The Korean Journal of Rehabilitation Nursing (재활간호학회지)

Korean Academic Society of Rehabilitation Nursing (한국재활간호학회)
권호 표지
DOI QR코드

DOI QR Code

Developing a Home-based Self-management Support Intervention for Pulmonary Rehabilitation in Patients with Chronic Obstructive Pulmonary Disease

만성폐쇄성폐질환 환자의 호흡재활을 위한 재가 자가관리 증진 중재 개발

  • Song, Hee-Young (Department of Nursing, Wonju College of Medicine, Yonsei University)
  • 송희영 (연세대학교 원주의과대학 간호학부)
  • Received : 2015.07.01
  • Accepted : 2015.10.21
  • Published : 2015.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of this study was to develop a home-based self-management support intervention (SMSI) for enhancing pulmonary rehabilitation (PR) in patients with chronic obstructive pulmonary disease (COPD) in Korea. Methods: This methodological study was conducted by following these 4 steps: constructing the preliminary draft of a home-based SMSI from existing recommendation and a literature review on PR and self-management interventions; testing content validity with 6 experts in COPD; exploring clinical applicability of the intervention by applying it to 4 COPD patients; determining the final intervention. Results: The final intervention included 4 components and contents identified from the literature review as essentials for self-management of COPD patients: education; exercise training and practice including breathing, muscle strengthening and aerobic exercises; cognitive behavioral strategies including informative self-decision making, collaborative goal setting and supportive advice; and action planning for exacerbation. The intervention was designed to be run by a trained nurse and had 8 weekly sessions consisting of three 60-minute face-to-face sessions and five 20-minute phone-call sessions. Conclusion: The intervention developed in this study incorporates essential components of self-management, i.e. action plan and cognitive behavioral strategies, and will contribute to enhancing and maintaining effects of PR by increasing self-management in COPD patients.

Keywords

References

  1. Ashmore, J., Russo, R., Peoples, J., Sloan, J., Jackson, B. E., Bae, S., et al. (2013). Chronic obstructive pulmonary disease selfmanagement activation research trial (COPD-SMART): Design and methods. Contemporary Clinical Trials, 35(2), 77-86. http://dx.doi.org/10.1016/j.cct.2013.05.004
  2. Cooke, M., Moyle, W., Griffiths, S., & Shields, L. (2009). Outcomes of a home-based pulmonary maintenance program for individuals with COPD: A pilot study. Contemporary Nurse, 34(1), 85-97. https://doi.org/10.5172/conu.2009.34.1.085
  3. Effing, T. W., Bourbeau, J., Vercoulen, J., Apter, A. J., Coultas, D., Meek, P., et al. (2012). Self-management programmes for COPD: Moving forward. Chronic Respiratory Disease, 9(1), 27-35. http://dx.doi.org/10.1177/1479972311433574
  4. Ghanem, M., Elaal, E. A., Mehany, M., & Tolba, K. (2010). Homebased pulmonary rehabilitation program: Effect on exercise tolerance and quality of life in chronic obstructive pulmonary disease patients. Annals of Thoracic Medicine, 5(1), 18-25. http://dx.doi.org/10.4103/1817-1737.58955
  5. Guo, S., & Bruce, A. (2014). Imporving understanding of and adherence to pulmonary rehabilitation in patients with COPD: A qualitative inquiry. PLos One, 9, 10, e110835. http://dx.doi.org/10.1371/journal.pone.011835
  6. Han, S. J. (2003). The effects of a pulmonary rehabilitation program for chronic obstructive pulmonary disease patients. Journal of Korean Academy of Nursing, 33(7), 1008-1017. https://doi.org/10.4040/jkan.2003.33.7.1008
  7. Holland, A. E., Mahal, A., Hill, C. J., Lee, A. L., Burge, A. T., Moore, R., et al. (2013). Benefits and costs of home-based pulmonary rehabilitation in chronic obstructive pulmonary disease - A multi-centre randomised controlled equivalence trial. BMC Pulmonary Medicine, 13, 57. http://dx.doi.org/10.1186/1471-2466-13-57
  8. Jang, H. J., & Kim, J. Y. (2006). The effects of self-efficacy promoting pulmonary rehabilitation program in out-patients with chronic obstructive pulmonary disease. Tuberculosis and Respiratory Diseases, 61(6), 533-546. https://doi.org/10.4046/trd.2006.61.6.533
  9. Kim, H. S., & Kang, H. S. (2006). Effects of a pulmonary rehabilitation program for patients with chronic obstructive pulmonary disease. Journal of Korean Clinical Nursing Research, 12(1), 43-53.
  10. Kim, S. H. (2002). The effect of home-based pulmonary rehabilitation program. Unpublished master's thesis, Yonsei University, Seoul.
  11. Korea Center for Disease Control and Prevention, Ministry of Health and Welfare. (2012). Korea Health Statistics 2012: Korea National Health and Nutrition Examination Survey (KNHANESV-3). Osong: Korea Center for Disease Control and Prevention.
  12. Lacasse, Y., Goldstein, R., Lasserson, T. J., & Martin, S. (2006). Pulmonary rehabilitation for chronic obstructive pulmonary disease. Cochrane Database Syst Rev(4), CD003793. http://dx.doi.org/10.1002/14651858.CD003793.pub2
  13. Lee, C. K. (2007). Effects of an inpatient pulmonary rehabilitation program on dyspnea, exercise capacity, and health related quality of life for patients with chronic lung disease. Journal of Korean Academy of Nursing, 37(3), 343-352. https://doi.org/10.4040/jkan.2007.37.3.343
  14. Lee, S. H., & Kim, Y. S. (2006). The effects of pulmonary rehabilitation on the patients with chronic obstructive pulmonary disease. Journal of Korean Clinical Nursing Research, 12(2), 53-62.
  15. Lomundal, B. K., & Steinsbekk, A. (2012). Five-year follow-up of a one-year self-management program for patients with COPD. International Journal of Chronic Obstructive Pulmonary Disease, 7, 87-93. http://dx.doi.org/10.2147/COPD.S27352
  16. Lynn, M. R. (1986). Determination and quantification of content validity. Nursing Research, 35(6), 382-386.
  17. Maltais, F., Bourbeau, J., Shapiro, S., Lacasse, Y., Perrault, H., Baltzan, M., et al. (2008). Effects of home-based pulmonary rehabilitation in patients with chronic obstructive pulmonary disease: A randomized trial. Annals of Internal Medicine, 149(12), 869-878. https://doi.org/10.7326/0003-4819-149-12-200812160-00006
  18. McFarland, C., Willson, D., Sloan, J., & Coultas, D. (2012). A randomized trial comparing 2 types of in-home rehabilitation for chronic obstructive pulmonary disease: A pilot study. Journal of Geriatric Physical Therapy, 35(3), 132-139. http://dx.doi.org/10.1519/JPT.0b013e31824145f5
  19. Mendes de Oliveira, J. C., Studart Leitao Filho, F. S., Malosa Sampaio, L. M., Negrinho de Oliveira, A. C., Hirata, R. P., Costa, D., et al. (2010). Outpatient vs. home-based pulmonary rehabilitation in COPD: a randomized controlled trial. Multidisciplinary Respiratory Medicine, 5(6), 401-408. http://dx.doi.org/10.1186/2049-6958-5-6-401
  20. Nguyen, H. Q., Gill, D. P., Wolpin, S., Steele, B. G., & Benditt, J. O. (2009). Pilot study of a cell phone-based exercise persistence intervention post-rehabilitation for COPD. International Journal of Chronic Obstructive Pulmonary Disease, 4, 301-313.
  21. Nici, L., & ZuWallack, R. L. (2014). Pulmonary rehabilitation: Future directions. Clinics in Chest Medicine, 35(2), 439-444. http://dx.doi.org/10.1016/j.ccm.2014.02.015
  22. Oh, E. G., Kim, S. H., Park, H. O., Bang, S. Y., Lee, C. H., & Kim, S. H. (2003). Effects of a short-term home-based pulmonary rehabilitation program in patients with chronic lung disease. Journal of Korean Academy of Nursing, 33(5), 570-579. https://doi.org/10.4040/jkan.2003.33.5.570
  23. Song, H. Y., Yong, S. J., & Hur, H. K. (2014). Effectiveness of a brief self-care support intervention for pulmonary rehabilitation among the elderly patients with chronic obstructive pulmonary disease in Korea. Rehabilitation Nursing, 39(3), 147-156. http://dx.doi.org/10.1002/rnj.92
  24. Spruit, M. A., Singh, S. J., Garvey, C., ZuWallack, R., Nici, L., Rochester, C., et al. (2013). An official American Thoracic Society/European Respiratory Society statement: Key concepts and advances in pulmonary rehabilitation. American Journal of Respiratory and Critical Care Medicine, 188(8), e13-64. https://doi.org/10.1164/rccm.201309-1634ST
  25. Turner, A., Anderson, J., Wallace, L., & Kennedy-Williams, P. (2014). Evaluation of a self-management programme for patients with chronic obstructive pulmonary disease. Chronic Respiratory Disease, 11(3), 163-172. http://dx.doi.org/10.1177/1479972314539979
  26. World Health Organization. (2011). Chronic Obstructive Pulmonary Disease (COPD). Retrieved May 1, 2015, from http://www.who.int/respiratory/copd/en/
  27. Yoon, H. S. (2013 Feb 7). Health insurance policy preparing for the aging. KDI Monthly economic trends 2013(2) 31-42. Retrieved May 1, 2015, from http://www.kdi.re.kr/report/report_class_e3.jsp?pub_no=12943
  28. Yun, S. H., Na, J. O., Jegal, Y. J., Kim, M. H., Kim, E. S., Sim, T. S., et al. (2002). Development of the home-based pulmonary rehabilitation program for patients with chronic lung disease. Tuberculosis and Respiratory Diseases, 52(6), 597-607. https://doi.org/10.4046/trd.2002.52.6.597
  29. Zwerink, M., Brusse-Keizer, M., van der Valk, P. D., Zielhuis, G. A., Monninkhof, E. M., van der Palen, J., et al. (2014). Self management for patients with chronic obstructive pulmonary disease. Cochrane Database Systematic Review, 3, CD002990. http://dx.doi.org/10.1002/14651858.CD002990.pub3
  30. Zwerink, M., van der Palen, J., van der Valk, P., Brusse-Keizer, M., & Effing, T. (2013). Relationship between daily physical activity and exercise capacity in patients with COPD. Respiratory Medicine, 107(2), 242-248. http://dx.doi.org/10.1016/j.rmed.2012.09.018

Cited by

  1. Influence of Cognitive Function and Depressive Symptoms on Instrumental Activities of Daily Living in Community-dwelling Older Adults vol.19, pp.2, 2016, https://doi.org/10.7587/kjrehn.2016.71
  2. A Systematic Review of Home based Pulmonary Rehabilitation in COPD Patients: Randomized Controlled Trials vol.19, pp.2, 2016, https://doi.org/10.7587/kjrehn.2016.82
  3. Qualitative Analysis of the Disease Experience of Korean Older Men With Chronic Obstructive Pulmonary Disease vol.46, pp.2, 2015, https://doi.org/10.3928/00989134-20200108-02
  4. 만성폐쇄성폐질환자 자가관리와 증상악화에 대한 대처 경험 vol.20, pp.11, 2015, https://doi.org/10.5392/jkca.2020.20.11.342