Effectiveness of a Brief Self-Care Support Intervention for Pulmonary Rehabilitation Among the Elderly Patients with Chronic Obstructive Pulmonary Disease in Korea
Article first published online: 23 MAY 2013
© 2013 Association of Rehabilitation Nurses
How to Cite
Song, H.-Y., Yong, S. J. and Hur, H. K. (2013), Effectiveness of a Brief Self-Care Support Intervention for Pulmonary Rehabilitation Among the Elderly Patients with Chronic Obstructive Pulmonary Disease in Korea. Rehabilitation Nursing. doi: 10.1002/rnj.92
- Article first published online: 23 MAY 2013
- Manuscript Accepted: 19 NOV 2012
- Yonsei University Research
- Chronic obstructive pulmonary disease;
- patient compliance;
- quality of life;
This study assessed effects of a brief self-care support intervention (SCSI) to promote health-related quality of life (HRQoL) and self-care adherence among elderly patients with COPD in Korea.
A single-blinded, randomized pre-/posttest design
A total of 40 participants were consecutively recruited from eligible patients admitted with an exacerbation of COPD to a department of pulmonology at a university hospital. Twenty participants were randomly divided into two groups: an experimental group and a control group. The experimental group received an SCSI utilizing a motivational interview. All participants were assessed with peak expiratory flow rate and 6-minute walking distance test, and answered Saint George's Respiratory Questionnaire (SGRQ) and a questionnaire on self-care adherence at pre-intervention and 2 months postintervention.
After the intervention, SGRQ scores for symptom, activity, impact, and total were significantly lower and self-care adherence scores of medication and exercise were significantly higher in the experimental group.
This study confirmed the short-tem effectiveness of a nurse-led self-management intervention for pulmonary rehabilitation on quality of life and self-care adherence among elderly patients with COPD. Further studies are warranted to verify effective strategies to improve exercise capacity for this population.
Our findings suggest a brief intervention for rehabilitation nursing with more retainable, feasible, and cost-effective strategies to enhance self-management among the elderly patients with COPD.