Systematic review of the effectiveness of community-based self-management interventions among primary care COPD patients

Systematic review of the effectiveness of community-based self-management interventions among primary care COPD patientsSystematic review of the effectiveness of community-based self-management interventions among primary care COPD patients, Published online: 23 November 2018; doi:10.1038/s41533-018-0111-9Further work is needed to ensure that self-management of chronic lung disease in primary care settings actively improves patients’ quality of life. While self-management is beneficial to patients in secondary care with severe chronic obstructive pulmonary disease (COPD), few studies have examined self-management effectiveness in primary care patients with milder COPD. Kate Jolly at the University of Birmingham, UK, and co-workers identified only 12 studies out of over 12,500 that specifically examined self-management in primary care. Of these, seven were suitable for metanalysis. The team found that community-based interventions to support self-management did not make a significant difference to patients’ perceived quality of life, or in reducing anxiety and depression. They call for further research to identify specific support that will help patients with mild to moderate COPD cope and adapt to the progressive condition.
Source: npj Primary Care Respiratory Medicine - Category: Primary Care Authors: Source Type: research