title: Effectiveness of a brief self-care support intervention for pulmonary rehabilitation among the elderly patients with chronic obstructive pulmonary disease in Korea.
abstract: OBJECTIVE
  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.
  
  
  METHODS
  A single-blinded, randomized pre-/posttest design
  
  
  METHODS
  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.
  
  
  RESULTS
  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.
  
  
  CONCLUSIONS
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Department of Nursing, Wonju College of Medicine, Yonsei University, Wonju, Korea.
authors.forename: Hee-Young
authors.initials: HY
authors.lastname: Song
authors.forename: Suk Joong
authors.initials: SJ
authors.lastname: Yong
authors.forename: Hea Kung
authors.initials: HK
authors.lastname: Hur
mesh_terms: D000368:Aged; D044466:Asian People / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009042:Motivation; D029424:Pulmonary Disease, Chronic Obstructive / Q000451:nursing* / Q000523:psychology / Q000534:rehabilitation*; D019145:Rehabilitation Nursing / Q000379:methods*; D012648:Self Care / Q000379:methods*; D016896:Treatment Outcome
keywords: Chronic obstructive pulmonary disease; patient compliance; quality of life; rehabilitation; self-care