Chest
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Review Meta Analysis
SELF-MANAGEMENT FOLLOWING AN ACUTE EXACERBATION OF COPD: A SYSTEMATIC REVIEW.
Self-management (SM) reduces hospital admissions in patients with stable COPD. However, its role immediately post-acute exacerbation (AE) is unclear. The objectives of this review were to describe SM interventions delivered immediately following an AE of COPD (AECOPD) and to conduct a systematic review with meta-analysis of its impact on health-care utilization and health outcomes. ⋯ SM interventions delivered immediately post-AE vary widely and outcome measures are inconsistent, making it difficult to draw strong recommendations regarding its effectiveness. The evaluation of SM interventions, delivered by trained health-care professionals to selected patients and which offer structured follow-up, appears necessary.
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Randomized Controlled Trial
Family-based psychosocial support and education as part of pulmonary rehabilitation in COPD: a randomized controlled trial.
Involving family as part of the patient's rehabilitation plan of care might enhance the management of COPD. The primary aim of this study was to investigate the impact of a family-based pulmonary rehabilitation (PR) program on patients and family members' coping strategies to manage COPD. ⋯ This research supports family-based PR programs to enhance coping and psychosocial adjustment to illness of the family system.