PMID- 31769181
OWN - NLM
STAT- MEDLINE
DCOM- 20201118
LR  - 20201118
IS  - 1752-699X (Electronic)
IS  - 1752-6981 (Linking)
VI  - 14
IP  - 2
DP  - 2020 Feb
TI  - The effect of a nurse-led self-management program on outcomes of patients with 
      chronic obstructive pulmonary disease.
PG  - 148-157
LID - 10.1111/crj.13112 [doi]
AB  - PURPOSE: To examine the effectiveness of a nurse-led self-management program on 
      outcomes of patients with chronic obstructive pulmonary disease (COPD). DESIGN: A 
      randomized controlled, single-blind trial, carried out from October 2017 to 
      December 2018, included 154 participants admitted with COPD to the Affiliated 
      Hospital of Zunyi Medical University in Guizhou, (randomized into intervention 
      (n = 77) and control groups (n = 77)). MATERIALS AND METHODS: Participants in the 
      intervention group underwent a nurse-led self-management program in addition to 
      routine care, and participants of the control group received only routine care. 
      The main outcome measures were COPD-related readmission and emergency department 
      visits, the 6-minute walk distance (6MWD) test for measurement of exercise 
      capacity, the St George Respiratory Questionnaire (SGRQ) for measurement of 
      health-related quality of life, and the COPD Transitional Care Patient 
      Satisfaction Questionnaire (CTCPSQ) for measurement of satisfaction. Data 
      collection was conducted at baseline (T1) and after 3 (T2), 6 (T3) and 12 mo 
      (T4). Findings Compared to the control group, participants in the intervention 
      group showed significantly fewer COPD-related hospital admissions (P = 0.03) and 
      emergency department visits (P = 0.001) and higher total CTCPSQ scores (P = 
      0.001) at 12 mo. Meanwhile, analysis of variance showed a significantly greater 
      improvement in exercise capacity and health status over time in the nurse-led 
      program group than in the control group, P < 0.001. CONCLUSIONS: This study 
      demonstrated that the nurse-led self-management program was effective in 
      decreasing hospital readmissions and emergency department visits and improving 
      exercise capacity, health-related quality of life and satisfaction for patients 
      with COPD.
CI  - (c) 2019 John Wiley & Sons Ltd.
FAU - Wang, Lian Hong
AU  - Wang LH
AUID- ORCID: 0000-0003-0668-2199
AD  - Nursing department of Affiliated Hospital of Zunyi Medical University, ZunYi, 
      China.
AD  - Nursing department of ZunYi Medical University, ZunYi, China.
FAU - Zhao, Yan
AU  - Zhao Y
AD  - Nursing department of ZunYi Medical University, ZunYi, China.
FAU - Chen, Ling Yun
AU  - Chen LY
AD  - Nursing department of ZunYi Medical University, ZunYi, China.
FAU - Zhang, Li
AU  - Zhang L
AD  - Nursing department of Affiliated Hospital of Zunyi Medical University, ZunYi, 
      China.
FAU - Zhang, Yong Mei
AU  - Zhang YM
AD  - Nursing department of ZunYi Medical University, ZunYi, China.
LA  - eng
GR  - Qian Jiao He KY [2016] 205/The work described in this paper was supported by a 
      grant from the Education Department of Guizhou Province, China/
PT  - Journal Article
PT  - Randomized Controlled Trial
DEP - 20191212
PL  - England
TA  - Clin Respir J
JT  - The clinical respiratory journal
JID - 101315570
SB  - IM
MH  - Aged
MH  - *Disease Management
MH  - Exercise Therapy/*nursing
MH  - Exercise Tolerance/*physiology
MH  - Female
MH  - Follow-Up Studies
MH  - Health Status
MH  - Hospitalization/*statistics & numerical data
MH  - Humans
MH  - Male
MH  - Pulmonary Disease, Chronic Obstructive/*nursing/physiopathology
MH  - *Quality of Life
MH  - Retrospective Studies
MH  - Self Care/*methods
MH  - Single-Blind Method
MH  - Surveys and Questionnaires
OTO - NOTNLM
OT  - chronic obstructive pulmonary disease
OT  - randomized control trial
OT  - self-management
EDAT- 2019/11/27 06:00
MHDA- 2020/11/20 06:00
CRDT- 2019/11/27 06:00
PHST- 2019/07/31 00:00 [received]
PHST- 2019/11/14 00:00 [revised]
PHST- 2019/11/20 00:00 [accepted]
PHST- 2019/11/27 06:00 [pubmed]
PHST- 2020/11/20 06:00 [medline]
PHST- 2019/11/27 06:00 [entrez]
AID - 10.1111/crj.13112 [doi]
PST - ppublish
SO  - Clin Respir J. 2020 Feb;14(2):148-157. doi: 10.1111/crj.13112. Epub 2019 Dec 12.