Answer:
Article 1 Summary of key points
The prospective open randomised control trial conducted by Livermore et al. (2015) evaluated the use of the Cognitive behavioural therapy undertaken by the registered nurses for the patients of COPD (Chronic Obstructive Pulmonary Disease) in reducing dyspnea rate. The participants selected for the study have confirmed COPD. Total of 31 participants were selected for CBT or Cognitive Behavioural Therapy intervention with the follow up at six months. The findings showed decrease rate of dyspnea upon subjecting the patient to CBT
Article 2 Summary of key points
In the study executed by Jonsdottir, (2013) effectiveness of self management programme for COPD patients was reviewed. The study is based on the concept that self management can address the contemporary issues of chronic health problems. Therefore, the author synthesised the findings from different systematic reviews (in this case 4) related to target topic that were published previously. Although there are few studies concerning the area, the findings from the decade of the research activities revealed an improvement in the health related quality of life by implementing the self care activities. It helps to reduce the use of the health care resources. The prime features of patient centeredness are highlighted in the recent articles which are part of the self care management. Among the self care activities, the paper mainly highlighted smoking cessation, attending the education programs and individualised counselling programme, exercise, physical activity, building social support, self –efficacy, and medication compliance. However, the author concluded that the effectiveness of the self care management remains indecisive
Article 3 Summary of key points
Chien et al. (2016) evaluated the impact of the self management education programme of multidisciplinary nature on the COPD patients. The study hypothesised that after intervention, exercise tolerance, quality of life and self efficacy will improve in patients. The randomised control trial recruited COPD patients and the intervention included telephone follow up, one-on-one interviews and home visits. The findings showed that the 2 months self-management health education program significantly increased self-efficacy, confidence, in the target patients and also improve the effects of the respiratory distress.
First piece of Practical advice
Anxiety and depression have serious implications due to psychological difficulties that lead to increased breathing difficulty in COPD patients. Therefore, such patients should be provided with CBT intervention as a routine treatment in
Second piece of Practical advice
It can be advised that the patients with COPD can engage in the self management programmes. However, it is not advisable to be completely dependent on the self management instead of several benefits. Instead the patients are advised to adhere to the treatment regimen provided by the physician.
Third piece of Practical advice
For patients lacking, self confidence, self efficacy due to respiratory distress and pulmonary rehabilitation, it is advised to undertake a 2-month self-management health education program to learn the techniques of disease management.
References
Chien, C., Liu, Y., Liu, W., Lu, C., Wang, P., & Chiang, L. (2016). B109 HIGHLIGHTS AND ADVANCES IN PULMONARY REHABILITATION: Impact of multidisciplinary self-management education program in patients with chronic obstructive pulmonary disease: Self-efficacy, exercise tolerance, and quality of life. American Journal of Respiratory and Critical Care Medicine, 193, 1.
Jonsdottir, H. (2013). Self?management programmes for people living with chronic obstructive pulmonary disease: A call for a reconceptualisation. Journal of Clinical Nursing, 22(5-6), 621-637. doi:10.1111/jocn.12100
Livermore, N., Dimitri, A., Sharpe, L., McKenzie, D. K., Gandevia, S. C., & Butler, J. E. (2015). Cognitive behaviour therapy reduces dyspnoea ratings in patients with chronic obstructive pulmonary disease (COPD). Respiratory Physiology & Neurobiology, 216, 35-42. doi:10.1016/j.resp.2015.05.013
