Review: existing evidence does not support nurse led interventions in chronic obstructive pulmonary disease
Q In patients with chronic obstructive pulmonary disease (COPD), are nurse led chronic disease management innovations more effective than usual care?
METHODS
Data sources:
16 English language and 8 Dutch language citation databases (1980 to January 2005), conference proceedings of 7 respiratory associations, and researchers and practitioners in the field.
Study selection and assessment:
randomised controlled trials (RCTs) that evaluated clinical service interventions or care packages aimed at improving the management of community dwelling patients with COPD and were led, coordinated, or delivered by nurses. Trials that evaluated drugs, hospital at home or early discharge for acute exacerbations, or educational interventions for healthcare providers, or trials with a minority of patients with COPD were excluded. Methodological quality of individual studies was assessed using the Delphi list and the 5 point Jadad scale.
Outcomes:
mortality, use of healthcare resources, activities of daily living (ADL), patients’ health …
