Effects of a 6-Month Nurse-Led Self-Management Program on Comprehensive Pulmonary Rehabilitation for Patients with COPD Receiving Home Oxygen Therapy

Moriyama, Michiko; Takeshita, Yae; Haruta, Yoshinori; Hattori, Noboru; Ezenwaka, Chidum E.

doi:10.1002/rnj.119

Cited by 15 publications

(15 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The completion rate was 79.3%, which is consistent with previous results [10]- [16]. Most of the dropouts withdrew from the program early because they were too busy or because they had already received education at a hospital, while few patients withdrew during the latter half of the program.…”

Section: Feasibility Of the Programsupporting

confidence: 90%

“…For this purpose, the "Disease Management" methodology proposed by the Disease Management Association of America seems to be suitable. There have already been several reports about improvement of health outcomes and control of medical expenditure due to implementation of disease management [6]- [16].…”

Section: Introductionmentioning

confidence: 99%

“…So far, we have developed this program for several chronic diseases, including diabetes, chronic kidney disease (CKD), chronic obstructive pulmonary disease, heart failure and stroke. We have found that the program contributes to prevention of disease progression and recurrence, as well as improving quality of life (QOL) and reducing routine outpatient visits and rehospitalization [10]- [16]. Furthermore, in order to return the benefits to society, we set up a disease management corporation (DPP Health Partners Co., Ltd.: DPP) in 2010, the first disease management company in Japan.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Development and Evaluation of Disease Management Program and Service Framework for Patients with Chronic Disease

Kazawa

Yamane²,

Yorioka³

et al. 2015

Health

Self Cite

View full text Add to dashboard Cite

We developed a disease management program and service framework to enhance the self-management skills of patients with chronic diseases for the first time in Japan. In this study, we analyzed the efficacy of this program. A single-group pre-test and post-test design was used. In the program, disease management nurses provided self-management education to patients that were specific for their disease and risk factors in cooperation with their primary physicians. The duration of the program was 6 or 12 months. A total of 1258 patients were enrolled. After excluding discontinued subjects, 987 patients in the diabetes program and 11 patients (except those with diabetic nephropathy) in the chronic kidney disease (CKD) program were analyzed. The diabetic patients showed improvement of HbA1c and blood pressure after intervention, as well as maintaining renal function. CKD patients showed no change of renal function after intervention, but there was improvement of non high density lipoprotein-cholesterol (HDL-c). The patients acquired the ability to detect at an early stage and respond to abnormal symptoms and data, which enabled them to avoid progression of their diseases and emergency hospitalization. The program was effective at preventing disease progression in patients with chronic illnesses and may contribute to the containment of medical costs.

show abstract

Section: Feasibility Of the Programsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Development and Evaluation of Disease Management Program and Service Framework for Patients with Chronic Disease

Kazawa

Yamane²,

Yorioka³

et al. 2015

Health

Self Cite

View full text Add to dashboard Cite

show abstract

“…The studies were conducted in Turkey (Akinci & Olgun, 2011), Australia (Cooke, Moyle, Griffiths, & Shields, 2010;Wood-Baker, Reid, Robinson, & Walters, 2012), Iceland (Ingadottir & Jonsdottir, 2010), China (Liu et al, 2013), Japan (Moriyama, Takeshita, Haruta, Hattori, & Ezenwaka, 2015), Korea (Oh, 2003) In this category, one RCT was identified (Liu et al, 2013) and two studies with a two-group pre-post design (Akinci & Olgun, 2011;Moriyama et al, 2015). These three studies used the SGRQ and included an online video-based breathing programme (Liu et al, 2013), education about COPD and performance of breathing exercises and physical training (Akinci & Olgun, 2011), or a nurse-led self-management educational programme that included an interactive workbook, learning materials and journal for self-monitoring (Moriyama et al, 2015). One study reported a positive effect in favour of the experimental group (MD = 15.6-18.2, p < 0.05) for all of the SGRQ scores (Liu et al, 2013).…”

Section: Nursing Interventions Performed At Homementioning

confidence: 99%

Effectiveness of nursing interventions for breathlessness in people with chronic obstructive pulmonary disease: A systematic review and meta‐analysis

Steindal

Torheim

Oksholm

et al. 2019

Journal of Advanced Nursing

View full text Add to dashboard Cite

Aim To critically review and synthesize the findings of studies that evaluated the effectiveness of nursing interventions for improving breathlessness in adults with chronic obstructive pulmonary disease. Background Systematic reviews of nursing interventions for breathlessness in people with chronic obstructive pulmonary disease have not been specifically addressed. Design Systematic review with meta‐analysis. Data sources A systematic search of Medline, CINAHL, PsycINFO and Embase was performed for studies published between January 2000 and June 2017. Review methods Risk of bias, data extraction and meta‐analysis were conducted using Cochrane methodology. The quality of evidence was assessed using the GRADE approach. Results Twenty papers were included. A meta‐analysis of interventions performed at home, including two trials, showed a significant effect in favour of experimental groups for the symptom score of the St. George Respiratory Questionnaire compared with controls. A meta‐analysis of interventions performed in clinics with home follow‐up showed a significant effect in favour of experimental groups for the mastery and fatigue scores of the Chronic Respiratory Questionnaire compared with controls. In this category of intervention, an additional meta‐analysis showed a significant effect in favour of experimental groups for the symptom, activity and total scores of the St. George Respiratory Questionnaire compared with controls. The quality of evidence was assessed to be very low to moderate. Conclusion The results are equivocal as to whether nursing interventions performed at home and nursing interventions performed in hospital with follow‐up improve breathlessness in people with chronic obstructive pulmonary disease.

show abstract

“…This educational program aimed to help patients acquire self-management skills for long-term management of the disease. Our operational definition of self-management education in this study was in line with one from a previous research strategy by Moriyama and colleagues [16]. In this study, we used the self-management education approaches for supporting a process involving patients’ understanding of their disease through the establishment of a partnership between patient and nurse.…”

Section: Introductionmentioning

confidence: 99%

Efficacy of a self-management program in patients with chronic viral hepatitis in China

et al. 2019

Self Cite

View full text Add to dashboard Cite

Background Chronic hepatitis, mainly B or C, increases the risk of hepatocellular carcinoma and remains an emerging issue in the globe. China has high rates of liver cancer incidence and mortality in the world. To address such challenges, adequate management of chronic hepatitis is required. Self-management education is one alternative for improving the hepatitis patients’ knowledge of the disease, mental health, and clinical management. This study aimed to examine the quality of life (QOL), psychological effects, and behavioral changes of a self-management program which allows continuity of care for chronic hepatitis B and C patients. Method In a six-month, randomized controlled trial, we invited 73 chronic hepatitis B/C inpatients to receive (i) two face-to-face education sessions provided by a nurse during hospitalization, and monthly telephone counseling at home after discharge; (ii) or usual care treatment (control group). The primary endpoint (patients’ QOL) and secondary outcomes (including self-efficacy, depression symptoms, perceived cognition of illness and behavioral changes) were assessed. In addition, we conducted qualitative data analysis to facilitate the evaluation of the interventions. Results Sixty (82.2%) out of 73 eligible patients with chronic hepatitis B/C (aged 34.9 ± 8.9 years) participated in the study. The intervention group (n = 30) significantly improved on outcomes including QOL, self-efficacy, perceived cognition of illness, and behavioral changes, whereas the control group significantly decreased their healthy behaviors. In terms of behavioral changes, alcohol avoidance, dietary adherence, and stress management also improved in the intervention group. However, there were no significant improvements in symptoms of depression. Most participants (80%) in the intervention group stated that they benefited from the program. Conclusions This program contributed to patients’ acquisition of self-management skills to cope with their illnesses, and significantly improved their QOL. This program serves as a reminder for nurses who care for patients with chronic viral hepatitis to acquire these skills as it would help them address the daily needs of their patients. Trial registration UMIN000025378. Registered December 23, 2016.

show abstract

Effects of a 6-Month Nurse-Led Self-Management Program on Comprehensive Pulmonary Rehabilitation for Patients with COPD Receiving Home Oxygen Therapy

Abstract: The findings demonstrate that our program contributes to patients' learning of self-management skills and significantly improves dyspnea, social activity level, walking distance, and overall quality of life.

Cited by 15 publications

References 22 publications

Development and Evaluation of Disease Management Program and Service Framework for Patients with Chronic Disease

Development and Evaluation of Disease Management Program and Service Framework for Patients with Chronic Disease

Effectiveness of nursing interventions for breathlessness in people with chronic obstructive pulmonary disease: A systematic review and meta‐analysis

Efficacy of a self-management program in patients with chronic viral hepatitis in China

Contact Info

Product

Resources

About