The effects of integrated disease management programs over traditional therapy on outcomes related to exacerbations, activity tolerance, and health-related quality of life in patients with chronic obstructive pulmonary disease: A systematic review
1 Pediatric Department, Imam Abdulrahman Bin Faisal Hospital, NGHA, Dammam, Saudi Arabia.
2 Respiratory Care Department, Imam Abdulrahman Bin Faisal Hospital, NGHA, Dammam, Saudi Arabia.
3Internal medicine (cardiac science unit), Imam Abdulrahman Bin Faisal Hospital, NGHA, Dammam, Saudi Arabia.
4 Staff Nurse 1, Outpatient department, Nursing Department, Imam Abdulrahman Bin Faisal Hospital, NGHA, Dammam, Saudi Arabia.
5 Female Medical Surgical Nurse Manger, Nursing Department, Imam Abdulrahman Bin Faisal Hospital, NGHA, Dammam, Saudi Arabia.
Review Article
World Journal of Advanced Research and Reviews, 2020, 07(02), 385–391
Publication history:
Received on 11 July 2020; revised on 20 August 2020; accepted on 24 August 2020
Abstract:
Background: In contrast to traditional therapy, the purpose of this study was to evaluate the effects of integrated disease management programs on patients with chronic obstructive pulmonary disease in terms of health-related quality of life, exercise tolerance, and exacerbation-related outcomes.
Method: We searched extensively for studies published between 2016 and 2020 using electronic databases (PubMed, Cochrane, and Google Scholar). Six papers were incorporated into this systematic review.
Result and conclusion: Six trials totaling 3420 randomized individuals were included in this systematic review; two of the investigations were carried out in the United States, and one each in Italy, Israel, Pakistan, and Denmark. Among the interventions are individual instructional sessions, telemonitoring, self-management, and systematic follow-up. The length of the intervention varied from three to five years. Three investigations were carried out in secondary care settings, two in primary care, and one in both primary and secondary care. According to this research, integrated disease care is expected to result in reduced hospital admissions, fewer hospital days per person, enhanced quality of life related to the condition, and the capacity to exercise.
Keywords:
Integrated management; Chronic obstructive pulmonary disease; Respiratory therapist; Management; Exacerbation; Quality of life
Full text article in PDF:
Copyright information:
Copyright © 2020 Author(s) retain the copyright of this article. This article is published under the terms of the Creative Commons Attribution Liscense 4.0