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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
Orebro Univ, Fac Med & Hlth, Dept Univ Healthcare Res Ctr, Orebro, Sweden.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Lung- allergy- and sleep research. Cty Council Varmland, Ctr Clin Res, Karlstad, Sweden.
Orebro Univ, Sch Med Sci, Orebro, Sweden.ORCID iD: 0000-0003-4241-7851
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Family Medicine and Preventive Medicine.
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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 (PHC) for patients with chronic obstructive pulmonary disease (COPD) or chronic heart failure (CHF) on self-efficacy, symptoms, functioning, and health.

Background: Patients with COPD or CHF 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 PHC centres in three county councils in Sweden. At baseline patients with COPD and CHF experienced any symptom. Follow-ups were performed after 3 months and 1 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 3 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-centred care is to be established. It is feasible to include both patients with COPD and CHF in the same group in PHC. Healthcare professionals need supervision in pedagogics during intervention in self-management.

Place, publisher, year, edition, pages
WILEY , 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
Identifiers
URN: urn:nbn:se:uu:diva-373316DOI: 10.1111/jan.13899ISI: 000453873300019PubMedID: 30375028OAI: oai:DiVA.org:uu-373316DiVA, id: diva2:1279364
Available from: 2019-01-16 Created: 2019-01-16 Last updated: 2019-01-16Bibliographically approved

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Arne, MatsLisspers, KarinStällberg, Björn

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