This study assessed effects of a brief self-care support intervention (SCSI) to promote health-related quality of life (HRQoL) and self-care adherence among elderly patients with COPD in Korea.
A single-blinded, randomized pre-/posttest design
A total of 40 participants were consecutively recruited from eligible patients admitted with an exacerbation of COPD to a department of pulmonology at a university hospital. Twenty participants were randomly divided into two groups: an experimental group and a control group. The experimental group received an SCSI utilizing a motivational interview. All participants were assessed with peak expiratory flow rate and 6-minute walking distance test, and answered Saint George's Respiratory Questionnaire (SGRQ) and a questionnaire on self-care adherence at pre-intervention and 2 months postintervention.
After the intervention, SGRQ scores for symptom, activity, impact, and total were significantly lower and self-care adherence scores of medication and exercise were significantly higher in the experimental group.
This study confirmed the short-tem effectiveness of a nurse-led self-management intervention for pulmonary rehabilitation on quality of life and self-care adherence among elderly patients with COPD. Further studies are warranted to verify effective strategies to improve exercise capacity for this population.
Our findings suggest a brief intervention for rehabilitation nursing with more retainable, feasible, and cost-effective strategies to enhance self-management among the elderly patients with COPD.
1 Department of Nursing, Wonju College of Medicine, Yonsei University, Wonju, Korea
2 Department of Pulmonology, Wonju College of Medicine, Yonsei University, Wonju, Korea
Accepted 19 November 2012.
Hea Kung Hur, Department of Nursing, Wonju College of Medicine, Yonsei University, 20 Il San Ro, Wonju, Kang Won Do, Korea. 220 – 701.
Grant sponsor: Yonsei University Research.