Evid Based Nurs doi:10.1136/eb-2013-101659
  • Primary health care
  • Quantitative study

A self-regulation protocol for people with COPD improves symptoms and reduces unscheduled physician visits

  1. Helga Jonsdottir
  1. Faculty of Nursing, University of Iceland, Iceland
  1. Correspondence to : Professor Helga Jonsdottir, Faculty of Nursing, University of Iceland, Eirberg, Eiriksgata 34, 101 Reykjavik, Iceland; helgaj{at}

Commentary on:

Implications for practice and research

Interactive teaching, based on self-regulation theory provided through on-site and telephone conversations with patients, is effective for judging the meaning of chronic obstructive pulmonary disease (COPD) symptoms and for indicating how to react timely to indications of exacerbations.

Using a self-regulation protocol in a clinical setting improves dyspnoea, symptom distress, pulmonary physical functioning and self-efficacy of COPD, and reduces unscheduled physician visits due to exacerbations.


While COPD is already a major health problem worldwide, its prevalence is on the rise. COPD causes high morbidity and mortality and represents a substantial economic and social burden throughout the world.1 …

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