rss
Evid Based Nurs 6:111 doi:10.1136/ebn.6.4.111
  • Treatment

A COPD self management programme reduced hospital use and improved health status


 
 QUESTION: In patients with chronic obstructive pulmonary disease (COPD), does a COPD specific self management programme reduce hospital use and improve health status more than usual care?

Design

Randomised (allocation concealed), blinded {data collectors and data analysts}*, controlled trial with 12 months of follow up.

Setting

7 hospitals in 3 cities in Quebec, Canada.

Patients

191 patients ≥50 years of age (mean age 70 y, 55% men) who had stable COPD (respiratory symptoms and medication unchanged for ≥4 wks); were current or previous smokers; had an FEV1 25–70% of predicted and an FEV1 forced vital capacity ratio <70%; no previous asthma, left congestive heart failure, terminal disease, dementia, or uncontrolled psychiatric illness; had not been in a respiratory rehabilitation programme in the previous year; and had no long term care facility stays. 86% of patients completed the 12 month assessment.

Intervention

Patients were stratified by centre. 96 …

Free Sample

This recent issue is free to all users to allow everyone the opportunity to see the full scope and typical content of EBN.
View free sample issue >>

EBN Journal Chat

The EBN Journal Chat offers readers the opportunity to participate in discussion about research articles and commentaries from Evidence Based Nursing (EBN).

How to participate >>

Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.

Navigate This Article