Purpose of this study was to investigate the effects on health related quality of life (HRQoL), and disease knowledge’s of a Self-management education programme(SMEP) for patients with chronic obstructive pulmonary disease (COPD).
The programme lasted 4 weeks (3 hours/week) and included teaching of how to use an action plan for self-treatment of exacerbations.Patients were evaluated at time 0, at 3 months and 12 months. 61 COPD with a mean age of 70(53-84)and FEV1 48.8% of the predicted(SD:18.2%) that was stable on a standard medical regimen. OUTCOME MEASURES: The SF-36 Quality of Life Questionnaire (SF-36), St George’s Respiratory Questionnaire (SGRQ) and a Disease Knowledge’s Questionnaire (DKQ) based on the teaching programme .
SGRQ total scores and domain scores were all lower (indicating a better HRQoL) 3 months, and 12 months after the programme comparing to before. These differences reach clinical significance for the SGRQ impact domain who was at (35.2±17.2) at time 0, (28.2±19) at 3 months (P= .001) and (24.2±17.8) at 12 months (P=.001). For the SGRQ total score the value was (44.1±17.0) before, (39.8±15.3) at 3 months (p= 0.006) and (35±17.4) at 12 months (p=.001). For the SF-36, physical activity domain showed no significant difference; (33.8±8.6) before, (35.7±9.4) at 3 months and (36.8±11.3) at 12 months (NS). Psychological domain resulted in a score of (45.3±11.6) before, ( 50.8 ±10.7) at 3 months ( P=.003) and (49.5±11.3) at 12 months (P=.03) Concerning the DKQ, the pre- programme score was (59.4 %±11.4), (73.6%±13.4)(P=0.0001) at one month and 74.5±15.5 at 12 months,(P=0.0001).
A(SMEP) significantly improved HRQoL in COPD patients probably by increasing patients’ knowledge of disease and hence their ability to manage themselves. The Improvement in HRQoL last at least one year.
This approach of care is interesting because it does not require specialized resources and could easily be implemented within normal practice by health professionals.The present study supports its use as an integral part of the long-terme care of patients with COPD.
Manon Labrecque, None.