Programas educativos en pacientes con Enfermedad Pulmonar Obstructiva Crónica. Revisión integradora
Agencias de apoyo
- Sociedad Española de Enfermedades Respiratorias (SEPAR) Área de enfermería
Resumen
Según la OMS, el objetivo de la educación terapéutica (ET) es ayudar al paciente a adquirir los recursos necesarios para gestionar óptimamente su vida con una enfermedad crónica. La ET forma parte del tratamiento en la prevención secundaria y terciaria. La última revisión de la Cochrane ha demostrado resultados positivos, sin embargo, la heterogeneidad de las poblaciones, tipo de intervenciones y medidas de resultado hace que sea difícil establecer recomendaciones claras en este ámbito. Así como se desconoce qué instrumentos son los recomendables para evaluar el cumplimiento terapéutico en la EPOC. Por tanto es necesario realizar de una revisión con el objetivo de conocer las características de los ensayos clínicos, el perfil del paciente EPOC, los contenidos de la ET y las variables estudiadas en los mismos. Identificándose 22 ensayos clínicos con una alta calidad metodológica, escala Jadad >3 que mostraron que en los ensayos clínicos de programas de ET las variables más estudiadas son la calidad de vida, ingresos hospitalarios y las variables de función pulmonar, donde la ET disminuye los ingresos hospitalarios, favorece la deshabituación tabáquica, mejora los conocimientos de la EPOC cuyas intervenciones son sesiones grupales, con diferentes materiales educativos, existiendo un auge en el número de publicaciones en este ámbito. Existe una gran variedad en los instrumentos de evaluación y heterogeneidad de las intervenciones, para establecer conclusiones.Descargas
Citas
Miravitlles M, Soler-Cataluña JJ, Calle M, Molina J, Almagro P, Quintano JA, et al. [Spanish COPD Guidelines (GesEPOC): Pharmacological treatment of stable COPD]. Aten Primaria [Internet]. 2012 Jul [cited 2014 Jun 12];44(7):425–37. Available from: http://www.sciencedirect.com/science/article/pii/S0212656712001850
Peces-Barba G, Barberà JA, Agustí A, Casanova C, Casas A, Izquierdo JL, et al. [Diagnosis and management of chronic obstructive pulmonary disease: joint guidelines of the Spanish Society of Pulmonology and Thoracic Surgery (SEPAR) and the Latin American Thoracic Society (ALAT)]. Arch Bronconeumol [Internet]. 2008 May [cited 2014 Jun 12];44(5):271–81. Available from: http://www.ncbi.nlm.nih.gov/pubmed/18448019
Anzueto, Antonio; Sethi, Sanjay; Martinez FJ. Exacerbations of chronic obstructive pulmonary disease. Proc Am Thorac Soc [Internet]. 2007 Oct 1 [cited 2014 Jun 8];4(7):554–64. Available from: http://www.ncbi.nlm.nih.gov/pubmed/17878469
GESEPOC G de trabajo. Guía de Práctica Clínica para el Diagnóstico y Tratamiento de Pacientes con Enfermedad Pulmonar Obstructiva Crónica (EPOC) [Internet]. [cited 2014 Jun 12]. Available from: file:///C:/Users/Usuario 1/Desktop/6v48nSupl.1a90141716pdf001.pdf
Soler JJ, Martínez-García MA, Román P, Orero R, Terrazas S, Martínez-Pechuán A. [Effectiveness of a specific program for patients with chronic obstructive pulmonary disease and frequent exacerbations]. Arch Bronconeumol [Internet]. 2006 Oct [cited 2014 Jun 11];42(10):501–8. Available from: http://www.ncbi.nlm.nih.gov/pubmed/17067516
Miravitlles M, Mayordomo C, Artés M, Sánchez-Agudo L, Nicolau F, Segú JL. Treatment of chronic obstructive pulmonary disease and its exacerbations in general practice. EOLO Group. Estudio Observacional de la Limitación Obstructiva al Flujo aEreo. Respir Med [Internet]. 1999 Mar [cited 2014 Jun 12];93(3):173–9. Available from: http://www.ncbi.nlm.nih.gov/pubmed/10464874
Soler J, Sánchez L, Latorre M, Alamar J, Román P, Perpiñá M. [The impact of COPD on hospital resources: the specific burden of COPD patients with high rates of hospitalization]. Arch Bronconeumol [Internet]. 2001 Oct [cited 2014 Jun 12];37(9):375–81. Available from: http://www.ncbi.nlm.nih.gov/pubmed/11674937
Zwerink M et al. Self management for patients with chronic obstructive pulmonary disease (Review) [Internet]. Self management for patients with chronic obstructive pulmonary disease (Review). 2014 [cited 2014 Jun 12]. p. Issue 3; The Cochrane Collaboration and published. Available from: http://www.update-software.com//BCP/WileyPDF/EN/CD002990.pdf
INE. Instituto Nacional de estadística. Sociedad y salud, encuesta de nacional de salud, datos del estado de salud absolutos del año 2012, según problemas o enfermedades crónicas o de larga evolución en los últimos 12 meses en población adulta según sexo y g [Internet]. Encuesta de nacional de salud, datos del estado de salud absolutos del año 2012, según problemas o enfermedades crónicas o de larga evolución en los últimos 12 meses en población adulta. 2012 [cited 2014 Jun 12]. Available from: https://www.google.es/?gws_rd=ssl#q=.+Instituto+Nacional+de+estad%C3%ADstica.+Sociedad+y+salud%2C+encuesta+de+nacional+de+salud%2C+datos+del+estado+de+salud+absolutos+del+a%C3%B1o+2012%2C+seg%C3%BAn+problemas+o+enfermedades+cr%C3%B3nicas+o+de+larga+evoluci%C3%B3n+en+los+%C3%BAltimos+12+meses+en+poblaci%C3%B3n+adulta+seg%C3%BAn+sexo+y+grupo+de+edad.+Poblaci%C3%B3n+de+15+y+m%C3%A1s+a%C3%B1os.+Disponibles+en%3A+http%3A%2F%2Fwww.ine.es%2Fjaxi%2Ftabla.do
Global Initiative for Chronic Obstructive Lung Disease 2014 [Internet]. [cited 2014 Jun 12]. Available from: http://www.goldcopd.org/uploads/users/files/GOLD_Report_2014_Jun11.pdf
Steer J, Gibson GJ, Bourke SC. Predicting outcomes following hospitalization for acute exacerbations of COPD. QJM [Internet]. 2010 Nov [cited 2014 Jun 12];103(11):817–29. Available from: http://www.ncbi.nlm.nih.gov/pubmed/20660633
Román JM. Interés de la Educación Terapéutica en el manejo del asma. Monografía Asma y Educación. Arch Bronconeumol [Internet]. 2010;46:600-6 V:65–73. Available from: http://mail.respirar.org/pdf/gae/curso2006.pdf#page=65
Walters JA, Turnock AC, Walters EH, Wood-Baker R. Action plans with limited patient education only for exacerbations of chronic obstructive pulmonary disease. Cochrane database Syst Rev [Internet]. 2010 Jan [cited 2014 Aug 10];(5):CD005074. Available from: http://www.ncbi.nlm.nih.gov/pubmed/20464737
Jadad AR, Moore RA, Carroll D, Jenkinson C, Reynolds DJ, Gavaghan DJ, et al. Assessing the quality of reports of randomized clinical trials: is blinding necessary? Control Clin Trials [Internet]. 1996 Mar [cited 2014 May 30];17(1):1–12. Available from: http://www.ncbi.nlm.nih.gov/pubmed/8721797
Casey D, Murphy K, Devane D, Cooney A, McCarthy B, Mee L, et al. The effectiveness of a structured education pulmonary rehabilitation programme for improving the health status of people with moderate and severe chronic obstructive pulmonary disease in primary care: the PRINCE cluster randomised trial. Thorax [Internet]. 2013 Oct [cited 2014 May 27];68(10):922–8. Available from: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3786654&tool=pmcentrez&rendertype=abstract
Parker DR, Eaton CB, Ahern DK, Roberts MB, Rafferty C, Goldman RE, et al. The study design and rationale of the randomized controlled trial: translating COPD guidelines into primary care practice. BMC Fam Pract [Internet]. 2013 Jan [cited 2014 Jun 10];14:56. Available from: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3651367&tool=pmcentrez&rendertype=abstract
Leiva-Fernández F, Leiva-Fernández J, Zubeldia-Santoyo F, García-Ruiz A, Prados-Torres D, Barnestein-Fonseca P. Efficacy of two educational interventions about inhalation techniques in patients with chronic obstructive pulmonary disease (COPD). TECEPOC: study protocol for a partially randomized controlled trial (preference trial). Trials [Internet]. 2012 Jan [cited 2014 Jun 5];13:64. Available from: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3404981&tool=pmcentrez&rendertype=abstract
Bourbeau J, Nault D, Dang-Tan T. Self-management and behaviour modification in COPD . Patient Educ Couns [Internet]. 2004 Mar [cited 2014 May 25];52(3):271–7. Available from: http://www.ncbi.nlm.nih.gov/pubmed/14998597
Ashmore J, Russo R, Peoples J, Sloan J, Jackson BE, Bae S, et al. Chronic obstructive pulmonary disease self-management activation research trial (COPD-SMART): design and methods. Contemp Clin Trials [Internet]. 2013 Jul [cited 2014 Jun 10];35(2):77–86. Available from: http://www.ncbi.nlm.nih.gov/pubmed/23680985
Casey D, Murphy K, Cooney A, Mee L. Developing a structured education programme for clients with COPD. Br J Community Nurs [Internet]. 2011 May [cited 2014 Jun 10];16(5):231–7. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21642927
Valero C, Monteagudo M, Llagostera M, Bayona X, Granollers S, Acedo M, et al. Evaluation of a combined strategy directed towards health-care professionals and patients with chronic obstructive pulmonary disease (COPD): information and health education feedback for improving clinical monitoring and quality-of-life. BMC Public Health [Internet]. 2009 Jan [cited 2014 May 27];9:442. Available from: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=2799410&tool=pmcentrez&rendertype=abstract
Paneroni M, Clini E, Crisafulli E, Guffanti E, Fumagalli A, Bernasconi A, et al. Feasibility and effectiveness of an educational program in Italian COPD patients undergoing rehabilitation. Respir Care [Internet]. 2013 Feb [cited 2014 Jun 10];58(2):327–33. Available from: http://www.ncbi.nlm.nih.gov/pubmed/22782190
Zhou Y, Hu G, Wang D, Wang S, Wang Y, Liu Z, et al. Community based integrated intervention for prevention and management of chronic obstructive pulmonary disease (COPD) in Guangdong, China: cluster randomised controlled trial. BMJ [Internet]. 2010 Jan [cited 2014 Jun 10];341:c6387. Available from: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=2995286&tool=pmcentrez&rendertype=abstract
Carré PC, Roche N, Neukirch F, Radeau T, Perez T, Terrioux P, et al. The effect of an information leaflet upon knowledge and awareness of COPD in potential sufferers. A randomized controlled study. Respiration [Internet]. 2008 Jan [cited 2014 Jun 10];76(1):53–60. Available from: http://www.ncbi.nlm.nih.gov/pubmed/18253024
Van Zeller M, Vaz AP, Soares Pires F, Neves I, Drummond M, Carvalho AM, et al. Efficacy evaluation of educational sessions for patients with asthma and COPD. Rev Port Pneumol [Internet]. 2012 [cited 2014 Jun 10];18(1):29–33. Available from: http://www.ncbi.nlm.nih.gov/pubmed/22177939
Davis AHT, Carrieri-Kohlman V, Janson SL, Gold WM, Stulbarg MS. Effects of treatment on two types of self-efficacy in people with chronic obstructive pulmonary disease. J Pain Symptom Manage [Internet]. 2006 Jul [cited 2014 Jun 10];32(1):60–70. Available from: http://www.ncbi.nlm.nih.gov/pubmed/16824986
Nguyen HQ, Carrieri-Kohlman V. Dyspnea self-management in patients with chronic obstructive pulmonary disease: moderating effects of depressed mood. Psychosomatics [Internet]. 2005 [cited 2014 Jun 10];46(5):402–10. Available from: http://www.ncbi.nlm.nih.gov/pubmed/16145184
Finnerty JP, Keeping I, Bullough I, Jones J. The effectiveness of outpatient pulmonary rehabilitation in chronic lung disease: a randomized controlled trial. Chest [Internet]. 2001 Jun [cited 2014 Jun 10];119(6):1705–10. Available from: http://www.ncbi.nlm.nih.gov/pubmed/11399694
Kunik ME, Veazey C, Cully JA, Souchek J, Graham DP, Hopko D, et al. COPD education and cognitive behavioral therapy group treatment for clinically significant symptoms of depression and anxiety in COPD patients: a randomized controlled trial. Psychol Med [Internet]. 2008 Mar [cited 2014 Jun 10];38(3):385–96. Available from: http://www.ncbi.nlm.nih.gov/pubmed/17922939
Scherer YK, Schmieder LE, Shimmel S. The effects of education alone and in combination with pulmonary rehabilitation on self-efficacy in patients with COPD. Rehabil Nurs [Internet]. 1998 [cited 2014 Jun 10];23(2):71–7. Available from: http://www.ncbi.nlm.nih.gov/pubmed/9668868
Lainscak M, Kadivec S, Kosnik M, Benedik B, Bratkovic M, Jakhel T, et al. Discharge coordinator intervention prevents hospitalizations in patients with COPD: a randomized controlled trial. J Am Med Dir Assoc [Internet]. 2013 Jun [cited 2014 Jun 10];14(6):450.e1–6. Available from: http://www.ncbi.nlm.nih.gov/pubmed/23623520
Gallefoss F. The effects of patient education in COPD in a 1-year follow-up randomised, controlled trial. Patient Educ Couns [Internet]. 2004 Mar [cited 2014 Jun 11];52(3):259–66. Available from: http://www.ncbi.nlm.nih.gov/pubmed/14998595
Gallefoss F, Bakke PS. Impact of patient education and self-management on morbidity in asthmatics and patients with chronic obstructive pulmonary disease. Respir Med [Internet]. 2000 Mar [cited 2014 Jun 11];94(3):279–87. Available from: http://www.ncbi.nlm.nih.gov/pubmed/10783940
Gallefoss F, Bakke PS. How does patient education and self-management among asthmatics and patients with chronic obstructive pulmonary disease affect medication? Am J Respir Crit Care Med [Internet]. 1999 Dec [cited 2014 Jun 11];160(6):2000–5. Available from: http://www.ncbi.nlm.nih.gov/pubmed/10588620
Gallefoss F, Bakke PS, Rsgaard PK. Quality of life assessment after patient education in a randomized controlled study on asthma and chronic obstructive pulmonary disease. Am J Respir Crit Care Med [Internet]. 1999 Mar [cited 2014 Jun 11];159(3):812–7.
Available from: http://www.ncbi.nlm.nih.gov/pubmed/10051255
Nguyen HQ, Donesky D, Reinke LF, Wolpin S, Chyall L, Benditt JO, et al. Internet-based dyspnea self-management support for patients with chronic obstructive pulmonary disease. J Pain Symptom Manage [Internet]. 2013 Jul [cited 2014 Jun 11];46(1):43–55. Available from: http://www.ncbi.nlm.nih.gov/pubmed/23073395
Lord VM, Cave P, Hume VJ, Flude EJ, Evans A, Kelly JL, et al. Singing teaching as a therapy for chronic respiratory disease--a randomised controlled trial and qualitative evaluation. BMC Pulm Med [Internet]. 2010 Jan [cited 2014 Jun 11];10:41. Available from: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=2920262&tool=pmcentrez&rendertype=abstract
Osterlund Efraimsson E, Osterlund Eraimsson E, Eva OE, Klang B, Birgitta K, Larsson K, et al. Communication and self-management education at nurse-led COPD clinics in primary health care. Patient Educ Couns [Internet]. 2009 Nov [cited 2014 Jun 11];77(2):209–17. Available from: http://www.ncbi.nlm.nih.gov/pubmed/19414234
Kim J, Kim S, Kim H-C, Kim K-H, Yang S-C, Lee C-T, et al. Effects of consumer-centered u-health service for the knowledge, skill, and attitude of the patients with chronic obstructive pulmonary disease. Comput Inform Nurs [Internet]. 2012 Dec [cited 2014 Jun 10];30(12):661–71. Available from: http://www.ncbi.nlm.nih.gov/pubmed/23266537
Kara M, Aşti T. Effect of education on self-efficacy of Turkish patients with chronic obstructive pulmonary disease. Patient Educ Couns [Internet]. 2004 Oct [cited 2014 Jun 11];55(1):114–20. Available from: http://www.ncbi.nlm.nih.gov/pubmed/15476998
Boxall A-M, Barclay L, Sayers A, Caplan GA. Managing chronic obstructive pulmonary disease in the community. A randomized controlled trial of home-based pulmonary rehabilitation for elderly housebound patients. J Cardiopulm Rehabil [Internet]. 2005 [cited 2014 Jun 10];25(6):378–85. Available from: http://www.ncbi.nlm.nih.gov/pubmed/16327534
Carrieri-Kohlman V, Nguyen HQ, Donesky-Cuenco D, Demir-Deviren S, Neuhaus J, Stulbarg MS. Impact of brief or extended exercise training on the benefit of a dyspnea self-management program in COPD. J Cardiopulm Rehabil [Internet]. 2005 [cited 2014 May 29];25(5):275–84. Available from: http://www.ncbi.nlm.nih.gov/pubmed/16217231
McGlone S, Wood-Baker R WE. The effect of a written action plan in COPD [Abstract]. Respirology 2004;9(2 Suppl):A46. Respirology [Internet]. 2004 Mar [cited 2014 Sep 23];9(s2):A1–A75. Available from: http://doi.wiley.com/10.1111/j.1440-1843.2004.00553.x
Field SK, Conley DP, Thawer AM, Leigh R, Cowie RL. Effect of the management of patients with chronic cough by pulmonologists and certified respiratory educators on quality of life: a randomized trial. Chest [Internet]. 2009 Oct [cited 2014 Jun 11];136(4):1021–8. Available from: http://www.ncbi.nlm.nih.gov/pubmed/19349387
Khdour MR, Agus AM, Kidney JC, Smyth BM, McElnay JC, Elnay JC, et al. Cost-utility analysis of a pharmacy-led self-management programme for patients with COPD. Int J Clin Pharm [Internet]. 2011 Aug [cited 2014 Jun 11];33(4):665–73. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21643784
Hoogendoorn M, van Wetering CR, Schols AM, Rutten-van Mölken MPMH. Is INTERdisciplinary COMmunity-based COPD management (INTERCOM) cost-effective? Eur Respir J [Internet]. 2010 Jan [cited 2014 Jun 11];35(1):79–87. Available from: http://www.ncbi.nlm.nih.gov/pubmed/19574331
Koff PB, Jones RH, Cashman JM, Voelkel NF, Vandivier RW. Proactive integrated care improves quality of life in patients with COPD. Eur Respir J [Internet]. 2009 May [cited 2014 Jun 11];33(5):1031–8. Available from: http://www.ncbi.nlm.nih.gov/pubmed/19129289
Siddique HH, Olson RH, Parenti CM, Rector TS, Caldwell M, Dewan NA, et al. Randomized trial of pragmatic education for low-risk COPD patients: impact on hospitalizations and emergency department visits. Int J Chron Obstruct Pulmon Dis [Internet]. 2012 Jan [cited 2014 Jun 11];7:719–28. Available from: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3484530&tool=pmcentrez&rendertype=abstract
Taylor SJC, Sohanpal R, Bremner SA, Devine A, McDaid D, Fernández J-L, et al. Self-management support for moderate-to-severe chronic obstructive pulmonary disease: a pilot randomised controlled trial. Br J Gen Pract [Internet]. 2012 Oct [cited 2014 Jun 11];62(603):e687–95. Available from: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3459776&tool=pmcentrez&rendertype=abstract
Bucknall CE, Miller G, Lloyd SM, Cleland J, McCluskey S, Cotton M, et al. Glasgow supported self-management trial (GSuST) for patients with moderate to severe COPD: randomised controlled trial. BMJ [Internet]. 2012 Jan [cited 2014 Jun 11];344:e1060. Available from: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3295724&tool=pmcentrez&rendertype=abstract
Chavannes NH, Grijsen M, van den Akker M, Schepers H, Nijdam M, Tiep B, et al. Integrated disease management improves one-year quality of life in primary care COPD patients: a controlled clinical trial. Prim Care Respir J [Internet]. 2009 Sep [cited 2014 Jun 11];18(3):171–6. Available from: http://www.ncbi.nlm.nih.gov/pubmed/19142557
Gallefoss F, Bakke PS. Patient satisfaction with healthcare in asthmatics and patients with COPD before and after patient education. Respir Med [Internet]. 2000 Nov [cited 2014 Jun 3];94(11):1057–64. Available from: http://www.ncbi.nlm.nih.gov/pubmed/11127492
Watson PB, Town GI, Holbrook N, Dwan C, Toop LJ, Drennan CJ. Evaluation of a self-management plan for chronic obstructive pulmonary disease. Eur Respir J [Internet]. 1997 Jun [cited 2014 Jun 11];10(6):1267–71. Available from: http://www.ncbi.nlm.nih.gov/pubmed/9192927
Hill K, Mangovski-Alzamora S, Blouin M, Guyatt G, Heels-Ansdell D, Bragaglia P, et al. Disease-specific education in the primary care setting increases the knowledge of people with chronic obstructive pulmonary disease: a randomized controlled trial. Patient Educ Couns [Internet]. 2010 Oct [cited 2014 Jun 11];81(1):14–8. Available from: http://www.ncbi.nlm.nih.gov/pubmed/19853399
Bourbeau J, Collet J-P, Schwartzman K, Ducruet T, Nault D, Bradley C. Economic benefits of self-management education in COPD. Chest [Internet]. 2006 Dec [cited 2014 Jun 11];130(6):1704–11. Available from: http://www.ncbi.nlm.nih.gov/pubmed/17166985
Monninkhof E, van der Valk P, Schermer T, van der Palen J, van Herwaarden C, Zielhuis G. Economic evaluation of a comprehensive self-management programme in patients with moderate to severe chronic obstructive pulmonary disease. Chron Respir Dis [Internet]. 2004 Jan [cited 2014 Jun 11];1(1):7–16. Available from: http://www.ncbi.nlm.nih.gov/pubmed/16281663
Coultas D, Frederick J, Barnett B, Singh G, Wludyka P. A randomized trial of two types of nurse-assisted home care for patients with COPD. Chest [Internet]. 2005 Oct [cited 2014 Jun 11];128(4):2017–24. Available from: http://www.ncbi.nlm.nih.gov/pubmed/16236850
Kiser K, Jonas D, Warner Z, Scanlon K, Shilliday BB, DeWalt DA. A randomized controlled trial of a literacy-sensitive self-management intervention for chronic obstructive pulmonary disease patients. J Gen Intern Med [Internet]. 2012 Feb [cited 2014 Jun 11];27(2):190–5. Available from: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3270237&tool=pmcentrez&rendertype=abstract
Monteagudo M, Rodriguez-Blanco T, Llagostera M, Valero C, Bayona X, Granollers S, et al. Effect of health professional education on outcomes of chronic obstructive pulmonary disease in primary care: a non-randomized clinical trial. Respirology [Internet]. 2013 May [cited 2014 Jun 11];18(4):718–27. Available from: http://www.ncbi.nlm.nih.gov/pubmed/23438203
Wakabayashi R, Motegi T, Yamada K, Ishii T, Jones RC, Hyland ME, et al. Efficient integrated education for older patients with chronic obstructive pulmonary disease using the Lung Information Needs Questionnaire. Geriatr Gerontol Int [Internet]. 2011 Oct [cited 2014 Jun 11];11(4):422–30. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21447136
Rice KL, Dewan N, Bloomfield HE, Grill J, Schult TM, Nelson DB, et al. Disease management program for chronic obstructive pulmonary disease: a randomized controlled trial. Am J Respir Crit Care Med [Internet]. 2010 Oct 1 [cited 2014 Jun 11];182(7):890–6. Available from: http://www.ncbi.nlm.nih.gov/pubmed/20075385
Theander K, Jakobsson P, Jörgensen N, Unosson M. Effects of pulmonary rehabilitation on fatigue, functional status and health perceptions in patients with chronic obstructive pulmonary disease: a randomized controlled trial. Clin Rehabil [Internet]. 2009 Feb [cited 2014 Jun 11];23(2):125–36. Available from: http://www.ncbi.nlm.nih.gov/pubmed/19164400
Efraimsson EO, Hillervik C, Ehrenberg A. Effects of COPD self-care management education at a nurse-led primary health care clinic. Scand J Caring Sci [Internet]. 2008 Jun [cited 2014 Jun 11];22(2):178–85. Available from: http://www.ncbi.nlm.nih.gov/pubmed/18489687
Rootmensen GN, van Keimpema ARJ, Looysen EE, van der Schaaf L, de Haan RJ, Jansen HM. The effects of additional care by a pulmonary nurse for asthma and COPD patients at a respiratory outpatient clinic: results from a double blind, randomized clinical trial. Patient Educ Couns [Internet]. 2008 Feb [cited 2014 Jun 11];70(2):179–86. Available from: http://www.ncbi.nlm.nih.gov/pubmed/18031971
Sridhar M, Taylor R, Dawson S, Roberts NJ, Partridge MR. A nurse led intermediate care package in patients who have been hospitalised with an acute exacerbation of chronic obstructive pulmonary disease. Thorax [Internet]. 2008 Mar [cited 2014 Jun 11];63(3):194–200. Available from: http://www.ncbi.nlm.nih.gov/pubmed/17901162
Gadoury M-A, Schwartzman K, Rouleau M, Maltais F, Julien M, Beaupré A, et al. Self-management reduces both short- and long-term hospitalisation in COPD. Eur Respir J [Internet]. 2005 Nov [cited 2014 Jun 11];26(5):853–7. Available from: http://www.ncbi.nlm.nih.gov/pubmed/16264046
Hesselink AE, Penninx BWJH, van der Windt DAWM, van Duin BJ, de Vries P, Twisk JWR, et al. Effectiveness of an education programme by a general practice assistant for asthma and COPD patients: results from a randomised controlled trial. Patient Educ Couns [Internet]. 2004 Oct [cited 2014 Jun 11];55(1):121–8. Available from: http://www.ncbi.nlm.nih.gov/pubmed/15476999
Bischoff EWMA, Akkermans R, Bourbeau J, van Weel C, Vercoulen JH, Schermer TRJ. Comprehensive self management and routine monitoring in chronic obstructive pulmonary disease patients in general practice: randomised controlled trial. BMJ [Internet]. 2012 Jan 28 [cited 2014 Jun 24];345(nov28_1):e7642. Available from: http://www.bmj.com/content/345/bmj.e7642.full.pdf+html
McGeoch GRB, Willsman KJ, Dowson CA, Town GI, Frampton CM, McCartin FJ, et al. Self-management plans in the primary care of patients with chronic obstructive pulmonary disease. Respirology [Internet]. 2006 Sep [cited 2014 Jun 10];11(5):611–8. Available from: http://www.ncbi.nlm.nih.gov/pubmed/16916335
Sedeno MF, Nault D, Hamd DH, Bourbeau J. A self-management education program including an action plan for acute COPD exacerbations. COPD [Internet]. 2009 Oct [cited 2014 Jun 10];6(5):352–8. Available from: http://www.ncbi.nlm.nih.gov/pubmed/19863364
Fan VS, Gaziano JM, Lew R, Bourbeau J, Adams SG, Leatherman S, et al. A comprehensive care management program to prevent chronic obstructive pulmonary disease hospitalizations: a randomized, controlled trial. Ann Intern Med [Internet]. 2012 May 15 [cited 2014 May 23];156(10):673–83. Available from: http://www.ncbi.nlm.nih.gov/pubmed/22586006
Labrecque M, Rabhi K, Laurin C, Favreau H, Moullec G, Lavoie K, et al. Can a self-management education program for patients with chronic obstructive pulmonary disease improve quality of life? Can Respir J [Internet]. 2011 [cited 2014 Jun 11];18(5):e77–81. Available from: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3267612&tool=pmcentrez&rendertype=abstract
Rea H, McAuley S, Stewart A, Lamont C, Roseman P, Didsbury P. A chronic disease management programme can reduce days in hospital for patients with chronic obstructive pulmonary disease. Intern Med J [Internet]. 2004 Nov [cited 2014 Jun 11];34(11):608–14. Available from: http://www.ncbi.nlm.nih.gov/pubmed/15546454
Cockcroft A, Bagnall P, Heslop A, Andersson N, Heaton R, Batstone J, et al. Controlled trial of respiratory health worker visiting patients with chronic respiratory disability. Br Med J (Clin Res Ed) [Internet]. 1987 Jan 24 [cited 2014 Jun 11];294(6566):225–8. Available from: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1245234&tool=pmcentrez&rendertype=abstract
Littlejohns P, Baveystock CM, Parnell H, Jones PW. Randomised controlled trial of the effectiveness of a respiratory health worker in reducing impairment, disability, and handicap due to chronic airflow limitation. Thorax [Internet]. 1991 Aug [cited 2014 Jun 11];46(8):559–64. Available from: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=463273&tool=pmcentrez&rendertype=abstract
Living well with a Chronic Obstructive Pulmonary Disease - COPD [Internet]. [cited 2014 Nov 19]. Available from: http://www.livingwellwithcopd.com/
Cochrane Data Base Of Systematic Reviews. Autocuidado para pacientes con enfermedad obstructiva crónica (Revisión Cochrane traducida). [Internet]. 2011 [cited 2014 Jul 16]. Available from: http://www.update-software.com/PDF-ES/CD002990.pdf
De los Santos Izquierdo JM, Peña Molinero C, Ortega Barriuso R, Manso Melgosa AB. Revisión de evidencias sobre la influencia de la dieta en la evolución de la EPOC. Enfermería Glob [Internet]. 2012 Oct 1 [cited 2014 Jul 16];11(4). Available from: http://revistas.um.es/eglobal/article/view/eglobal.11.4.132491
Ferreira IM, Brooks D, White J, Goldstein R. Nutritional
upplementation for stable chronic obstructive pulmonary disease. Cochrane database Syst Rev [Internet]. 2012 Jan [cited 2014 Aug 25];12:CD000998. Available from: http://www.ncbi.nlm.nih.gov/pubmed/23235577
Van der Meer RM, Wagena EJ, Ostelo RWJG, Jacobs JE, van Schayck CP. Smoking cessation for chronic obstructive pulmonary disease. Cochrane database Syst Rev [Internet]. 2003 Jan [cited 2014 Aug 25];(2):CD002999. Available from: http://www.ncbi.nlm.nih.gov/pubmed/12804448
Casas A, Troosters T, Garcia-Aymerich J, Roca J, Hernández C, Alonso A, et al. Integrated care prevents hospitalisations for exacerbations in COPD patients. Eur Respir J [Internet]. 2006 Jul 1 [cited 2015 Jul 20];28(1):123–30. Available from: http://erj.ersjournals.com/content/28/1/123.full
Hernandez C, Casas A, Escarrabill J, Alonso J, Puig-Junoy J, Farrero E, et al. Home hospitalisation of exacerbated chronic obstructive pulmonary disease patients. Eur Respir J [Internet]. 2003 Jan [cited 2014 Jun 16];21(1):58–67. Available from: http://www.ncbi.nlm.nih.gov/pubmed/12570110
Taylor SJC, Candy B, Bryar RM, Ramsay J, Vrijhoef HJM, Esmond G, et al. Effectiveness of innovations in nurse led chronic disease management for patients with chronic obstructive pulmonary disease: systematic review of evidence. BMJ [Internet]. 2005 Sep 3 [cited 2014 Jul 17];331(7515):485. Available from: http://www.bmj.com/content/331/7515/485
Rühle K-H. [COPD: Living better with telehealthcare?]. Dtsch Med Wochenschr [Internet]. 2012 Apr [cited 2014 Aug 10];137(16):827. Available from: http://www.ncbi.nlm.nih.gov/pubmed/22495916
Jansà M, Hernández C, Vidal M, Nuñez M, Bertran MJ, Sanz S, et al. Multidimensional analysis of treatment adherence in patients with multiple chronic conditions. A cross-sectional study in a tertiary hospital. Patient Educ Couns [Internet]. Elsevier; 2010 Nov 11 [cited 2015 Jul 20];81(2):161–8. Available from: http://www.pec-journal.com/article/S0738399110000078/fulltext
Paul Galdas; Jennifer Fell; Peter Bower; Lisa Kidd. The effectiveness of self-management support interventions for men with long-term conditions: a systematic review and meta-analysis [Internet]. 2014 [cited 2015 Mar 21]. Available from: file:///C:/Users/Usuario 1/Downloads/BMJ Open-2015-Galdas-.pdf
Octubre G de MB en la EHU 12 de O. EFICACIA DE LOS PROGRAMAS DE TRATAMIENTO INTEGRAL DE LA EPOC. REVISIÓN SISTEMÁTICA Y META-ANÁLISIS DE ARTÍCULOS [Internet]. Evidence Based Medicine Neumología. 2014 [cited 2014 Jul 16]. Available from: http://mbeneumologia.org/mbe/docsMBE/cat.aspx?sec=tra&id=87&p=e
Sohanpal R, Hooper R, Hames R, Priebe S, Taylor S. Reporting participation rates in studies of non-pharmacological interventions for patients with chronic obstructive pulmonary disease: a systematic review. Syst Rev [Internet]. BioMed Central Ltd; 2012 Jan 29 [cited 2014 Jul 16];1(1):66. Available from: http://www.systematicreviewsjournal.com/content/1/1/66
Shamseer L, Moher D, Clarke M, Ghersi D, Liberati A, Petticrew M, et al. Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015: elaboration and explanation. BMJ [Internet]. 2015 Jan [cited 2015 Feb 10];349:g7647. Available from: http://www.ncbi.nlm.nih.gov/pubmed/25555855
Las obras que se publican en esta revista están sujetas a los siguientes términos:
1. El Servicio de Publicaciones de la Universidad de Murcia (la editorial) conserva los derechos patrimoniales (copyright) de las obras publicadas, y favorece y permite la reutilización de las mismas bajo la licencia de uso indicada en el punto 2.
© Servicio de Publicaciones, Universidad de Murcia, 2018
2. Las obras se publican en la edición electrónica de la revista bajo una licencia Creative Commons Reconocimiento-NoComercial-SinObraDerivada 4.0 España (texto legal). Se pueden copiar, usar, difundir, transmitir y exponer públicamente, siempre que: i) se cite la autoría y la fuente original de su publicación (revista, editorial y URL de la obra); ii) no se usen para fines comerciales; iii) se mencione la existencia y especificaciones de esta licencia de uso.
3. Condiciones de auto-archivo. Se permite y se anima a los autores a difundir electrónicamente las versiones pre-print (versión antes de ser evaluada y enviada a la revista) y/o post-print (versión evaluada y aceptada para su publicación) de sus obras antes de su publicación, ya que favorece su circulación y difusión más temprana y con ello un posible aumento en su citación y alcance entre la comunidad académica. Color RoMEO: verde.
