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?


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


7 hospitals in 3 cities in Quebec, Canada.


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.


Patients were stratified by centre. 96 …

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