Effectiveness of disease-specific self-management education on health outcomes in patients with chronic obstructive pulmonary disease: An updated systematic review and meta-analysis
Article
Article Title | Effectiveness of disease-specific self-management education on health outcomes in patients with chronic obstructive pulmonary disease: An updated systematic review and meta-analysis |
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ERA Journal ID | 13745 |
Article Category | Article |
Authors | Wang, Tao, Tan, Jing-Yu, Xiao, Lily Dongxia and Deng, Renli |
Journal Title | Patient Education and Counseling |
Journal Citation | 100 (8), pp. 1432-1446 |
Number of Pages | 15 |
Year | 2017 |
Publisher | Elsevier |
Place of Publication | Ireland |
ISSN | 0738-3991 |
1873-5134 | |
Digital Object Identifier (DOI) | https://doi.org/10.1016/j.pec.2017.02.026 |
Web Address (URL) | https://www.sciencedirect.com/science/article/pii/S0738399117301179?via%3Dihub |
Abstract | Objectives: To update a previously published systematic review on the effectiveness of self-management education (SME) for patients with chronic obstructive pulmonary disease (COPD). Methods: Electronic databases were accessed (from inception to July 2016) to find relevant randomized controlled trials. Studies that compared SME with routine methods of care in COPD patients were retrieved. Both data synthesis and descriptive analysis were used for outcome assessment (e.g. quality of life and healthcare utilization). Results: Twenty-four studies were included. Data synthesis showed better quality of life among COPD patients receiving SME. Significant reductions in COPD-related hospital admissions and emergency department visits were identified in the SME group. SME may positively affect the reduction of COPD patients’ emotional distress. No significant reduction in smoking rate and mortality rate was observed between groups. No clear evidence supports the improvement of pulmonary functions, dyspnea, and nutritional status in COPD patients with the use of SME. Conclusion: SME can be a useful strategy to improve quality of life and disease-specific knowledge in patients with COPD. It also reduces respiratory-related hospital admissions and emergency department visits in COPD patients. Practice implications: Inclusion of SME as one of the key components for the comprehensive management of COPD is encouraged. |
Keywords | Chronic obstructive pulmonary disease; Health education; Meta-analysis; Self-management; Systematic review |
Contains Sensitive Content | Does not contain sensitive content |
ANZSRC Field of Research 2020 | 420599. Nursing not elsewhere classified |
Public Notes | Files associated with this item cannot be displayed due to copyright restrictions. |
Byline Affiliations | The Fifth Affiliated Hospital of Zunyi Medical University, China |
Fujian University of Traditional Chinese Medicine, China | |
Flinders University |
https://research.usq.edu.au/item/z5zv7/effectiveness-of-disease-specific-self-management-education-on-health-outcomes-in-patients-with-chronic-obstructive-pulmonary-disease-an-updated-systematic-review-and-meta-analysis
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