimsel Araştırma ve Yayın Etik Kurulu’ndan (Tarih: 19.10.2023 ve Sayı: 2023/09/05) izin alındı.

Supporting Institution

yok

References

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  • Ebadi Z, Goërtz YMJ, Van Herck M, et al. The prevalence and related factors of fatigue in patients with copd: A systematic review. Eur Respir Rev. 2021;30(160):200298.
  • Goertz YMJ, Spruit MA, Hul AJV ‘t, et al. Fatigue is highly prevalent in patients with COPD and correlates poorly with the degree of airflow limitation. Ther Adv Respir Dis. 2019;13:1-13.
  • Akrom A, Nurwijayanti A. Brief Counseling and Mobile Phone Short Message Service (SMS) Increase Patient Compliance. Int J Pharma Med Biol Sci. 2015;4(3):175-9.
  • Boer LM, Bischoff EW, Borgijink X, et al. “Exacerbation-free time” to assess the impact of exacerbations in patients with chronic obstructive pulmonary disease (COPD): A prospective observational study. npj Prim Care Respir Med. 2018;28(1):8-13.
  • Kentson M, Tödt K, Skargren E, Jakobsson P, et al. Factors associated with experience of fatigue, and functional limitations due to fatigue in patients with stable COPD. Ther Adv Respir Dis. 2016;10(5):410-24.
  • Akgün Şahin Z, Dayapoğlu N. Effect of progressive relaxation exercises on fatigue and sleep quality in patients with chronic obstructive lung disease (COPD). Complement Ther Clin Pract. 2015;21(4):277-81.
  • Paixão C, Rocha V, Brooks D, Marques A. Unsupervised physical activity interventions for people with COPD: A systematic review and meta-analysis. Pulmonology. 2024;30(1):53-67.
  • Polat H, Ergüney S. The effect of reflexology applied to patients with chronic obstructive pulmonary disease on dyspnea and fatigue. Rehabil Nurs. 2017;42(1):14-21.
  • Seyedi Chegeni P, Gholami M, Azargoon A, Hossein Pour AH, Birjandi M, Norollahi H. The effect of progressive muscle relaxation on the management of fatigue and quality of sleep in patients with chronic obstructive pulmonary disease: A randomized controlled clinical trial. Complement Ther Clin Pract. 2018;31:64-70.
  • Lahham A, McDonald CF, Moore R, et al. The impact of home-based pulmonary rehabilitation on people with mild chronic obstructive pulmonary disease: A randomised controlled trial. Clin Respir J. 2020;14(4):335-44.
  • Mosa ASM, Yoo I, Sheets L. A systematic review of healthcare applications for smartphones. BMC Med Inform Decis Mak. 2012;12(67):1-31.
  • Car J, Gurol-Urganci I, de Jongh T, Vodopivec-Jamsek V, Atun R. Mobile phone messaging reminders for attendance at healthcare appointments. Cochrane Database Syst Rev. 2012;7(12):CD007458.
  • de Ridder M, Kim J, Jing Y, Khadra M, Nanan R. A systematic review on incentive-driven mobile health technology: As used in diabetes management. J Telemed Telecare. 2017;23(1):26-35.
  • Celik S, Cosansu G, Erdogan S, et al. Using mobile phone text messages to improve insulin injection technique and glycaemic control in patients with diabetes mellitus: A multi-centre study in Turkey. J Clin Nurs. 2014;24(11–12):1525-33.
  • Hall AK, Cole-Lewis H, Bernhardt JM. Mobile text messaging for health: A systematic review of reviews. Annu Rev Public Health. 2015;36:393-415.
  • Zhang X, Zhang L, Lin Y, et al. Effects of E-health-based interventions on glycemic control for patients with type 2 diabetes: a Bayesian network meta-analysis. Front Endocrinol (Lausanne). 2023;14(May):1-11.
  • Chioma Ebuenyi M, Schnoor K, Versluis A, Meijer E, Chavannes NH. Short message services interventions for chronic disease management: A systematic review. Clin eHealth. 2021;4(2021):24-9.
  • Nguyen HQ, Gill DP, Wolpin S, Steele BG, Benditt JO. Pilot study of a cell phone-based exercise persistence intervention post-rehabilitation for COPD. Int J Chron Obstruct Pulmon Dis. 2009;4:301-13.
  • Cherrez Ojeda I, Calderon JC, Jove OL, et al. What kind of information and communication technologies do patients with COPD prefer to use? A cross-sectional study in Latin America. Chron Respir Dis. 2018;15(3):286-95.
  • Ostojic V, Cvoriscec B, Ostojic SB, Reznikoff D, Stipic-Markovic A, Tudjman Z. Improving asthma control through telemedicine: A study of short-message service. Telemed e-Health. 2005;11(1):28-35.
  • Sink E, Patel K, Groenendyk J, Peters R, et al. Effectiveness of a novel, automated telephone intervention on time to hospitalisation in patients with COPD: A randomised controlled trial. J Telemed Telecare. 2020;26(3):132-9.
  • Fitzsimmons DA, Thompson J, Bentley CL, Mountain GA. Comparison of patient perceptions of Telehealth-supported and specialist nursing interventions for early stage COPD: A qualitative study. BMC Health Serv Res. 2016;16(1):1-12.
  • Qomi M, Rakhshan M, Ebrahimi Monfared M, Khademian Z. The effect of distance nurse-led fatigue management on fatigue, sleep quality, and self-efficacy in patients with multiple sclerosis: a quasi-experimental study. BMC Neurol. 2023;23(1):1-9.
  • Bestall JC, Paul EA, Garrod R, Garnham R, Jones PW, Wedzicha JA. Usefulness of the Medical Research Council (MRC) dyspnoea scale as a measure of disability in patients with chronic obstructive pulmonary disease. Thorax. 1999;54(7):581-6.
  • Yorgancıoğlu A, Polatlı M, Aydemir Ö, et al. Reliability and validity of Turkish version of COPD assessment test. J Tuberc Thorax. 2012;60(4):314-20.
  • Arslan S, Öztunç G. Validity and Reliability of Chronic Obs- tructive Pulmonary Disease and Asthma Fatigue Scale. Turkish J Res Dev Nurs. 2013;1:48-60.
  • Kılıç Z, Özçelik H. Management of the Frequently Observed Symptoms in Advance Stage Chronic Obstructive Pulmonary Disease Patients. J Chest Dis Crit Care. 2014;1(2):85-91.
  • Miller WR, Rose GS. Toward a theory of motivational interviewing. Am Psychol. 2009;64(6):527-37.
  • Şevik Kaçmaz K, Kaçmaz C. Investigation of Various Health Conditions Related to Chronic Disease Risks in Turkey. Izmir Katip Celeb Univ Fac Heal Sci J. 2024;9(2):193-9.
  • Milne KM, Mitchell RA, Ferguson ON, Hind AS, Guenette JA. Sex-differences in COPD: from biological mechanisms to therapeutic considerations. Front Med. 2024;11:1-7.
  • Cohen L, Manion L, Morrison K. Research Methods in Educaiton. 8th ed. London: Routledge; 2017.
  • Bozkurt C, Akay B, Sınmaz T. The Relationship Between Fatigue Level and Sleep Quality in Patients with Chronic Obstructive Pulmonary Disease. Osmangazi J Med. 2020;42(6):627-38.
  • Baltzan MA, Scott AS, Wolkove N, et al. Fatigue in COPD: Prevalence and effect on outcomes in pulmonary rehabilitation. Chron Respir Dis. 2011;8(2):119-28.
  • Benzo RP, Kirsch JL, Dulohery MM, Abascal-Bolado B. Emotional intelligence: A novel outcome associated with wellbeing and self-management in chronic obstructive pulmonary disease. Ann Am Thorac Soc. 2016;13(1):10-6.
  • Parreira VF, Kirkwood RN, Towns M, et al. Is there an association between symptoms of anxiety and depression and quality of life in patients with chronic obstructive pulmonary disease? Can Respir J. 2015;22(1):37-41.
  • Antoniu SA, Ungureanu D. Measuring fatigue as a symptom in COPD: From descriptors and questionnaires to the importance of the problem. Chron Respir Dis. 2015;12(3):179-88.
  • Stridsman C, Svensson M, Johansson Strandkvist V, Hedman L, Backman H, Lindberg A. The COPD Assessment Test (CAT) can screen for fatigue among patients with COPD. Ther Adv Respir Dis. 2018;12:1-10.
Year 2024, Volume: 5 Issue: 3, 104 - 111, 30.12.2024
https://doi.org/10.52831/kjhs.1538120

Abstract

References

  • GOLD Science Committee Members [Internet]. Global Strategy for the Diagnosis, Management, and Prevention of Chonic Obstructive Pulmonary Disease. Global Initiative for Chronic Obstructive Lung Disease (2024 Report). 2024. Available from: https://goldcopd.org/wp-content/uploads/2024/02/GOLD-2024_v1.2-11Jan24_WMV.pdf.
  • Gericó Aseguinolaza M, Díez-Manglano J. Fatigue: A neglected symptom of COPD. Rev Clínica Española (English Ed). 2021;221(2):99-100.
  • Ebadi Z, Goërtz YMJ, Van Herck M, et al. The prevalence and related factors of fatigue in patients with copd: A systematic review. Eur Respir Rev. 2021;30(160):200298.
  • Goertz YMJ, Spruit MA, Hul AJV ‘t, et al. Fatigue is highly prevalent in patients with COPD and correlates poorly with the degree of airflow limitation. Ther Adv Respir Dis. 2019;13:1-13.
  • Akrom A, Nurwijayanti A. Brief Counseling and Mobile Phone Short Message Service (SMS) Increase Patient Compliance. Int J Pharma Med Biol Sci. 2015;4(3):175-9.
  • Boer LM, Bischoff EW, Borgijink X, et al. “Exacerbation-free time” to assess the impact of exacerbations in patients with chronic obstructive pulmonary disease (COPD): A prospective observational study. npj Prim Care Respir Med. 2018;28(1):8-13.
  • Kentson M, Tödt K, Skargren E, Jakobsson P, et al. Factors associated with experience of fatigue, and functional limitations due to fatigue in patients with stable COPD. Ther Adv Respir Dis. 2016;10(5):410-24.
  • Akgün Şahin Z, Dayapoğlu N. Effect of progressive relaxation exercises on fatigue and sleep quality in patients with chronic obstructive lung disease (COPD). Complement Ther Clin Pract. 2015;21(4):277-81.
  • Paixão C, Rocha V, Brooks D, Marques A. Unsupervised physical activity interventions for people with COPD: A systematic review and meta-analysis. Pulmonology. 2024;30(1):53-67.
  • Polat H, Ergüney S. The effect of reflexology applied to patients with chronic obstructive pulmonary disease on dyspnea and fatigue. Rehabil Nurs. 2017;42(1):14-21.
  • Seyedi Chegeni P, Gholami M, Azargoon A, Hossein Pour AH, Birjandi M, Norollahi H. The effect of progressive muscle relaxation on the management of fatigue and quality of sleep in patients with chronic obstructive pulmonary disease: A randomized controlled clinical trial. Complement Ther Clin Pract. 2018;31:64-70.
  • Lahham A, McDonald CF, Moore R, et al. The impact of home-based pulmonary rehabilitation on people with mild chronic obstructive pulmonary disease: A randomised controlled trial. Clin Respir J. 2020;14(4):335-44.
  • Mosa ASM, Yoo I, Sheets L. A systematic review of healthcare applications for smartphones. BMC Med Inform Decis Mak. 2012;12(67):1-31.
  • Car J, Gurol-Urganci I, de Jongh T, Vodopivec-Jamsek V, Atun R. Mobile phone messaging reminders for attendance at healthcare appointments. Cochrane Database Syst Rev. 2012;7(12):CD007458.
  • de Ridder M, Kim J, Jing Y, Khadra M, Nanan R. A systematic review on incentive-driven mobile health technology: As used in diabetes management. J Telemed Telecare. 2017;23(1):26-35.
  • Celik S, Cosansu G, Erdogan S, et al. Using mobile phone text messages to improve insulin injection technique and glycaemic control in patients with diabetes mellitus: A multi-centre study in Turkey. J Clin Nurs. 2014;24(11–12):1525-33.
  • Hall AK, Cole-Lewis H, Bernhardt JM. Mobile text messaging for health: A systematic review of reviews. Annu Rev Public Health. 2015;36:393-415.
  • Zhang X, Zhang L, Lin Y, et al. Effects of E-health-based interventions on glycemic control for patients with type 2 diabetes: a Bayesian network meta-analysis. Front Endocrinol (Lausanne). 2023;14(May):1-11.
  • Chioma Ebuenyi M, Schnoor K, Versluis A, Meijer E, Chavannes NH. Short message services interventions for chronic disease management: A systematic review. Clin eHealth. 2021;4(2021):24-9.
  • Nguyen HQ, Gill DP, Wolpin S, Steele BG, Benditt JO. Pilot study of a cell phone-based exercise persistence intervention post-rehabilitation for COPD. Int J Chron Obstruct Pulmon Dis. 2009;4:301-13.
  • Cherrez Ojeda I, Calderon JC, Jove OL, et al. What kind of information and communication technologies do patients with COPD prefer to use? A cross-sectional study in Latin America. Chron Respir Dis. 2018;15(3):286-95.
  • Ostojic V, Cvoriscec B, Ostojic SB, Reznikoff D, Stipic-Markovic A, Tudjman Z. Improving asthma control through telemedicine: A study of short-message service. Telemed e-Health. 2005;11(1):28-35.
  • Sink E, Patel K, Groenendyk J, Peters R, et al. Effectiveness of a novel, automated telephone intervention on time to hospitalisation in patients with COPD: A randomised controlled trial. J Telemed Telecare. 2020;26(3):132-9.
  • Fitzsimmons DA, Thompson J, Bentley CL, Mountain GA. Comparison of patient perceptions of Telehealth-supported and specialist nursing interventions for early stage COPD: A qualitative study. BMC Health Serv Res. 2016;16(1):1-12.
  • Qomi M, Rakhshan M, Ebrahimi Monfared M, Khademian Z. The effect of distance nurse-led fatigue management on fatigue, sleep quality, and self-efficacy in patients with multiple sclerosis: a quasi-experimental study. BMC Neurol. 2023;23(1):1-9.
  • Bestall JC, Paul EA, Garrod R, Garnham R, Jones PW, Wedzicha JA. Usefulness of the Medical Research Council (MRC) dyspnoea scale as a measure of disability in patients with chronic obstructive pulmonary disease. Thorax. 1999;54(7):581-6.
  • Yorgancıoğlu A, Polatlı M, Aydemir Ö, et al. Reliability and validity of Turkish version of COPD assessment test. J Tuberc Thorax. 2012;60(4):314-20.
  • Arslan S, Öztunç G. Validity and Reliability of Chronic Obs- tructive Pulmonary Disease and Asthma Fatigue Scale. Turkish J Res Dev Nurs. 2013;1:48-60.
  • Kılıç Z, Özçelik H. Management of the Frequently Observed Symptoms in Advance Stage Chronic Obstructive Pulmonary Disease Patients. J Chest Dis Crit Care. 2014;1(2):85-91.
  • Miller WR, Rose GS. Toward a theory of motivational interviewing. Am Psychol. 2009;64(6):527-37.
  • Şevik Kaçmaz K, Kaçmaz C. Investigation of Various Health Conditions Related to Chronic Disease Risks in Turkey. Izmir Katip Celeb Univ Fac Heal Sci J. 2024;9(2):193-9.
  • Milne KM, Mitchell RA, Ferguson ON, Hind AS, Guenette JA. Sex-differences in COPD: from biological mechanisms to therapeutic considerations. Front Med. 2024;11:1-7.
  • Cohen L, Manion L, Morrison K. Research Methods in Educaiton. 8th ed. London: Routledge; 2017.
  • Bozkurt C, Akay B, Sınmaz T. The Relationship Between Fatigue Level and Sleep Quality in Patients with Chronic Obstructive Pulmonary Disease. Osmangazi J Med. 2020;42(6):627-38.
  • Baltzan MA, Scott AS, Wolkove N, et al. Fatigue in COPD: Prevalence and effect on outcomes in pulmonary rehabilitation. Chron Respir Dis. 2011;8(2):119-28.
  • Benzo RP, Kirsch JL, Dulohery MM, Abascal-Bolado B. Emotional intelligence: A novel outcome associated with wellbeing and self-management in chronic obstructive pulmonary disease. Ann Am Thorac Soc. 2016;13(1):10-6.
  • Parreira VF, Kirkwood RN, Towns M, et al. Is there an association between symptoms of anxiety and depression and quality of life in patients with chronic obstructive pulmonary disease? Can Respir J. 2015;22(1):37-41.
  • Antoniu SA, Ungureanu D. Measuring fatigue as a symptom in COPD: From descriptors and questionnaires to the importance of the problem. Chron Respir Dis. 2015;12(3):179-88.
  • Stridsman C, Svensson M, Johansson Strandkvist V, Hedman L, Backman H, Lindberg A. The COPD Assessment Test (CAT) can screen for fatigue among patients with COPD. Ther Adv Respir Dis. 2018;12:1-10.
There are 39 citations in total.

Details

Primary Language English
Subjects ​Internal Diseases Nursing​
Journal Section Research Articles
Authors

Yasemin Ceyhan 0000-0002-2100-5324

Publication Date December 30, 2024
Submission Date August 24, 2024
Acceptance Date October 14, 2024
Published in Issue Year 2024 Volume: 5 Issue: 3

Cite

Vancouver Ceyhan Y. EFFECT OF TRAINING AND REMINDER SHORT MESSAGES ON THE FATIGUE LEVEL OF INDIVIDUALS WITH COPD: A RANDOMIZED CONTROLLED STUDY. Karya J Health Sci. 2024;5(3):104-11.