Authors (including presenting author) :
YUNK KL(1), TAM WO(2), Lam FM(2), CHAU CH(2), FU TY(1), KOO KF(2)
Affiliation :
(1) Physiotherapy Department, Grantham Hospital, (2) Tuberculous and Chest Unit, Grantham Hospital
Introduction :
Empowerment interventions are essential for chronic lung diseases patients to build up their strength and capacity in maintaining their health. Although most of the influence of different chronic lung diseases are similar, they may present with different contribution of respiratory symptoms as well as affecting activity of daily living. It was suggested that understanding their presence of symptoms, as well as the changes of patients’ lifestyle are crucial when healthcare providers design and implement the empowerment interventions to assist patients in the process of gaining control of their health
Objectives :
This study is to compare the difference of respiratory symptoms and activity of daily living between COPD and Bronchiectasis so as to design and implement effective empowerment program to them.
Methodology :
A comparative study was used. 22 COPD (17 male, 5 female); 21 Bronchiectasis (10 male, 11 female), total 43 patients were drawn from Grantham Hospital COPD and Bronchiectasis clinic respectively. They were interviewed with mMRC, CAT questionnaire, modified Borg scale and single leg standing score.
Result & Outcome :
The mean age of COPD (Age +/- SD) is 67.1+/- 14.33; Bronchiectasis is 72.1+/- 7.68. The percentage ratio of Male/ female in COPD is 77.3/22.6; Bronchiectasis is 47.6/52.4. The mean score of mMRC (mean+/-SD) of COPD is 0.86+/-0.89; Bronchiectasis: 1.33+/-1.16. The CAT score (mean+/- SD) of COPD is 11.23+/-8.05; Bronchiectasis: 12.67+/-7.29. The modified Borg scale (mean+/-SD) of COPD is 2.23 +/- 2.07; Bronchiectasis is 2.19+/-1.63. The single leg standing score (mean+/-SD) of COPD is 4.18+/-1.68; Bronchiectasis is 3.38+/-2.16. Both COPD and Bronchiectasis patients require exercise training to facilitate their activities, energy and balance. For COPD patients, breathing retraining, upper body flexibility training should be emphasized whereas for Bronchiectasis patients, airway clearance technique is the first priority to manage their symptoms as well as overall sleep performance.
