Korean J Rehabil Nurs.  2015 Dec;18(2):75-87. 10.7587/kjrehn.2015.75.

Developing a Home-based Self-management Support Intervention for Pulmonary Rehabilitation in Patients with Chronic Obstructive Pulmonary Disease

• Song HY

• KMID: 2153029
• DOI: http://doi.org/10.7587/kjrehn.2015.75

Abstract

PURPOSE
The purpose of this study was to develop a home-based self-management support intervention (SMSI) for enhancing pulmonary rehabilitation (PR) in patients with chronic obstructive pulmonary disease (COPD) in Korea.
METHODS
This methodological study was conducted by following these 4 steps: constructing the preliminary draft of a home-based SMSI from existing recommendation and a literature review on PR and self-management interventions; testing content validity with 6 experts in COPD; exploring clinical applicability of the intervention by applying it to 4 COPD patients; determining the final intervention.
RESULTS
The final intervention included 4 components and contents identified from the literature review as essentials for self-management of COPD patients: education; exercise training and practice including breathing, muscle strengthening and aerobic exercises; cognitive behavioral strategies including informative self-decision making, collaborative goal setting and supportive advice; and action planning for exacerbation. The intervention was designed to be run by a trained nurse and had 8 weekly sessions consisting of three 60-minute face-to-face sessions and five 20-minute phone-call sessions.
CONCLUSION
The intervention developed in this study incorporates essential components of self-management, i.e. action plan and cognitive behavioral strategies, and will contribute to enhancing and maintaining effects of PR by increasing self-management in COPD patients.

Keyword

Chronic obstructive pulmonary disease; Pulmonary rehabilitation; Self-care; Intervention; Quality of life

MeSH Terms

Education
Exercise
Humans
Korea
Methods
Pulmonary Disease, Chronic Obstructive*
Quality of Life
Rehabilitation*
Respiration
Self Care*