0
Abstract: Poster Presentations |

SELF-MANAGEMENT EDUCATION PROGRAM FOR PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE HAS LONG TERM EFFECT ON QUALITY OF LIFE IMPROVEMENT FREE TO VIEW

Manon Labrecque, MD*; Khalil Raby, PhD; Marcel Julien, MD
Author and Funding Information

Hôpital Sacré-Coeur, Montreal, PQ, Canada


Chest


Chest. 2005;128(4_MeetingAbstracts):252S-b-253S. doi:10.1378/chest.128.4_MeetingAbstracts.252S-b
Text Size: A A A
Published online

Abstract

PURPOSE:  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).

METHODS:  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 .

RESULTS:  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).

CONCLUSION:  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.

CLINICAL IMPLICATIONS:  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.

DISCLOSURE:  Manon Labrecque, None.

Wednesday, November 2, 2005

12:30 PM - 2:00 PM


Figures

Tables

References

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.

  • CHEST Journal
    Print ISSN: 0012-3692
    Online ISSN: 1931-3543