Pulmonary Rehabilitation Improves Self-Management Ability in Subjects With Obstructive Lung Disease.
BACKGROUND: Optimizing self-management is a key element in multidisciplinary pulmonary rehabilitation in patients with asthma or COPD. This observational study aimed to investigate the changes in self-management following pulmonary rehabilitation in subjects with chronic lung disease. METHODS: Data...
| Publicado en: | Respiratory Care Vol. 66; no. 8; pp. 1271 - 1282 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Mary Ann Liebert, Inc.
Aug2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=151671547&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 151671547 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00201324 4GG jtl: Respiratory Care issn: 00201324 maglogo: N pubinfo: dt: Aug2021 vid: 66 iid: 8 pid: 1365 pub: Mary Ann Liebert, Inc. place: New Rochelle, New York artinfo: ui: 151671547 151671547 151671547 10.4187/respcare.07852 151671547 ppf: 1271 ppct: 11 formats: fmt: @attributes: type: P tig: atl: Pulmonary Rehabilitation Improves Self-Management Ability in Subjects With Obstructive Lung Disease. aug: au: Janssen, Steffi M. J. Vliet Vlieland, Thea P. M. Volker, Gerard Spruit, Martijn A. Abbink, Jannie J. affil: Basalt Rehabilitation Centre, Leiden, The Netherlands sug: subj: Self-Management Evaluation Pulmonary Disease, Chronic Obstructive Rehabilitation Asthma Rehabilitation Rehabilitation, Pulmonary Human Nonexperimental Studies Prospective Studies Outpatient Service Multidisciplinary Care Team Program Evaluation Scales Questionnaires Descriptive Statistics Effect Size Male Female Adult Middle Age Aged Aged, 80 and Over Health Behavior Rehabilitation Centers Netherlands Self-Efficacy Quality of Life Psychological Tests Data Analysis Software Paired T-Tests Wilcoxon Signed Rank Test Fisher's Exact Test Confidence Intervals Smoking Educational Status Body Mass Index Aerobic Capacity Exercise Test, Cardiopulmonary Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Aged, 80 & over Male Female ab: BACKGROUND: Optimizing self-management is a key element in multidisciplinary pulmonary rehabilitation in patients with asthma or COPD. This observational study aimed to investigate the changes in self-management following pulmonary rehabilitation in subjects with chronic lung disease. METHODS: Data were prospectively and routinely gathered at initial assessment and discharge in subjects taking part in a 12-week multidisciplinary out-patient pulmonary rehabilitation program. Measures of self-management included the Patient Activation Measure (PAM), the Health Education Impact Questionnaire (HEIQ) (8 subscales), a Self-Efficacy Questionnaire (2 subscales), the Lung Information Needs Questionnaire (LINQ), and the Health Literacy Questionnaire (HLQ) (9 subscales). Mean differences with 95% CI and effect sizes were computed. RESULTS: A total of 70 subjects (62.9% women) were included, with a median age of 63.5 y; most of the subjects had been diagnosed with COPD (77%). Between admission and discharge, all measures of self-management increased significantly except for the HEIQ subscales of constructive attitudes and approaches, social integration and support, and health services navigation; and the HLQ subscale of social support for health. The largest improvements (effect size > 0.55) were seen for the PAM (0.57); the HEIQ subscales of health-directed behavior (0.71), self-monitoring and insight (0.62), and skill and technique acquisition (1.00); the HLQ subscales of having sufficient information to manage my health (1.21) and actively managing my health (0.66); and the LINQ (1.85). CONLCUSIONS: Self-management, including activation, improved significantly in subjects with asthma or COPD who took part in a multidisciplinary pulmonary rehabilitation program. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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