Self-management and behaviour modification in COPD

Purpose: The objective of this study was to review clinical trials of the effectiveness of physiotherapy compared with standard care, focused mainly on the functional status of patients hospitalized for acute exacerbation of chronic obstructive pulmonary disease (AECOPD). Methods: Search strategies were developed for each of the databases (PubMed, Scopus, and Web of Science). The study eligibility criteria were as follows: (1) The objective was to assess the effect and efficacy of physiotherapy compared with standard care (which included only medical and pharmacological treatment); (2) adults subjects had AECOPD; (3) one of the outcome measures was functional status, defined as an individual's ability to perform the normal daily activities required to meet basic needs, fulfill usual roles, and maintain health and well-being; (4) it was a clinical trial; (5) it was written in English; (6) it was published between January 2009 and February 2016; and (7) the full-text article was available. Results: The review revealed that for patients hospitalized for AECOPD, exercise, neuromuscular electrical stimulation, breathing exercises, and chest therapy significantly improved their functional status compared with standard care. Conclusions: A variety of physiotherapy modalities have been shown to improve functional status compared with standard care among patients hospitalized for AECOPD; other outcome measures also showed improvements.Key Words: chronic obstructive pulmonary disease; hospitalization; cardiorespiratory physiotherapy; rehabilitation; systematic review. RÉ SUMÉObjectif : recenser les essais cliniques sur l'efficacité de la physiothé rapie par rapport aux soins conventionnels pour é valuer l'é tat fonctionnel des patients hospitalisé s pour exacerbations aiguë s de la maladie pulmonaire obstructive chronique (EAMPOC). Mé thodologie : des straté gies de recherche ont é té mises au point pour chaque banque de donné es (PubMed, Scopus et Web of Science). Critè res d'admissibilité des é tudes : (1) l'é tude vise à é valuer l'effet et l'efficacité de la physiothé rapie par rapport aux soins conventionnels (traitement mé dical et mé dicamenteux seulement); (2) les sujets adultes souffrent d'EAMPOC; (3) un des ré sultats mesuré s est l'é tat fonctionnel, dé fini comme la faculté d'une personne à accomplir les activité s quotidiennes né cessaires pour ré pondre à ses besoins fondamentaux, assumer ses rô les habituels et maintenir sa santé et son bien-ê tre; (4) il s'agit d'un essai clinique; (5) l'article est ré digé en anglais; (6) l'é tude a é té publié e entre janvier 2009 et fé vrier 2016; (7) le texte inté gral de l'article est disponible. Ré sultats : le recensement ré vè le que l'exercice, la stimulation é lectrique neuromusculaire, les exercices de respiration et la physiothé rapie respiratoire amé liorent de fac¸on significative l'é tat fonctionnel de patients hospitalisé s pour EAMPOC par rapport aux soins conventionnels. Conclusions : divers soins de physiothé rapie ont prouvé leur efficacité pour...

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“…The differences may be due to the compliance developed by subjects when they learned the technique at the hospital. [40][41][42] …”

Section: Chest Physical Therapymentioning

confidence: 99%

Results of Physiotherapy Treatments in Exacerbations of Chronic Obstructive Pulmonary Disease: A Systematic Review

Torres‐Sánchez

Cruz-Ramírez

Cabrera‐Martos

et al. 2017

Physiotherapy Canada

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“…Selfmanagement support is defined as the systematic provision of supportive interventions by health care staff to increase patients' skills and confidence in managing their health problems, including regular assessment of progress and problems, goal setting, and problem-solving support 7 . Although self-management interventions often also contain didactic strategies, the pivotal objective is to change behavior, which is essential to boot a sequence of effects 8 . Improved self-management behavior is expected to lead to better disease control which should, in turn, lead to better patient outcomes, reduced use of health care services and ultimately to reduced costs and increased patient satisfaction.…”

Section: Self-management and The Chronic Disease Epidemicmentioning

confidence: 99%

Self-management: One size does not fit all

Trappenburg

Jonkman

Jaarsma

et al. 2013

Patient Education and Counseling

134

125

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“…2 Patient self-management is believed to be a key element of successful COPD treatment, as better self-management skills may help to reduce the severity or frequency of exacerbations, prevent hospitalizations, and generally improve health-related quality of life (HRQL). 3,4 However, self-management practices in COPD can be complex and burdensome and thus require signifi cant commitment from the patient. 5 For example, COPD self-management can include breathing and coughing techniques, appropriately timed oxygen usage (eg, with exercise only, during sleep only, different fl ow rates with exercise and rest), smoking cessation, regular exercise as prescribed through pulmonary rehabilitation, and the self-initiation of prescription corticosteroids or antibiotics at the onset of a COPD exacerbation.…”

mentioning

confidence: 99%

“…5 For example, COPD self-management can include breathing and coughing techniques, appropriately timed oxygen usage (eg, with exercise only, during sleep only, different fl ow rates with exercise and rest), smoking cessation, regular exercise as prescribed through pulmonary rehabilitation, and the self-initiation of prescription corticosteroids or antibiotics at the onset of a COPD exacerbation. 3,4 CHI would be an internally consistent and valid measure of helplessness in COPD. We sought to demonstrate concurrent validity by demonstrating the CHI's cross-sectional correlation with psychosocial and clinical status measures, such as depressive symptoms and COPD severity, that should be associated with helplessness.…”

mentioning

confidence: 99%