A Protocol Paper On Nurse-Led Pulmonary Interventional Package on Pulmonary Function and Quality of Life Among Workers of Coal Mines with Respiratory Diseases in Jharkhand, India: A Randomized Controlled Trial
DOI:
https://doi.org/10.55489/njcm.160320254931Keywords:
Nurse-led pulmonary interventional package, Coal miners, Respiratory disorders, Pulmonary function, Quality of lifeAbstract
Coal mine dust lung disease (CMDLD) includes a spectrum of occupational lung diseases affecting coal miners. There is conclusive evidence that comprehensive intervention can reduce dyspnoea, improve exercise performance, and enhance health-related quality of life. Nurse-led interventions have shown great changes in disease burden on the healthcare system. So, a nurse-led pulmonary interventional package on respiratory disorders of coal mine workers can change the health status of coal miners. Therefore, this study aims to evaluate the effectiveness of a nurse-led pulmonary intervention package on pulmonary function and quality of life of coal miners with respiratory disorders.
A randomized controlled trial will be conducted. Occupational health units will be cluster-randomized into intervention and control arms. Coal miners who meet the inclusion criteria will be recruited. The estimated sample size is 80(40 in each arm). The Nurse-led pulmonary intervention package comprises of an education session of 10 minutes and exercise training of 20 minutes. to be followed along with regular treatment for 3 months. Primary outcomes include pulmonary function and quality of life. Participants will be assessed at baseline and after the 12th week of post-intervention. The primary outcomes will be analysed using t test. The significance level will be set at two-sided p <0.05 and all statistical tests will be two-tailed. The study results will provide valuable evidence to inform future identification and evaluation of best approaches to implement nurse-led interventions for coal miners with occupational lung diseases.
References
Laney AS, Weissman DN. Respiratory Diseases Caused by Coal Mine Dust. Journal of Occupational and Environmental Medicine [Internet]. 2014 Oct;56(10):S18-22. DOI: https://doi.org/10.1097/JOM.0000000000000260 PMid:25285970 PMCid:PMC4556416
Han S, Chen H, Harvey MA, Stemn E, Cliff D. Focusing on Coal Workers' Lung Diseases: A Comparative Analysis of China, Australia, and the United States. International Journal of Environmental Research and Public Health. 2018 Nov 16;15(11):2565. DOI: https://doi.org/10.3390/ijerph15112565 PMid:30453500 PMCid:PMC6266950
Lu C, Dasgupta P, Cameron J, Fritschi L, Baade P. A systematic review and meta-analysis on international studies of prevalence, mortality and survival due to coal mine dust lung disease. Hsu YP, editor. PLOS ONE. 2021 Aug 3;16(8):e0255617. DOI: https://doi.org/10.1371/journal.pone.0255617 PMid:34343220 PMCid:PMC8330946
Yao Y, Wei T, Zhang H, Xie Y, Gu P, Yao Y, et al. Characteristics of Diagnosed and Death Cases of Pneumoconiosis in Hubei Province, China, 1949-2019. International Journal of Environmental Research and Public Health. 2022 Nov 27;19(23):15799-9. DOI: https://doi.org/10.3390/ijerph192315799 PMid:36497874 PMCid:PMC9740043
Wang H, Ye Q, Chen Y, Li T. Epidemiology of coal miners' pneumoconiosis and its social determinants: An ecological study from 1949 to 2021 in China. Chinese Medical Journal Pulmonary and Critical Care Medicine. 2023 Mar 1;1(1):46-55. DOI: https://doi.org/10.1016/j.pccm.2023.03.002 PMid:39170871 PMCid:PMC11332845
Almberg K, Cohen R. Modern Coal Miners Have Higher Death Rates From Lung Diseases Than Their Predecessors | Blogs | CDC. 2023. Available from: https://blogs.cdc.gov/niosh-science-blog/2023/02/27/mining-lung-disease/ [Accessed on 11 Feb, 2025]
Nemery B, Brasseur L, Veriter C, Frans A. IMPAIRMENT OF VENTILATORY FUNCTION AND PULMONARY GAS EXCHANGE IN NON-SMOKING COALMINERS. The Lancet. 1987 Dec;330(8573):1427-30. DOI: https://doi.org/10.1016/S0140-6736(87)91129-9 PMid:2891994
Attfield MD, Hodous TK. Pulmonary Function of U.S. Coal Miners Related to Dust Exposure Estimates. American Review of Respiratory Disease. 1992 Mar;145(3):605-9. DOI: https://doi.org/10.1164/ajrccm/145.3.605 PMid:1546842
Kuempel ED, Wheeler MW, Smith RJ, Vallyathan V, Green FHY. Contributions of Dust Exposure and Cigarette Smoking to Emphysema Severity in Coal Miners in the United States. American Journal of Respiratory and Critical Care Medicine. 2009 Aug;180(3):257-64. DOI: https://doi.org/10.1164/rccm.200806-840OC PMid:19423717
Petsonk EL, Rose C, Cohen R. Coal Mine Dust Lung Disease. New Lessons from an Old Exposure. American Journal of Respiratory and Critical Care Medicine [Internet]. 2013 Jun;187(11):1178-85. DOI: https://doi.org/10.1164/rccm.201301-0042CI PMid:23590267
Gupta M, Mehrara V, Singh T, Raghav P. Pneumoconiosis- an ignored occupational lung disease and Pulmonary Rehabilitation to improve the health related quality of life. Journal of Comprehensive Health. 2022 Jun 30;10(1):37-9. DOI: https://doi.org/10.53553/JCH.v10i01.006
Nici L, Donner C, Wouters E, Zuwallack R, Ambrosino N, Bourbeau J, Carone M, Celli B et al. American thoracic society/European respiratory society statement on pulmonary rehabilitation. American Journal of Respiratory and Critical Care Medicine. 2006;173(12): 1390-1413. DOI: https://doi.org/10.1164/rccm.200508-1211ST PMid:16760357
Tsang EW, Kwok H, Chan AKY, Choo KL, Chan KS, Lau KS, et al. Outcomes of community-based and home-based pulmonary rehabilitation for pneumoconiosis patients: a retrospective study. BMC pulmonary medicine [Internet]. 2018 Aug 9;18:133. DOI: https://doi.org/10.1186/s12890-018-0692-7 PMid:30092783 PMCid:PMC6085700
Jenkins AR, Gowler H, Curtis F, Holden NS, Bridle C, Jones AW. Efficacy of supervised maintenance exercise following pulmonary rehabilitation on health care use: a systematic review and meta-analysis. Int J Chron Obstruct Pulmon Dis. 2018;13:257-273. DOI: https://doi.org/10.2147/COPD.S150650 PMid:29391784 PMCid:PMC5768431
Nici L, ZuWallack RL. Pulmonary rehabilitation: definition, concept, and history. Clinics in Chest Medicine [Internet]. 2014;35(2):279-82. DOI: https://doi.org/10.1016/j.ccm.2014.02.008 PMid:24874123
Zhou D, Fu D, Yan L, Peng L. Pulmonary Rehabilitation Strategies for the Treatment of Pneumoconiosis: A Narrative Review. Iran J Public Health. 2023;52(11):2234-2247. DOI: https://doi.org/10.18502/ijph.v52i11.14024. PMID: 38106829; PMCID: PMC10719697.
Xiao S, Gao J, Hua Z, et al. Effect of exercise-based short-term rehabilitation therapy on pulmonary function of coal workers' pneumoconiosis. China Occup Med. 2019; 46(1):67-70.
Pan W, Chen JL. Effect of rehabilitation exercise training on pulmonary function and exercise endurance of patients with pneumoconiosis. Chin J Rehabil Med. 2017;32:465-7.
Wang F.. Effect of comprehensive treatment on exercise endurance of patients with coal worker's pneumoconiosis. For all Health. 2017;5:48- 53.
WJ. Application of health education and exercise training in improving pulmonary function of pneumoconiosis patients. Chin J Convalescent Med. 2017;26:331-4.
Yun X. Therapeutic effect of rehabilitation therapy based on one year movement in patients with coal worker's pneumoconiosis in Datong Coal Mine Group. North China Univ Sci Technol. 2015;8:15-24.
Zhao H, Xie Y, Wang J, Li X, Li J. Pulmonary Rehabilitation Can Improve the Functional Capacity and Quality of Life for Pneumoconiosis Patients: A Systematic Review and Meta-Analysis. BioMed Research International [Internet]. 2020;2020:e6174936. DOI: https://doi.org/10.1155/2020/6174936 PMid:32802860 PMCid:PMC7411485
Liu J, Wang JY, Li DH. Application of heath education with sports training on pulmonary function among pneumoconiosis patients. Chin J Modern Nurs. 2015;21:1241-4.
F. Li JSG, Han Y, Chen L. Effect evaluation of comprehensive pulmonary rehabilitation on patients with coal workers pneumoconiosis. Clin Med. 2015;35:30-2.
Li XY, Hu W, Zhang ZH, et al. Effect of comprehensive lung rehabilitation on respiratory function in patients with pneumoconiosis. Chin J Rehabil Med. 2015;29:123-4.
Ranjita R, Hankey A, Nagendra HR, Mohanty S. Yoga-based pulmonary rehabilitation for the management of dyspnea in coal miners with chronic obstructive pulmonary disease: A randomized controlled trial. Journal of Ayurveda and Integrative Medicine. 2016;7(3):158-66. DOI: https://doi.org/10.1016/j.jaim.2015.12.001 PMid:27545747 PMCid:PMC5052394
Aranburu-Imatz A, López-Carrasco J de la C, Moreno-Luque A, Jiménez-Pastor JM, Valverde-León M del R, Rodríguez-Cortés FJ, et al. Nurse-Led Interventions in Chronic Obstructive Pulmonary Disease Patients: A Systematic Review and Meta-Analysis. International Journal of Environmental Research and Public Health. 2022;19(15):9101 DOI: https://doi.org/10.3390/ijerph19159101 PMid:35897469 PMCid:PMC9368558
Zhang M, Mao X, Li F, Yunyan Xianyu. The effects of nurse‐led family pulmonary rehabilitation intervention on quality of life and exercise capacity in rural patients with COPD. Nursing open. 2023;10(8):5606-5615. DOI: https://doi.org/10.1002/nop2.1804 PMid:37170442 PMCid:PMC10333898
Zhang Q, Liu S, Gu G, Wu L, Zhu Z, Mao Y, et al. Effect of high quality nursing and respiratory training on pulmonary function and quality of life in patients with chronic obstructive pulmonary disease. American Journal of Translational Research. 2021 Nov 15;13(11):13209. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC8661238/
Taylor SJC, Candy B, Bryar RM, Ramsay J, Vrijhoef HJM, Esmond G, et al. Effectiveness of innovations in nurse led chronic disease management for patients with chronic obstructive pulmonary disease: systematic review of evidence. BMJ. 2005;331(7515):485. DOI: https://doi.org/10.1136/bmj.38512.664167.8F PMid:16093253 PMCid:PMC1199024
Efraimsson EÖ, Hillervik C, Ehrenberg A. Effects of COPD self-care management education at a nurse-led primary health care clinic. Scandinavian Journal of Caring Sciences. 2008;22(2):178-85. DOI: https://doi.org/10.1111/j.1471-6712.2007.00510.x PMid:18489687
Lee H, Yoon JY, Lim Y, Jung H, Kim S, Yoo Y, et al. The effect of nurse-led problem-solving therapy on coping, self-efficacy and depressive symptoms for patients with chronic obstructive pulmonary disease: a randomised controlled trial. Age and Ageing. 2015;44(3):397-403. DOI: https://doi.org/10.1093/ageing/afu201 PMid:25548124
Chen L, Xu W, Ma X, Yu G, Wang J, Zhang H. The Effect of Respiratory Rehabilitation Training on the Life Quality of Pneumoconiosis Patients. Journal of Clinical and Nursing Research [Internet]. 2020;4(4). DOI: https://doi.org/10.26689/jcnr.v4i4.1328
AAOHN About > What is Occupational and Environmental Health Nursing [Internet]. www.aaohn.org. Available from: https://www.aaohn.org/About/What-is-Occupational-and-Environmental-Health-Nursing
McCullagh MC, Berry P. A Safe and Healthful Work Environment. Workplace Health & Safety [Internet]. 2015 Jun 15;63(8):328-32. DOI: https://doi.org/10.1177/2165079915584127 PMid:26077879 PMCid:PMC4782914
Yang J, Zhang H. Efficacy of comprehensive nursing in patients with pneumoconiosis and its influence on quality of life. Am J Transl Res. 2022 Jul 15;14(7):5178-5186. Available from: https://europepmc.org/article/MED/35958491 PMCID: PMC9360854.
Mistry HA, Pathak N. Study of peak expiratory flow rate in male and female young adults with respect to their weight status. Natl J Physiol Pharm Pharmacol. 2024;14(2):206-209. DOI: 10.5455/njppp.2023.13.06326202326062023 Available from: https://www.njppp.com/fulltext/28-1686979961.pdf?1739964393
Saha A, Sen S, Bhowmik K, Das A, Mahankuda JS, Dasgupta TK. Health Status of the Coal Mine Workers in an Open-cast Mine of Eastern India. Journal of Comprehensive Health [Internet]. 2024 Mar 8;12(1):34-8. Available from: https://journalofcomprehensivehealth.co.in/health-status-of-the-coal-mine-workers-in-an-open-cast-mine-of-eastern-india/ DOI: https://doi.org/10.25259/JCH_1_2024
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 [Internet]. 1999 Jul 1;54(7):581-6. DOI: https://doi.org/10.1136/thx.54.7.581 PMid:10377201 PMCid:PMC1745516
Stenton C. The MRC breathlessness scale. Occupational Medicine [Internet]. 2008;58(3):226-227. DOI: https://doi.org/10.1093/occmed/kqm162 PMid:18441368
Slavica Kochovska, Iyer R, Chang S, Ferreira D, Brunelli VN, Kinchin I, et al. Prevalence, severity and impacts of breathlessness in Indian adults: An exploratory, nationally representative, cross-sectional online survey. PLOS Global Public Health. 2024;4(5):e0002655. DOI: https://doi.org/10.1371/journal.pgph.0002655 PMid:38696528 PMCid:PMC11065295
Kaur T. A randomized control trial to assess the effectiveness of Nurse-led in interventional package on the management of chronic pulmonary diseases on selected outcomes among adult patients residing in two selected communities of Chandigarh, UT(DMC and Dhanas)2021-2023. 2021-2023
American Thoracic Society. St. George's Respiratory Questionnaire (SGRQ) [Internet]. Thoracic.org. 2019. Available from: https://www.thoracic.org/members/assemblies/assemblies/srn/questionaires/sgrq.php
Biswas M, Chattopadhyay K. Relationship between health-related quality of life and respiratory health status among coal-based sponge iron plant workers in Barjora, India. Journal of Public Health. 2017;26(3):355-359. DOI: https://doi.org/10.1007/s10389-017-0861-9 PMid:29780689 PMCid:PMC5948262
Aggarwal A, Lallawmkima I, Basu D. Psychometric validation of a Hindi version of a chronic obstructive pulmonary disease (COPD) assessment test in patients in northern India. The National Medical Journal of India. 2017;30(4):193-197. DOI: https://doi.org/10.4103/0970-258X.218670 PMid:29162750
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