The patient with chronic obstructive pulmonary disease: how rehabilitation nurses promote self-care
Introduction: The increased prevalence of chronic diseases such as Chronic Obstructive Pulmonary Disease (COPD) has a high social and economic impact, compromises patient's health and consequently the way they manage the disease and promote self-care.
Objectives: Systematize rehabilitation nursing interventions that promote self- care in the person with COPD.
Methods: This study consists of a systematic review of the literature. To understand and analyze this phenomenon, Orem's Theory of Self-Care was used.
Results: The results showed that nursing intervention programs, consisting of respiratory exercises, exercise training and a strong educational component, especially on symptom control and therapeutic management, promote self-care, self-management and self-efficacy.
Conclusions: Rehabilitation’s nurses, with their competences, where the educational strategies are highlighted, contributes to the management of the health condition of these patients.
Anderson, R. & Funnell, M. (2010) Patient empowerment: Myths and misconceptions. Patient Education and Counseling. 79. 277– 282.
Areias, V., Ferreira, D., Martins, A. & Matias, I. (2012). Evolução da capacidade funcional e estado de saúde dois anos após programa de reabilitação respiratória. Revista Portuguesa de Pneumologia, 18 (5), 217-225.
Baker, E., & Fatoye, F. (2017). Clinical and cost effectiveness of nurse-led self-management interventions for patients with copd in primary care: A systematic review. International journal of nursing studies, 71, 125-138.
Berbiglia, A. & Banfield, B. (2014). Self-Care Deficit Theory of Nursing in Nursing. In M. Alligood. Theorists and their work (pp. 175-183). St. Louis: Elsevier.
Billington, J., Coster, S., Murrells, T. & Norman, I. (2015). Evaluation of a Nurse-Led Educational Telephone Intervention to Support Self-Management of Patients with Chronic Obstructive Pulmonary Disease A Randomized Feasibility Study. Journal of Chronic Obstructive Pulmonary Disease, 12, 395-403.
Casey, D., Murphy, K., Cooney, A., Mee, L. & Dowling, M. (2011). Developing a structured education programme for clients with COPD. British Journal of Community Nursing. 16 (5) 231-237.
Cosgrove, D., MacMahon, J., Bourbeau, J., Bradley & O’Neill, B. (2013). Facilitating education in pulmonary rehabilitation using the Living Well with COPD programme for pulmonary rehabilitation a process evaluation. BMC Pulmonary Medicine, 13 (50) 1-10.
Clari, M., Matarese, M., Alvaro, R., Piredda, M., & De Marinis, M. G. (2016). Measurement properties of instruments evaluating self-care and related concepts in people with chronic obstructive pulmonary disease: A systematic review. Heart & Lung, 45(5), 441-448.
Direção Geral de Saúde (DGS). (2009). Orientações Técnicas sobre Reabilitação Respiratória na Doença Pulmonar Obstrutiva Crónica (DPOC). Lisboa: DGS.
Disler, R. T., Green, A., Luckett, T., Newton, P. J., Inglis, S., Currow, D. C., & Davidson, P. M. (2014). Experience of advanced chronic obstructive pulmonary disease: metasynthesis of qualitative research. Journal of pain and symptom management, 48(6), 1182-1199.
Efraimsson, E., Hillervik, C., & Ehrenberg, A. (2008). Effects of COPD self-care management education at a nurse-led primary health care clinic. Scandinavian Journal of Caring Science. 22(2) 178-85.
Gysels, M. H., & Higginson, I. J. (2009). Self-management for breathlessness in COPD: the role of pulmonary rehabilitation. Chronic respiratory disease, 6(3), 133-140.
Global Iniciative for Chronic Obstrutive Lung Disease (GOLD) (2017). Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease. Global Initiative for Chronic Obstructive Lung Disease.
HIggings, J., Green, S (2009). – Cochrane Handbook for Systematic Reviews of Interventions Version 5.0.2 [em linha]. The Cochrane Collaboration, [Consult. 2018-03-26]. Disponível e WWW:< URL:www.cochrane-handbook.org>.
Instituto Nacional de Estatística (INE) (2017). Causas de Morte 2015. Portal do Instituo Nacional de Estatística. Retrieved from www.ine.pt
Isselt, E., Sruit, M., Groenewegen-Spkema, K., Chavannes, N. & Achterberg, W. (2014). Geriatric rehabilitation for patients with advanced chronic obstructive pulmonary disease. Chronic Respiratory Disease, 11(2), 111–119.
Kasikçi, M. (2010). Using self-efficacy theory to educate a patient with chronic obstrutive pulmonary disease: A case study of 1-year follow-up. International Jounal of Nursing Practice. 17 1-8.
Kasikçi, M. & Alberto, J. (2007). Family support, perceived sef-efficacy and self-care behavior of Turkish patients with chronic obstructive pulmonary disease. Journal of Clinical Nursing. 16. 1468-1478.
Melnyk, B. & Fineout-Overholt, E. (2005). Evidence-based practice in Nursing & Healthcare - a guide to best practice (2nd ed.). Philadelphia: Lippincott Williams & Wilkins.
Molina, A. & S, Valenzuela, S (2009). Teoria de Orem aplicada a intervenciones durante el embarazo y climaterio. Revista Brasileira de Enfermagem. 62(4) 613-619.
Nguyen, H., Nonesky-Cuenco, D., Wolpin, S., Reinke, L., Benditt, J., Paul, S. … Carrieri-Kohman, V. (2008). Randomized controlled trial of na internt-based versos face-to-face dyspnea self-management Program for Patients whith cronic obstructive pulmonary disease: Pilot Study. J Med Internet Res .10 (2) e9. doi: 10.2196/jmir.990.
Orem, D. (2001). Nursing: concepts of practice. (6th ed.). St. Louis: Mosby.
Ordem dos Enfermeiros (2010). Regulamento das Competências Específicas do Enfermeiro Especialista em Enfermagem de Reabilitação. Lisboa: Ordem dos Enfermeiros.
Organização Mundial de Saúde. (2015). Relatório mundial sobre envelhecimento e saúde. Organização Mundial da Saúde.
Petronilho, F. (2012). Autocuidado – Conceito central da enfermagem. Coimbra: Formasau.
Redman, B. (2007). Responsability for control; ethics of patient preparation for self-management of chronic disease. Bioethics. 21 (5) 243-250.
Richard, A. & Shea, K. (2011). Delineation of self-care and associated concepts. Journal of nursing scholarship. Sigma Theta Tau. 43 (3) 255-64.
Silva, I., Oliveira, M., Silva, E., Polaro, S., Radünz, V., Santos, E. & Santana, M. (2009). Cuidado, autocuidado e cuidado de si: uma compreensão paradigmática para o cuidado de enfermagem. Revista Escola de Enfermagem USP. 43 (3) 697-703.
Titova, E., Steinshamn, S., Indredavik, B. & Henriksen, A. (2015). Long term effects of an integrated care intervention on hospital utilization in patients with severe COPD a single centre-controlled study. Respiratory Research, 16 (8) doi: 10.1186/s12931-015-0170-1.
Trappenburg, J., Koevoets, L., Oene, G., Monninkhof, E., Bourbeau, J., Troosters, T. ... Schri jvers, A. (2009). Action Plan to enhace self-management and early detection of exacerbations in COPD patients. BMC Pulmonary Medicine. 9 (52) 1-10.
Vos, T., Barber, R. M., Bell, B., Bertozzi-Villa, A., Biryukov, S., Bolliger, I., ... & Duan, L. (2015). Global, regional, and national incidence, prevalence, and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries, 1990–2013: a systematic analysis for the Global Burden of Disease Study 2013. The Lancet, 386(9995), 743-800.
Warwik, M., Gallagher, R., Chenoweth, L. & Parbury, J. (2009). Self-management and symptom monitoring among older adults with chonic obstrutive pulmonary disease. Jounal of advanced nursing. 66 (4), 784-791.
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