Education Impact on Rehabilitation of Hospitalized Patients With Pneumonia and COVID-19
NCT Number: NCT06522724
Status: RECRUITING
Study Type: INTERVENTIONAL
Phases: NA
Conditions: Pneumonia Due to COVID-19
Interventions: OTHER: Education program|OTHER: Pulmonary rehabilitation
Sponsor: University of Rzeszow
Sex: ALL
Age: ADULT, OLDER_ADULT
Enrollment: 60
Study Design: Allocation: RANDOMIZED|Intervention Model: PARALLEL|Masking: TRIPLE (PARTICIPANT, INVESTIGATOR, OUTCOMES_ASSESSOR)|Primary Purpose: TREATMENT
Start Date: 2024-07-26
Completion Date: 2024-11
Locations: University of Rzeszów, Rzeszów, 35-959, Poland

Summary:
The planned research will enable the assessment of rehabilitation's effects using two pulmonary rehabilitation models: conventional and supplemented with an education program for patients hospitalized due to pneumonia with confirmed COVID-19.

Primary Outcome Measures: Vital capacity (Voldyne 5000), Measurements will be performed with certified motivational spirometer, Voldyne 5000. Patient, in a sitting position, will inhale as much air as possible starting from residual volume (RV) level and approach to vital capacity (VC) level. The result will be read from the scale placed on the wall of the device., First examination- before the start of the 14-day rehabilitation program|Vital capacity (Voldyne 5000), Measurements will be performed with certified motivational spirometer, Voldyne 5000. Patient, in a sitting position, will inhale as much air as possible starting from residual volume (RV) level and approach to vital capacity (VC) level. The result will be read from the scale placed on the wall of the device., Second examination- at the end of the 14-day rehabilitation program|Oxygen saturation, Measurements will be performed with pulse oximeter and the parameter analyzed will be SpO2 (oxygen saturation by pulse oximetry; percentage of oxygen in patients' blood)., First examination- before the start of the 14-day rehabilitation program|Oxygen saturation, Measurements will be performed with pulse oximeter and the parameter analyzed will be SpO2 (oxygen saturation by pulse oximetry; percentage of oxygen in patients' blood)., Second examination- at the end of the 14-day rehabilitation program|Acid-base balance, The gasometry results will be taken from patients' medical documentation. The parameters analyzed will be oxygen pressure (pO2) and carbon dioxide pressure (pCO2)., First examination- before the start of the 14-day rehabilitation program|Acid-base balance, The gasometry results will be taken from patients' medical documentation. The parameters analyzed will be oxygen pressure (pO2) and carbon dioxide pressure (pCO2)., Second examination- at the end of the 14-day rehabilitation program
Secondary Outcome Measures: Physical performance assessment by Sit-to-Stand Test (STS), The test will be performed starting in sitting position in the chair with straight back, feet flat on the floor, and arms crossed over the chest or placed on the thighs. The patient will be instructed to stand up fully from the seated position and then sit back down as quickly and safely as possible during 30 seconds (number of standings in 30 seconds)., First examination- before the start of the 14-day rehabilitation program|Physical performance assessment by Sit-to-Stand Test (STS), The test will be performed starting in sitting position in the chair with straight back, feet flat on the floor, and arms crossed over the chest or placed on the thighs. The patient will be instructed to stand up fully from the seated position and then sit back down as quickly and safely as possible during 30 seconds (number of standings in 30 seconds)., Second examination- at the end of the 14-day rehabilitation program|Fatigue assessment using modified Borg scale, Fatigue will be examined during physical activity and the level of fatigue will be marked on a scale from 1 (no fatigue) to 10 (very very hard fatigue)., First examination- before the start of the 14-day rehabilitation program|Fatigue assessment using modified Borg scale, Fatigue will be examined during physical activity and the level of fatigue will be marked on a scale from 1 (no fatigue) to 10 (very very hard fatigue)., Second examination- at the end of the 14-day rehabilitation program|Dyspnea assessment with Medical Research Council dyspnea scale, Perceived breathlessness degree will be marked on a scale 0 (no breathlessness) to 4 (breathlessness at rest)., First examination- before the start of the 14-day rehabilitation program|Dyspnea assessment with Medical Research Council dyspnea scale, Perceived breathlessness degree will be marked on a scale 0 (no breathlessness) to 4 (breathlessness at rest)., Second examination- at the end of the 14-day rehabilitation program|Anxiety and depression assessment using HADS scale, The scale consists of 16 statements to which the respondent refers on a four-point scale. Eight statements are used to measure anxiety and depression, each of which is rated on a scale of 0 to 3 points. The cut-off threshold is 7 points for depression and 7 points for anxiety. The intensity of depressed mood and anxiety will be analyzed., First examination- before the start of the 14-day rehabilitation program|Anxiety and depression assessment using HADS scale, The scale consists of 16 statements to which the respondent refers on a four-point scale. Eight statements are used to measure anxiety and depression, each of which is rated on a scale of 0 to 3 points. The cut-off threshold is 7 points for depression and 7 points for anxiety. The intensity of depressed mood and anxiety will be analyzed., Second examination- at the end of the 14-day rehabilitation program|Activities of daily living assesment using Barthel scale, The Barthel Scale will be used to measure patient's ability to perform activities of daily living (ADLs) independently, with scores ranging from 0 (completely dependent) to 100 (completely independent)., First examination- before the start of the 14-day rehabilitation program|Activities of daily living assesment using Barthel scale, The Barthel Scale will be used to measure patient's ability to perform activities of daily living (ADLs) independently, with scores ranging from 0 (completely dependent) to 100 (completely independent)., Second examination- at the end of the 14-day rehabilitation program