Abstract:
:Self-management (SM) is defined as the provision of interventions to increase patients' skills and confidence, empowering the individual to take an active part in their disease management. There is uncertainty regarding the optimal format and the short- and long-term benefits of chronic obstructive pulmonary disease (COPD) SM interventions in adults. Therefore, a high-quality overview of reviews was updated to examine their clinical effectiveness. Sixteen reviews were identified, interventions were broadly classified as education or action plans, complex interventions with an SM focus, pulmonary rehabilitation (PR), telehealth and outreach nursing. Systematic review and meta-analysis quality and the risk of bias of underlying primary studies were assessed. Strong evidence was found that PR is associated with significant improvements in health-related quality of life (HRQoL). Limited to moderate evidence for complex interventions (SM focus) with limited evidence for education, action plans, telehealth interventions and outreach nursing for HRQoL was found. There was strong evidence that education is associated with a significant reduction in COPD-related hospital admissions, moderate to strong evidence that telehealth interventions and moderate evidence that complex interventions (SM focus) are associated with reduced health care utilization. These findings from a large body of evidence suggesting that SM, through education or as a component of PR, confers significant health gains in people with COPD in terms of HRQoL. SM supported by telehealth confers significant reductions in healthcare utilization, including hospitalization and emergency department visits.
journal_name
Chron Respir Disjournal_title
Chronic respiratory diseaseauthors
Murphy LA,Harrington P,Taylor SJ,Teljeur C,Smith SM,Pinnock H,Ryan Mdoi
10.1177/1479972316687208subject
Has Abstractpub_date
2017-08-01 00:00:00pages
276-288issue
3eissn
1479-9723issn
1479-9731journal_volume
14pub_type
杂志文章,评审abstract::The aim of this study is to conduct a systematic review of published studies that evaluate the impact of pulmonary rehabilitation (PR) on survival and fall (including balance) in patients with chronic obstructive pulmonary disease at stability. OVID, Medline, EMBASE, and Cochrane collaboration library were searched fo...
journal_title:Chronic respiratory disease
pub_type: 杂志文章,评审
doi:10.1177/1479972316661925
更新日期:2017-02-01 00:00:00
abstract::Recent advances in information communication technology allow contact with patients at home through e-Health services (telemedicine, in particular). We provide insights on the state of the art of e-Health and telemedicine for possible wider future clinical use. Telemedicine opportunities are summarized as i) home tele...
journal_title:Chronic respiratory disease
pub_type: 杂志文章,评审
doi:10.1177/1479972309102805
更新日期:2009-01-01 00:00:00
abstract::Time until the subsequent exacerbation (PEx) in cystic fibrosis (CF) is a significant health outcome and one of the significant end points in clinical trials. Risk factors associated with shorter time until the next exacerbation (TUNE) have not been reported. This is a prospective study. TUNE was the number of days fr...
journal_title:Chronic respiratory disease
pub_type: 杂志文章
doi:10.1177/1479972311433575
更新日期:2012-02-01 00:00:00
abstract::Sleep-disordered breathing (SDB) is a chronic condition characterized by repeated breathing pauses during sleep. The reported prevalence of SDB in the general population has increased over time. Furthermore, in the literature, a distinction is made between SDB, obstructive sleep apnea (OSA), and "OSA syndrome" (OSAS)....
journal_title:Chronic respiratory disease
pub_type: 杂志文章
doi:10.1177/1479973120928103
更新日期:2020-01-01 00:00:00
abstract:BACKGROUND:Overweight and obesity have been associated with better survival in patients with chronic obstructive pulmonary disease (COPD). On the other hand, excess body weight is associated with abnormal metabolic and inflammatory profiles that define the metabolic syndrome and predispose to cardiovascular diseases. T...
journal_title:Chronic respiratory disease
pub_type: 杂志文章
doi:10.1177/1479972307087205
更新日期:2008-01-01 00:00:00
abstract::The aim of this study was to evaluate the clinical effects of cognitive impairment in patients with chronic obstructive pulmonary disease (COPD). A total of 91 patients with stable moderate to very severe COPD were included in this study. Cognitive functions of the patients were evaluated using the mini-mental state e...
journal_title:Chronic respiratory disease
pub_type: 杂志文章
doi:10.1177/1479972317743757
更新日期:2018-08-01 00:00:00
abstract::The objective of this study was to investigate the discriminant validity of commonly used depression and anxiety screening tools in order to determine the most suitable tool for patients with chronic obstructive pulmonary disease (COPD). COPD patients (n = 56) completed the Hospital Anxiety and Depression Scale (HADS)...
journal_title:Chronic respiratory disease
pub_type: 杂志文章,多中心研究
doi:10.1177/1479972316634604
更新日期:2016-08-01 00:00:00
abstract::Airway clearance is integral to the management of bronchiectasis, yet there is no evidence as to the optimal modality. The aim of this randomized prospective study was to evaluate the acute efficacy, acceptability and tolerability of three airway clearance techniques in non-cystic fibrosis (non-CF) bronchiectasis. Flu...
journal_title:Chronic respiratory disease
pub_type: 杂志文章,随机对照试验
doi:10.1177/1479972306074481
更新日期:2007-01-01 00:00:00
abstract::This pilot study investigated the benefits of adjunctive psychological intervention for smokers accessing standard smoking cessation interventions. Chronic obstructive pulmonary disease (COPD) smokers attending a smoking cessation service were offered up to 12 adjunctive clinical psychology sessions. Baseline data inc...
journal_title:Chronic respiratory disease
pub_type: 杂志文章
doi:10.1177/1479972315586198
更新日期:2015-08-01 00:00:00
abstract::We aimed to investigate (1) the relationship between cognitive impairment (CI) and disease severity and (2) the potential differences in exercise performance, daily activities, health status, and psychological well-being between patients with and without CI. Clinically stable chronic obstructive pulmonary disease (COP...
journal_title:Chronic respiratory disease
pub_type: 杂志文章
doi:10.1177/1479972317709651
更新日期:2018-05-01 00:00:00
abstract::Nutritional status has been associated with clinical outcome in chronic airflow limitation (CAL), but epidemiological studies are scarce. We aimed to assess the relationship between body mass index (BMI) and CAL, taking into account confounding factors. 18,606 participants (49% male, 21% smokers, mean age: 55.8 ± 11.2...
journal_title:Chronic respiratory disease
pub_type: 杂志文章
doi:10.1177/1479972315626012
更新日期:2016-05-01 00:00:00
abstract::Idiopathic pulmonary fibrosis (IPF) is a chronic, progressive, and fatal lung disease of unknown origin. Despite recent advancements, the diagnosis and management of IPF remains a distinct clinical challenge; as a result, patients often experience considerable delays in receiving an accurate diagnosis and confusion re...
journal_title:Chronic respiratory disease
pub_type: 杂志文章
doi:10.1177/1479972311416382
更新日期:2011-01-01 00:00:00
abstract:BACKGROUND:Many deaths are now preceded by an end of life decision, particularly in the intensive care unit (ICU), but such practices vary considerably between countries, ICUs and individuals, depending on many factors including cultural and religious background, family and peer pressure and local practice. AIMS:In th...
journal_title:Chronic respiratory disease
pub_type: 杂志文章,评审
doi:10.1191/1479972304cd021rs
更新日期:2004-01-01 00:00:00
abstract::Patients with bronchiectasis (BE) present exacerbations that increase with severity of the disease. We aimed to determine the annual cost of BE treatment according to its severity, determined by FACED score, as well as the parameters associated with higher costs. Multicentre historical cohorts study with patients from...
journal_title:Chronic respiratory disease
pub_type: 杂志文章
doi:10.1177/1479972316643698
更新日期:2016-11-01 00:00:00
abstract::Emphysema on high-resolution computed tomography of the chest is the recent focus in the general practice in idiopathic pulmonary fibrosis (IPF). However, adequate attention has not been paid to obstructive disorder. Therefore, we retrospectively evaluated the association between the degree of airway obstruction and l...
journal_title:Chronic respiratory disease
pub_type: 杂志文章
doi:10.1177/1479972315603714
更新日期:2016-02-01 00:00:00
abstract::In a world where digital technology has revolutionized the way we work, shop and manage our finances it is unsurprising that digital systems are suggested as potential solutions to delivering clinically and cost-effective care for an aging population with one or more long-term conditions. However, recent evidence sugg...
journal_title:Chronic respiratory disease
pub_type: 杂志文章,评审
doi:10.1177/1479972316637788
更新日期:2016-05-01 00:00:00
abstract::There should be a clear pathway through pulmonary rehabilitation and follow-on services. The aim of this survey was to determine the characteristics of the different components of the patient pathway, that is, pulmonary rehabilitation programs, ongoing exercise facilities, and support networks in Northern Ireland. Que...
journal_title:Chronic respiratory disease
pub_type: 杂志文章
doi:10.1177/1479972308091825
更新日期:2008-01-01 00:00:00
abstract::Recent randomized controlled studies have reported success for hospital at home for prevention and early discharge of chronic obstructive pulmonary disease (COPD) patients using hospital based respiratory nurse specialists. This observational study reports results using an integrated hospital and community based gener...
journal_title:Chronic respiratory disease
pub_type: 杂志文章
doi:10.1177/1479972306070074
更新日期:2006-01-01 00:00:00
abstract::Home noninvasive ventilation (NIV) is widely used to correct nocturnal alveolar hypoventilation in patients with chronic respiratory failure of various etiologies. The most commonly used ventilation mode is pressure support with a backup respiratory rate. This mode requires six main settings, as well as some additiona...
journal_title:Chronic respiratory disease
pub_type: 杂志文章,评审
doi:10.1177/1479973119844090
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abstract::Shifts in natural or spontaneous language have been reported with psychological and physical changes, as well as shifts in predetermined words selected to describe dyspnea. Less evidence exists for natural language shifts and breathing intensity, particularly for everyday life and for negative emotion. Therefore, this...
journal_title:Chronic respiratory disease
pub_type: 杂志文章
doi:10.1177/1479972308096710
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abstract::There is a growing understanding that chronic respiratory diseases in adults have their origins in early life. Adverse environmental exposures occurring in vulnerable periods during lung growth and development in the fetal period and in early childhood that alter lung structure and limit the growth in lung function ma...
journal_title:Chronic respiratory disease
pub_type: 杂志文章,评审
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更新日期:2010-08-01 00:00:00
abstract::The incidence of live preterm birth is increasing and concomitantly the survival of preterm babies has increased over the last 30 years due to advances in neonatal care. Bronchopulmonary dysplasia (BPD) is a chronic respiratory disease that develops as a consequence of perinatal and/or neonatal lung injury following p...
journal_title:Chronic respiratory disease
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abstract::The objectives of our study were to (i) compare, in chronic obstructive pulmonary disease (COPD) patients, acute responses to continuous training at high intensity (CTHI), continuous training at ventilatory threshold (CTVT) and interval training (IT); (ii) examine associations between acute responses and 12-week adher...
journal_title:Chronic respiratory disease
pub_type: 杂志文章,随机对照试验
doi:10.1177/1479972315598691
更新日期:2015-11-01 00:00:00
abstract::Patients with chronic obstructive pulmonary disease (COPD) complain of dyspnea and fatigue. We sought to estimate the prevalence of high fatigue in this population and to determine whether individuals with high fatigue had a different response to pulmonary rehabilitation. This observational study was embedded within a...
journal_title:Chronic respiratory disease
pub_type: 杂志文章
doi:10.1177/1479972310396737
更新日期:2011-01-01 00:00:00
abstract::Dixon and coworkers (Dixon AE, Sugar EA, Zinreich SJ, et al. Criteria to screen for chronic sinonasal disease. Chest 2009; 136: 1324-1332.) recently developed a five-item questionnaire for diagnosing chronic sinonasal disease in patients with asthma. Our study was designed to determine how frequently patients attendin...
journal_title:Chronic respiratory disease
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doi:10.1177/1479972313485457
更新日期:2013-05-01 00:00:00
abstract::Acute exacerbation of idiopathic pulmonary fibrosis (AE-IPF) is a devastating condition that frequently occurs in the advanced stage of IPF. However, the clinical features in AE of connective tissue disease-associated interstitial pneumonia (AE-CTD-IP) have not been well-established. The aim of this study was to clari...
journal_title:Chronic respiratory disease
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doi:10.1177/1479972318809476
更新日期:2019-01-01 00:00:00
abstract::Pulmonary rehabilitation (PR) is an effective treatment for people with chronic obstructive pulmonary disease (COPD). However, uptake and adherence to rehabilitation is poor and non-adherence is associated with poorer clinical outcomes. This study investigated the factors that might predict an individual completing hi...
journal_title:Chronic respiratory disease
pub_type: 杂志文章
doi:10.1177/1479972314527469
更新日期:2014-05-01 00:00:00
abstract::Bronchiectasis is a chronic inflammatory lung disease, which has similarities to chronic obstructive pulmonary disease (COPD). Comorbidities of COPD include increased risk of cardiovascular (CV) disease, loss of bone mineral density (BMD) and loss of skeletal muscle mass and function, all linked to systemic inflammati...
journal_title:Chronic respiratory disease
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更新日期:2012-01-01 00:00:00
abstract::The objective of this study is to review available functional status measures (FSMs) validated for use in the chronic obstructive pulmonary disease (COPD) population and categorizing the measures by their commonalities to formulate a framework that supports clinicians in the selection and application of FSMs. A litera...
journal_title:Chronic respiratory disease
pub_type: 杂志文章,评审
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更新日期:2019-01-01 00:00:00
abstract::Patients with chronic obstructive pulmonary disease (COPD) and chronic heart failure (CHF) commonly suffer from exertional symptoms of breathlessness and fatigue. The similar systemic manifestations of the conditions, including skeletal muscle dysfunction, are a major contributing factor to the limitation in exercise ...
journal_title:Chronic respiratory disease
pub_type: 杂志文章,评审
doi:10.1177/1479972311423111
更新日期:2011-01-01 00:00:00