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A complex intervention of self-management for patients with COPD or CHF in primary care improved performance and satisfaction with regard to own selected activities: a longitudinal follow-up
Örebro University, School of Health Sciences. Örebro University Hospital. Department of University Healthcare Research Centre.
Centre for clinical research, County Council of Värmland, Sweden; Department of Medical Sciences, Lung allergy and sleep research, Uppsala University, Uppsala, Sweden.
Örebro University, School of Medical Sciences.
Department of Public Health and Caring Sciences, Family Medicine and Preventive Medicine, Uppsala University, Uppsala, Sweden.
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2019 (English)In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 75, no 1, p. 175-186Article in journal (Refereed) Published
Abstract [en]

AIM: To test a self-management intervention in primary health care for patients with Chronic Obstructive Pulmonary Disease or Chronic Heart Failure on self-efficacy, symptoms, functioning and health.

BACKGROUND: Patients with Chronic Obstructive Pulmonary Disease or Chronic Heart Failure experience often the same symptoms such as shortness of breath, cough, lack of energy, dry mouth, numbness or tingling in hands and feet, pain and sleeping problems.

DESIGN: A multicentre randomized control trial.

METHOD: The trial was conducted with one intervention group (n=73) and one control group (n=77). The trial was performed from September 2013 - September 2015 at nine primary health care centres in three county councils in Sweden. At baseline patients with Chronic Obstructive Pulmonary Disease and Chronic Heart Failure experienced any symptom. Follow-ups were performed after three months and one year. The intervention was structured on Bandura's theory of self-efficacy in six meetings and individual action plans based on personal problems were performed and discussed.

RESULTS: At baseline, there were no differences between the groups except for SF-36 social function. After three months, the intervention group improved performance and satisfaction with regard to own selected activities, otherwise no differences were found.

CONCLUSION: When designing a program, the patient's own difficulties must be taken into consideration if person-centered care is to be established. It is feasible to include both patients with Chronic Obstructive Pulmonary Disease and Chronic Heart Failure in the same group in primary health care. Health care professionals need supervision in pedagogics during intervention in self-management.

Place, publisher, year, edition, pages
Blackwell Publishing, 2019. Vol. 75, no 1, p. 175-186
Keywords [en]
Chronic heart failure, chronic obstructive pulmonary disease, nurses, patient education, primary health care, self-management support
National Category
Nursing Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
URN: urn:nbn:se:oru:diva-70002DOI: 10.1111/jan.13899ISI: 000453873300019PubMedID: 30375028Scopus ID: 2-s2.0-85057336384OAI: oai:DiVA.org:oru-70002DiVA, id: diva2:1261259
Note

Funding Agency:

Uppsala-Orebro Regional Research Council

Available from: 2018-11-06 Created: 2018-11-06 Last updated: 2019-01-08Bibliographically approved

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Zakrisson, Ann-BrittHasselgren, Mikael

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