To our knowledge, no systematic reviews (SR) have focused on the efficacy of nursing interventions for improving breathlessness in chronic obstructive pulmonary disease (COPD).
Simen Alexander Steindal1, Trine Oksholm2, Henny Torheim3, Vivi Lycke Christensen1, Kathryn Lee4, Anners Lerdal5, Heidi Øksnes Markussen6, Gerd Gran6, Marit Leine5 and Christine Råheim Borge5
1Lovisenberg Diaconal University College, Oslo, Norway, 2VID Specialized University, Bergen, Norway, 3NTNU, Ålesund, Norway, 4University of California, San Francisco, United States of America, 5Lovisenberg Diakonale Hospital, Oslo, Norway, 6Western Norway University, Bergen, Norway
Introduction: To our knowledge, no systematic reviews (SR) have focused on the efficacy of nursing interventions for improving breathlessness in chronic obstructive pulmonary disease (COPD).
Aim: To present SR of nursing intervention studies that evaluated efficacy for improving breathlessness in adults with COPD.
Methods: A systematic search in CINAHL, PsycINFO, Embase, and Medline was conducted to identify studies with pre- and post-test design, clinical controlled trials or RCTs published from January 2000 to April 2015.
Read More : Early phenotypes of chronic obstructive pulmonary disease (COPD)
Results: Nineteen articles were included. Four categories of nursing interventions on breathlessness were identified. In the category homebased nursing four out of eight studies, including one RCT, two 2-group pre-post design, and one 1-group pre-post design found that nursing interventions improved breathlessness (p=0.04-<0.001). In the category mixed self-management/rehabilitation intervention performed in hospital and at home, five RCTs and one 2-group pre-post design found a positive change in favour of the experimental groups compared with controls (p=0.02-<0.0001). In the category pulmonary rehabilitation in clinics one RCT found no effect, while one 1-group pre-post design found a positive change over time (p<0.001). In the category other interventions one out of three RCTs found a positive effect in favour of the experimental groups compared with controls (p=0.03-0.0003).
Conclusions: Results suggest that mixed self-management/rehabilitation interventions performed in hospital and home follow-up improve breathlessness in COPD. To strengthen the knowledge of nursing interventions improving breathlessness in COPD, more RCTs are need.