Capnography-Assisted Respiratory Therapy's Acceptability As A Novel Mind-Body Treatment For COPD

Abstract

For patients with COPD, self-management of dyspnea is frequently suboptimal. Chronic dyspnea is distressing and incapacitating for many patients with COPD, especially when they are exercising. A behavioral intervention called breathing therapy aims to lessen the discomfort caused by dyspnea and its effects on daily living exertion.

After 14 patients underwent capnography-assisted respiratory therapy (CART), a novel mind-body breathing therapy intervention adjunct, in conjunction with outpatient pulmonary rehabilitation, we interviewed them using a qualitative design. Patient-centered biofeedback, customized breathing techniques, a home workout regimen, and motivational interviewing counseling comprised the comprehensive CART. In order to determine the acceptability of CART and make necessary adjustments based on participant feedback, we evaluated their perceptions and reported experiences. To find themes and commonalities, constant comparative analysis was employed.

We identified three main themes relating to the acceptability and reported benefits of CART: (1) self-regulating breathing; (2) impact on health; and (3) patient satisfaction. Our findings were used to refine and optimise CART (i.e. its intensity, timing and format) for COPD.By addressing dysfunctional breathing behaviours and dysregulated interoception, CART offers a promising new paradigm for relieving dyspnoea and related anxiety in patients with COPD.