Chest
Original Research: COPDSelf-Management Following an Acute Exacerbation of COPD: A Systematic Review
Section snippets
Search Strategy
The set of terms included: “chronic obstructive” OR COPD OR emphysema OR bronchitis AND exacerbat* OR hospital* AND education OR self-manag* OR “self manag” OR self-care* OR “self car*” OR “management plan” OR “management prog*” OR “action plan” OR “integrated care”. An extensive search was conducted in August 2013, and updated in March 2014, of electronic databases including PubMed, AMED, CINAHL, British Nursing Index (BNI), PsychINFO, EMBASE, and MEDLINE from inception to present. The
Identification of Papers
All papers were identified during the first search in August 2013. An updated search using the same search terms and databases did not identify any new papers. The initial database produced 2,683 titles and abstracts; after duplicates were removed, 1,106 remained: of these, 1,088 articles were excluded during the initial screening. Full text was obtained for 18 papers, of which 11 studies were excluded following appraisal with reasons for exclusion documented inFigure 1.15, 16, 17, 18, 19, 20,
Discussion
This is the first systematic review examining the effect of SM interventions, in the absence of supervised exercise, delivered immediately post-AECOPD. The SM interventions included in the studies were delivered in-hospital and in patients' homes by nurses. All studies included action plans for the early recognition of AE, as well as disease-specific education, but strategies to teach SM skills were limited. The health outcomes assessed varied widely across studies, often in the absence of
Acknowledgments
Author contributions: R. G. is the guarantor of the manuscript and takes responsibility for the integrity of the data and the accuracy of the data analysis. S. L. H. and T. J.-F. contributed to study conception and design, searched literature, extracted and interpreted data, wrote the manuscript, and approved the final version of the manuscript; D. B. and R. S. G. contributed to study conception and design, interpreted data, provided critical revisions that were important for intellectual
References (37)
- et al.
Self-management and behaviour modification in COPD
Patient Educ Couns
(2004) - et al.
Does patient education modify behaviour in the management of COPD?
Patient Educ Couns
(2004) - et al.
Effectiveness of a specific program for patients with chronic obstructive pulmonary disease and frequent exacerbations [in Spanish]
Arch Bronconeumol
(2006) - et al.
The PASTMA Group. Economic benefits of teaching patients with chronic obstructive pulmonary disease about their illness
Lancet
(1992) - et al.
Effects of an integrated care intervention on risk factors of COPD readmission
Respir Med
(2007) - et al.
Can we identify patients with different illness schema following an acute exacerbation of COPD: a cluster analysis
Respir Med
(2014) - et al.
Chronic obstructive pulmonary disease and association with mild cognitive impairment: the Mayo Clinic Study of Aging
Mayo Clin Proc
(2013) - et al.
Chronic Obstructive Pulmonary Disease axis of the Respiratory Health Network, Fonds de la recherche en santé du Québec (FRSQ). Self-management reduces both short-and long-term hospitalisation in COPD
Eur Respir J
(2005) - et al.
Self management for patients with chronic obstructive pulmonary disease
Cochrane Database Syst Rev
(2014) - Walters JA, Turnock AC, Walters EH, Wood-Baker R. Action plans with limited patient education only for exacerbations of...
members of the CHRONIC Project. Integrated care prevents hospitalisations for exacerbations in COPD patients
Eur Respir J
Self-management in chronic obstructive pulmonary disease. Time for a paradigm shift?
Ann Am Thorac Soc
The dyspnea-anxiety-dyspnea cycle—COPD patients' stories of breathlessness: “It's scary/when you can't breathe.”
Qual Health Res
‘Consumed by breathing'-a critical interpretive meta-synthesis of the qualitative literature
Chronic Illn
COPD and cognitive impairment: the role of hypoxemia and oxygen therapy
Int J Chron Obstruct Pulmon Dis
Unravelling self-management for COPD: what next?
Chron Respir Dis
Cochrane Bias Methods Group Cochrane Statistical Methods Group. The Cochrane Collaboration's tool for assessing risk of bias in randomised trials
BMJ
Cited by (0)
Drs Harrison and Janaudis-Ferreira share joint first authorship.
FUNDING/SUPPORT: Dr Brooks holds a Canada research chair.
Reproduction of this article is prohibited without written permission from the American College of Chest Physicians. See online for more details.