Effects of a 6-month nurse-led self-management program on comprehensive pulmonary rehabilitation for patients with COPD receiving home oxygen therapy.
OBJECTIVE
This study was to examine the effectiveness of a nurse-led 6-month comprehensive pulmonary rehabilitation program for stage IV chronic obstructive pulmonary disease patients receiving home oxygen therapy.


METHODS
A controlled clinical study was performed.


METHODS
Face-to-face and telephone interviews were conducted with the intervention group, whereas conventional education was given to the control group.


RESULTS
Fifteen participants were analyzed in each group. There were no improvements in physiological outcomes; however, the severity of dyspnea, social activity, and walking distance significantly improved in the intervention group, and consequently quality of life was improved. Three patients in the intervention group received treatment for cold-like-symptoms but did not require hospitalization. However, five patients in the control group received treatment for cold-like-symptoms and two required hospitalization.


CONCLUSIONS
The findings demonstrate that our program contributes to patients' learning of self-management skills and significantly improves dyspnea, social activity level, walking distance, and overall quality of life.
Institute of Biomedical & Health Sciences, Hiroshima University, Hiroshima, Japan.
Michiko
M
Moriyama
Yae
Y
Takeshita
Yoshinori
Y
Haruta
Noboru
N
Hattori
Chidum E
CE
Ezenwaka
D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010102:Oxygen Inhalation Therapy / Q000451:nursing / Q000592:standards*; D057184:Practice Patterns, Nurses' / Q000458:organization & administration / Q000592:standards*; D015397:Program Evaluation; D029424:Pulmonary Disease, Chronic Obstructive / Q000451:nursing / Q000534:rehabilitation* / Q000628:therapy; D011788:Quality of Life; D019145:Rehabilitation Nursing / Q000458:organization & administration / Q000592:standards*; D012648:Self Care / Q000592:standards*
ADL; COPD; QOL; home oxygen therapy; self-management