Nurse-led multidisciplinary programme for patients with COPD in primary health care: a controlled trial

被引：33

作者：

Zakrisson, Ann-Britt ^{[1
,2
,3
]}

Engfeldt, Peter ^{[1
,2
]}

Hagglund, Doris ^{[2
]}

Odencrants, Sigrid ^{[2
]}

Hasselgren, Mikael ^{[1
,4
,5
]}

Arne, Mats ^{[4
,5
]}

Theander, Kersti ^{[5
,6
]}

机构：

[1] Univ Orebro, Family Med Res Ctr, S-70116 Orebro, Sweden

[2] Univ Orebro, Sch Hlth & Med Sci, S-70116 Orebro, Sweden

[3] Ctr Assessment Med Technol, Orebro, Sweden

[4] Uppsala Univ, Dept Publ Hlth & Caring Sci Family Med & Clin Epi, Uppsala, Sweden

[5] Cty Council Varmland, Primary Care Res Unit, Karlstad, Sweden

[6] Karlstad Univ, Dept Nursing, Karlstad, Sweden

来源：

PRIMARY CARE RESPIRATORY JOURNAL | 2011年 / 20卷 / 04期

关键词：

COPD; management; exacerbations; nurse; primary care; rehabilitation; pulmonary; quantitative; OBSTRUCTIVE PULMONARY-DISEASE; QUALITY-OF-LIFE; FUNCTIONAL STATUS; REHABILITATION; EXACERBATIONS; MANAGEMENT;

D O I：

10.4104/pcrj.2011.00060

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Aim: To investigate the effects of a nurse-led multidisciplinary programme (NMP) of pulmonary rehabilitation in primary health care with regard to functional capacity, quality of life (QoL), and exacerbations among patients with chronic obstructive pulmonary disease (COPD). Method: A 1-year longitudinal study with a quasi-experimental design was undertaken in patients with COPD, 49 in the intervention group and 54 in the control group. Functional capacity was assessed using the 6-minute walking test, and quality of life (QoL) was assessed using the Clinical COPD Questionnaire. Exacerbations were calculated by examination of patient records. Results: No significant differences were found between the groups in functional capacity and QoL after 1 year. The exacerbations decreased in the intervention group (n = -0.2) and increased in the control group (n = 0.3) during the year after NMP. The mean difference of change in exacerbation frequency between the groups was statistically significant after one year (p=0.009). Conclusions: The NMP in primary care produced a significant reduction in exacerbation frequency, but functional capacity and QoL were unchanged. More and larger studies are needed to evaluate potential benefits in functional capacity and QoL. (C) 2011 Primary Care Respiratory Society UK. All rights reserved. A-B Zakrisson et al. Prim Care Respir J 2011; 20(4): 427-433 http://dx.doi.org/10.4104/pcrj.2011.00060

引用

页码：427 / 433

页数：7

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