Five-year follow-up of a one-year self-management program for patients with COPD

Borghild K Lomundal, Aslak Steinsbekk, Borghild K Lomundal, Aslak Steinsbekk

Abstract

Objective: Investigate long-term effects 4 years after the end of a 1-year self-management program (SMP) with 30 hours of education and 16 hours of physical activity in patients with chronic obstructive pulmonary disease (COPD).

Methods: Prospective observational outcome study. SMP focused on improving disease related self-care skills. Main outcome measures were health-related quality of life, HRQoL, (St Georges Respiratory Questionnaire, SGRQ total) and exercise capacity (6-minute walk test, 6MWT).

Results: Thirty patients participated, 47% women. Baseline mean age was 67 years and mean pre-bronchodilator FEV(1) (forced expiratory volume in 1 second) percentage predicted was 41.3. HRQoL showed a statistical significant improvement during the 1-year intervention. Four years after the end of the program SGRQ total was similar to baseline value, 1.4 points (95% CI: -3.6 to 6.3, P = 0.580). Also 6MWT was similar to baseline value at the same test point, -10 m (95% CI: -27 to 8, P = 0.262), and 63% reported having continued to exercise regularly a minimum of three times per week during the follow-up period.

Conclusion: The participants in a 1-year self-management program with additional training had maintained their pre-intervention level of HRQoL and exercise capacity 4 years after the end of the program. Two out of three participants had continued to exercise regularly.

Keywords: chronic obstructive pulmonary disease; outpatient; patient education; self-care ability; self-management.

Figures

Figure 1
Figure 1
Flow chart.
Figure 2
Figure 2
Changes in St George’s Respiratory Questionnaire (SGRQ) total score and meters walked during 6-minute walk test (6MWT) for those who continued to exercise after end of program (“Yes”) and those who did not (“No”). Note: Numbers are mean values.

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Source: PubMed

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