The effect of nurse-led problem-solving therapy on coping, self-efficacy and depressive symptoms for patients with chronic obstructive pulmonary disease: a randomised controlled trial

Abstract

the nurse-led PST offered to patients with COPD did not demonstrate any different effects compared with usual care over 6 months; however, a subgroup analysis with clinically depressed subjects showed improved self-efficacy and decreased depressive symptoms in the intervention group.

A realist review: what do nurse‐led self‐management interventions achieve for outpatients with a chronic condition?

“…,b, Jiang & He , Lee et al . ). The interventions aimed to improve coping with symptoms through education on practical self‐management tasks, such as peak flow monitoring, but also skills for stress reduction.…”

“…In the exceptional study, when information was needed nurses referred patients to educational material they had received earlier (Lee et al . ). This approach was not successful.…”

“…In spite of the prominent role of education in these interventions, knowledge gain was often not measured (Trappenburg et al 2008, Wilson et al 2008, Moriyama et al 2009, Otsu & Moriyama 2011, Yıldız & Kurcer 2012, Gonzalez 2014, Howden et al 2015, Lee et al 2014, Yu et al 2014, Grilo et al 2015. The effect evaluation of most of the studies that did measure knowledge gain showed that patients' knowledge had increased, irrespective of context and education programme (Balk et al 2008, Rootmensen et al 2008, Huang et al 2009, Choi & Lee 2012, Goossens et al 2014.…”

“…All interventions following this string are based on the espoused theory emphasizing coping (Monninkhof et al 2003, Schreurs et al 2003, Tsay et al 2005, Van Os-Medendorp et al 2007a,b, Jiang & He 2012, Lee et al 2014. The interventions aimed to improve coping with symptoms through education on practical self-management tasks, such as peak flow monitoring, but also skills for stress reduction.…”

Bedeutung von Depression und Angst im Krankheitsmanagement von pneumologischen Berufskrankheiten

“…Darüber hinaus kann über eine Stärkung individueller physischer und psychosozialer Ressourcen positiv auf die psychische Gesundheit von pneumologischen Patienten eingewirkt werden. Eine problemorientierte Bewältigungstherapie für COPD-Patienten, die von Krankenschwestern mittels 12 telefonischer Einheiten durchgeführt wurde, führt zu reduzierten depressiven Symptomen und einer höheren Selbstwirksamkeit [29]. Weiterhin bewirkt ein telefonunterstütztes Selbsthilfeprogramm, das neben einem Internetprogramm, Videos, Informationsbroschüren auch Handlungs-und Bewältigungspläne sowie Stimmungskontrolle beinhaltete, auch 6 Monate nach Beendigung eine Reduzierung depressiver Symptome bei Patienten mit chronischen Erkrankungen unter anderem auch COPD [35].…”