Volume 20 Issue 4 December 2011 | Research Paper |
|
Nurse-led multidisciplinary programme for patients with
COPD in primary health care: a controlled trial
Pages 427-433
*Ann-Britt Zakrissona,b,c, Peter Engfeldta,b, Doris Hägglundb, Sigrid Odencrantsb, Mikael Hasselgrenc,d,e, Mats Arnec,e, Kersti Theanderd,e,f
a
Family Medicine Research Centre, Örebro University, Sweden
b
School of Health and Medical Sciences, Örebro University, Sweden
c
Centre for Assessment of Medical Technology in Örebro, Sweden
d
Department of Public Health and Caring Sciences, Family Medicine and Clinical Epidemiology, Uppsala University, Sweden
e
Primary Care Research Unit, County Council in Värmland, Karlstad, Sweden
f
Department of Nursing, Karlstad University, Sweden
Received 6 May 2010 • Accepted 4 April 2011 • Online 17 June 2011
Abstract
AIM: To investigate the effects of a nurse-led multidisciplinary programme (NMP) of pulmonary rehabilitation in primary health care with
regard to functional capacity, quality of life (QoL), and exacerbations among patients with chronic obstructive pulmonary disease (COPD).
METHOD: A 1-year longitudinal study with a quasi-experimental design was undertaken in patients with COPD, 49 in the intervention
group and 54 in the control group. Functional capacity was assessed using the 6-minute walking test, and quality of life (QoL) was assessed
using the Clinical COPD Questionnaire. Exacerbations were calculated by examination of patient records.
RESULTS: No significant differences were found between the groups in functional capacity and QoL after 1 year. The exacerbations
decreased in the intervention group (n = –0.2) and increased in the control group (n = 0.3) during the year after NMP. The mean difference
of change in exacerbation frequency between the groups was statistically significant after one year (p=0.009).
CONCLUSIONS: The NMP in primary care produced a significant reduction in exacerbation frequency, but functional capacity and QoL were
unchanged. More and larger studies are needed to evaluate potential benefits in functional capacity and QoL.
Cite as: Zakrisson A, Engfeldt P, Hägglund D, Odencrants S, Hasselgren M, Arne M, Theander K. Nurse-led multidisciplinary programme for patients with
COPD in primary health care: a controlled trial. Prim Care Respir J 2011;20(4):427-433. DOI: http://dx.doi.org/10.4104/pcrj.2011.00060
Keywords
COPD, management, exacerbations, nurse, primary care, rehabilitation, pulmonary, quantitative
* Corresponding author. Ann-Britt Zakrisson Tel: +46706-863959 Fax: +4619-6025797 Email: ann-britt.zakrisson@orebroll.se | |
