Measures to improve knowledge and self-care among patients with COPD: a UK general practice audit

Abstract

SummaryThe Parchmore Partnership, London, audited 11 evidence-based criteria relating to patient knowledge and COPD morbidity during December 2004 to March 2005 using questionnaires and practice records. 32 patients with moderate to severe COPD participated, and during the project they received information and extra care. Patient knowledge and clinical indicators showed significant improvements. Crown

Nursing care in the chronic phase of COPD: a call for innovative disciplinary research

“…Ranking thirdly were telephone services, which are emerging as a special form of nurse clinics (Wong et al. 2005, Fernandes et al. 2006).…”

“…(2005) provided a structured, individualised, educational and supportive dyspnoea management telephone programme after discharge from hospital. Fernandes et al. (2006) studied the effects of telephone calls when weather forecast was worsening, combined with provision of an information pack and a fast‐track treatment in the healthcare system when patients contacted the system.…”

“…Second in number were studies on selfmanagement educational programmes for patients (Zimmerman et al 1996, Bourbeau et al 2003, Monninkhof et al 2003, 2004a,b, McGeoch et al 2006 (Table 1). Ranking thirdly were telephone services, which are emerging as a special form of nurse clinics (Wong et al 2005, Fernandes et al 2006). Finally, there were studies on the impact of specialisation and the role of respiratory nurses in relation to patients' outcomes (Ketelaars et al 1996, 1998, Steinel & Madigan 2003, Coultas et al 2005.…”

“…Wong et al (2005) provided a structured, individualised, educational and supportive dyspnoea management telephone programme after discharge from hospital. Fernandes et al (2006) studied the effects of telephone calls when weather forecast was worsening, combined with provision of an information pack and a fast-track treatment in the healthcare system when patients contacted the system. Both studies showed improved measures of clinical indicators, among them self-management knowledge and self-efficacy five weeks and four months, respectively, from the beginning of the interventions.…”

Multimodal techniques for smoking cessation: a review of their efficacy and utilisation and clinical practice guidelines

“…In 2006, it was estimated that 92.7% of high-risk smokers in the UK received advice, or support to quit (96). The outcomes of audits showed that the percentage of patients with COPD offered smoking cessation advice rose from 81% in December 2004 to 96% by March 2005 (97), indicating that the QOF system is succeeding in encouraging GPs to meet healthcare targets. However, there are one or two criticisms of the scheme.…”