[Evaluation of the care of the elderly program in frail elderly individuals with COPD in primary care centers in Sabadell (Spain)].
OBJECTIVE
To evaluate the effectiveness of the "Care of the Elderly" program developed by primary care teams in improving the quality of life of frail elderly individuals with a diagnosis of chronic obstructive pulmonary disease (COPD) living in Sabadell (Spain) compared with that of patients receiving routine care.


METHODS
A quasi-experimental study with an experimental and a control group was performed in the nursing consultation service of 6 randomly selected primary care centers in Sabadell. The variables studied were quality of life measured by the EuroQuol (EQ-5D), the impact of COPD on health status measured by the St. George's respiratory questionnaire (SGRQ), the number of visits to the center and the emergency department, and hospital admissions. The study was performed over a 2-year period.


RESULTS
The mean age of the 203 patients studied was 74.94 years (standard deviation [SD] = 6.11). The intervention was not effective in improving quality of life as measured by the EQ-5D, or in reducing the impact of COPD on health status measured by the SGRQ, or the number of visits to the center and hospital admissions. A statistically significant impact was found on the number of visits to the emergency department (p = 0.03).


CONCLUSIONS
The "Care of the Elderly" program in frail elderly individuals with COPD was not effective. The present study is of use in identifying aspects that are ineffective so that nurses designing future programs and studies can include new aspects such as treatment adherence, smoking cessation, and patient satisfaction.
SAP Sabadell, Sabadell, Barcelona, España. oscarhvm@yahoo.es
Oscar
O
Hernández-Vián
Cristina
C
Moreno-Ramos
Anna
A
Sánchez-García
M Josep
MJ
López-Gómez
Encarna
E
Ortiz-Alvarez
Edel
E
Balboa-Blanco
D000368:Aged; D016330:Frail Elderly; D006801:Humans; D011320:Primary Health Care; D015397:Program Evaluation; D029424:Pulmonary Disease, Chronic Obstructive / Q000628:therapy*; D013030:Spain