Effect of an educational group activity on the quality of life of persons with COPD
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Published:
Apr 30, 2019
Keywords:
Education,
chronic obstructive pulmonary disease,
quality of life,
nursing,
Colombia,
Main Article Content
Abstract
Introduction: Chronic obstructive pulmonary disease (COPD) is an important public health problem which affects the quality of life. Consequently, interventions aimed at reducing these impacts are necessary.
Objective: To determine the effect of an educational group activity on the quality of life of persons with COPD being attended in a fourth level institution in Bogota, Colombia, in september, 2017 and june, 2018.
Methods: The study design was quasi-experimental. The independent variable was the educational group activity, and the dependent variable was the quality of life measured by the St George's Respiratory Questionnaire (SGRQ). Patients were randomized using a computer generated table. The control group (n=30) received the usual intervention while the experimental group (n=30) had an educational group activity designed under international recommendations and given by the nursing staff. Patients who had had other group activities during the last two months were excluded.
Results: The post intervention quality of life mean was 41% and 32% for the control and experimental groups respectively. The most compromised dimension was activity. No statistically significant differences were found in the within-group and between-group analyzes.
Discussion: The slight post intervention improvement in the dimensions of activity and impact is consistent with other similar studies, but results might vary in relation to the activities performed.
Conclusions: This group activity did not induce a statistically significant improvement in the overall quality of life of persons living with COPD, nevertheless, slight improvements were found in the dimensions of activity, impact, and total score.
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References
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11. Mata-Hernández MC. La educación terapéutica para mejorar la adhesión en la enfermedad pulmonar obstructiva crónica (EPOC). Monogr. arch. bronconeumol. 2016; 3(8): 213-17.
12. Soler JJ, Martínez-García MA, Román P, Orero R, Terrazas S, Martínez-Pechuán A. Eficacia de un programa específico para pacientes con EPOC que presentan frecuentes agudizaciones. Arch. bronconeumol. 2006; 42(10): 501-8. https://doi.org/10.1157/13093392
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17. Aresté-Albà N, Torres-Puig Gros J. Eficacia de una intervención educativa a pacientes con enfermedad pulmonar obstructiva crónica y sus cuidadores. Metas enferm. 2017; 20(1): 50-6.
18. Sánchez-Alonso RI. Efectividad de una intervención educativa grupal en atención primaria para mejora de la calidad de vida de los pacientes con EPOC sobre el correcto manejo de los dispositivos inhaladores. [Tesis]. España: Facultad de Medicina-Universidad Miguel Hernández de Eche; 2017.
19. Folch A, Orts-Cortés MI, Hernández-Carcereny C, Seijas-Babot N, Maciá-Soler L. Programas educativos en pacientes con enfermedad pulmonar obstructiva crónica. Revisión integradora. Enfermería glob. 2017; 16(1): 537-55. https://doi.org/10.6018/eglobal.16.1.249021
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22. Schünemann HJ, Griffith L, Jaeschke R, Goldstein R, Stubbing D, Guyatt GH. Evaluation of the minimal important difference for the feeling thermometer and the St. George ́s Respiratory Questionnaire in patient with chronic airflow obstruction. J Clin Epidemiol. 2003; 56(12): 1170-6. https://doi.org/10.1016/S0895-4356(03)00115-X
23. Sieloff CL, Messmer PR. Imogene M. King: Marco de sistemas de interacción y teoría intermedia de la consecusión de objetivos. En: Alligood MR, Marriner A. Modelos y teorías en Enfermería. España: Ediciones Elsevier. 8 va ed. 2015.
24. Ferrer M, Alonso J, Prieto L, Plaza V, Monsó E, Marrades R, et al. Validity and reliability of the St George’s Respiratory Questionnaire after adaptation to a different language and culture: The Spanish example. Eur Respir J. 1996; 9(6): 1160-6. https://doi.org/10.1183/09031936.96.09061160
25. Pineda-Higuita SE, Ramos-Melchor VJ, Cadavid-Carmona D. Calidad de vida en pacientes con Enfermedad Pulmonar Obstructiva Univ. Salud. 2016; 18(3): 482-93 . http://dx.doi.org/10.22267/rus.161803.53
26. Farag TS, Sobn ESM, Elsawy SB, Fahmy BM. Evaluation of health-related quality of life in patinets with chronic obstructive pulmonary disease. Egypt J Bronchol. 2018; 12(3): 288-94. https://doi.org/10.4103/ejb.ejb_11_18
27. Folch-Ayora A, Orts-Cortés MI, Macia-Soler L, Andreu-Guillamon MV, Moncho J. Patient education during hospital admission due to exacerbation of chronic obstructive pulmonary disease: Effects on quality of life - Controlled and randomized experimental study. Patient Educ Couns. 2018; 102(3): 511-9. https://doi.org/10.1016/j.pec.2018.09.013
28. Caballero A, Torres-Duque CA, Jaramillo C, Bolivar F, Sanabria F, Osorio P, et al. Prevalence of COPD in five colombian cities situated at low, medium and high altitude. (PREPOCOL study). Chest. 2008; 133(2): 343-9. https://doi.org/10.1378/chest.07-1361
29. Tülüce D, Kutlutürkan S. The effect of health coaching on treatment adherence, self-efficacy, and quality of life in patients with chronic obstructive pulmonary disease. Int J Nurs Pract. 2018; 24(4): p.11. https://doi.org/10.1111/ijn.12661
30. Posada A, Caballero A, Ibáñez M, Ardila L, Álvarez A, Soler S, et al. Evaluación de la calidad de vida en pacientes del programa manejo integral de la enfermedad pulmonar obstructiva crónica (EPOC) de la EPS sanitas en Bogotá. Rev. Médica Sanitas. 2009; 12(2): 14-21.
31. Tiemensma J, Gaab E, Voorhaar M, Asijee G, Kaptein AA. Illness perceptions and coping determine quality of life in COPD patients. Int J Chron Obstruct Pulmon Dis. 2016; 11(1): 2001-7. https://doi.org/10.2147/COPD.S109227
32. Cano-Rosales DJ, Bolívar-Grimaldos F, Omaña-Roa JJ, Sepúlveda-Sierra AM. Calidad de vida relacionada con la salud en pacientes con enfermedad pulmonar obstructiva crónica en Hospital Universitario de Santander. MÉD.UIS. 2017; 30(2):11-9. http://dx.doi.org/10.18273/revmed.v30n2-2017001
33. Rosi ń czuk J, Przyszlak M, Uchmanowicz I. Sociodemographic and clinical factors affecting the quality of life of patients with chronic obstructive pulmonary disease. Int J Chron Obstruct Pulmon Dis. 2018; 13: 2869-82. https://doi.org/10.2147/COPD.S165714
34. Fernández-López JA, Fernández-Fidalgo M, Cieza A. Los conceptos de calidad de vida, salud y bienestar analizados desde la perspectiva de la clasificación internacional del funcionamiento (CIF). Rev. esp. salud pública. 2010; 84(2): 169-84.
35. Kyeong-Cheol S. Physical activity in chronic obstructive pulmonary disease: clinical impact and risk factors. Korean J Intern Med. 2018; 33(1): 75-7. https://doi.org/10.3904/kjim.2017.387
36. Bourne CLA, Kanabar P, Mitchell K, Schreder S, Houchen-Wolloff L, Bankart MJG, et al. A self- management programme of activity coping and education-SPACE for COPD(C)- in primary care: The protocol for a pragmatic trial. BMJ Open. 2017; 7(7): p.10. http://dx.doi.org/10.1136/bmjopen-2016-014463
37. Mozaffari M, Azami S, Naderi M. Determining the effect of implementing an educational package on quality of life among patients with chronic obstructive pulmonary disease referring to teaching hospitals affiliated with Ilam University of Medical Sciences in 2016. J Family Med Prim Care. 2018; 7(3): 606-11. https://doi.org/10.4103/jfmpc.jfmpc_304_17
38. Cannon D, Buys N, Bajee-Sriram K, Sharma S, Morris N, Sun J. The effects of chronic obstructive pulmonary disease self-management interventions on improvement of quality of life in COPD patients: A meta-analysis. Respir Med. 2016; 121: 81-90. http://dx.doi.org/10.1016/j.rmed.2016.11.005
39. National Institute for Health and Care Excellence. Chronic obstructive pulmonary disease in over 16s: diagnosis and management (CG101). Manchester, UK: NICE; 2010 June. [Consultado octubre 20 2018]. Disponible en: http://bit.ly/reuCG101
2. Institute for Health Metrics and Evaluation. Global Burden of Disease (GBD). Washington, USA: University of Washington; 2017 [Consultado 2018 octubre 21]. Disponible en: http://bit.ly/REUihme
3. Naghavi M, Abajobir AA, Abbafati C, Abbas KM, Abd-Allah F, Abera SF, et al. Global, regional, and national age-sex specific mortality for 264 causes of death, 1980-2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet. 2017; 390(10100): 1151-210. https://doi.org/10.1016/S0140-6736(17)32152-9
4. Merino M, Villoro R, Hidalgo-Vega A, Carmona C, Grupo de Trabajo Colaborativo EPOC-Extremadura. Estimación de la carga económica y social de la EPOC en Extremadura. Madrid: Fundación Weber; 2017.
5. Miravitlles M, Worth H, Soler-Cataluña JJ, Price D, De Benedetto F, Roche N, et al. Observational study to characterize 24-hour COPD symptoms and their relationship with patient-reported outcomes: results from the ASSESS study. Respir Res. 2014; 15 (1): [13 p.]. https://doi.org/10.1186/s12931-014-0122-1
6. Costa X, Gómez-Batiste X, Pla M, Martinez-Muñoz M, Blay C, Vila L. Vivir con la enfermedad pulmonar obstructiva crónica avanzada: el impacto de la disnea en los pacientes y cuidadores. Aten. prim. 2016; 48 (10): 665-73. http://dx.doi.org/10.1016/j.aprim.2016.02.008
7. Okutan O, Tas D, Demirer E, Kartaloglu Z. Evaluation of quality of life with the chronic obstructive pulmonary disease assessment test in chronic obstructive pulmonary disease and the effect of dyspnea on disease-specific quality of life in these patients. Yonsei Med J. 2013; 54(5): 1214-9. http://dx.doi.org/10.3349/ymj.2013.54.5.1214
8. Saeid-Pour J, Jafari M, Ghazi-Asgar M, Dayani-Dardashti H, Teymoorzadeh E. The impact of self-care education on life quality of diabetic patients. JHA. 2013; 16(52): 26-36. http://jha.iums.ac.ir/article-1-1227-en.pdf
9. Muñoz-Cobos F, Acero-Guasch N, Cuenca-del-Moral R, Barnestein-Fonseca P, Leiva-Fernández F, García-Ruiz A. Cómo vivir con EPOC: percepción de los pacientes. An. psicol. 2016; 32(1): 18-31. http://dx.doi.org/10.6018/analesps.32.1.186211
10. Durán-Montes LA, Cisneros-Sandoval FJ, Gutiérrez-Román EA. Calidad de vida en enfermedad pulmonar obstructiva crónica: experiencia de un hospital del occidente, México. Rev. Med. Inst. Mex. Seguro Soc. 2015; 53(3): 380-5.
11. Mata-Hernández MC. La educación terapéutica para mejorar la adhesión en la enfermedad pulmonar obstructiva crónica (EPOC). Monogr. arch. bronconeumol. 2016; 3(8): 213-17.
12. Soler JJ, Martínez-García MA, Román P, Orero R, Terrazas S, Martínez-Pechuán A. Eficacia de un programa específico para pacientes con EPOC que presentan frecuentes agudizaciones. Arch. bronconeumol. 2006; 42(10): 501-8. https://doi.org/10.1157/13093392
13. Garrote-Garrote A, Del Cojo-Arroyo T. Educación grupal para la salud, reto o realidad. España: Ediciones Díaz de Santos. 2015. p.8.
14. Alves-Pereira D, Da Silva-Campos-Costa NM, Lima-Sousa AL, Brandão Veiga -Jardim PC, De Oliveira- Zanini CR. Efectos de intervención educativa sobre el conocimiento de la enfermedad en pacientes con diabetes mellitus. Rev. Lat.-Am. Enferm. 2012; 20(3): p.8. http://dx.doi.org/10.1590/S0104-11692012000300008
15. Fernández AR, Manrique-Abril FG. Efecto de la intervención educativa en la agencia de autocuidado del adulto mayor hipertenso de Boyacá, Colombia, Suramérica. Cienc. enferm. 2010; 16(2): 83-97. http://dx.doi.org/10.4067/S0717-95532010000200009
16. Rodríguez-Martín C, Castaño-Sánchez C, García-Ortiz L, Recio-Rodríguez JI, Castaño-Sánchez Y, Gómez-Marcos MA. Eficacia de una intervención educativa grupal sobre cambios en los estilos de vida en hipertensos en atención primaria: un ensayo clínico aleatorio. Rev. esp. salud pública 2009; 83(3): 441-52.
17. Aresté-Albà N, Torres-Puig Gros J. Eficacia de una intervención educativa a pacientes con enfermedad pulmonar obstructiva crónica y sus cuidadores. Metas enferm. 2017; 20(1): 50-6.
18. Sánchez-Alonso RI. Efectividad de una intervención educativa grupal en atención primaria para mejora de la calidad de vida de los pacientes con EPOC sobre el correcto manejo de los dispositivos inhaladores. [Tesis]. España: Facultad de Medicina-Universidad Miguel Hernández de Eche; 2017.
19. Folch A, Orts-Cortés MI, Hernández-Carcereny C, Seijas-Babot N, Maciá-Soler L. Programas educativos en pacientes con enfermedad pulmonar obstructiva crónica. Revisión integradora. Enfermería glob. 2017; 16(1): 537-55. https://doi.org/10.6018/eglobal.16.1.249021
20. Zwerink M, Brusse‐Keizer M, van der Valk PDLPM, Zielhuis GA, Monninkhof EM, van der Palen J, Frith PA, et al. Self management for patients with chronic obstructive pulmonary disease (Review). Cochrane Database of Systematic Reviews. Cochrane Library. 2014; (3): p.159. https://doi.org/10.1002/14651858.CD002990.pub3
21. Grupo de trabajo de GesEPOC. Guía de Práctica Clínica para el Diagnóstico y Tratamiento de Pacientes con Enfermedad Pulmonar Obstructiva Crónica (EPOC)-Guía Española de la EPOC (GesEPOC), Versión 2017. Arch Bronconeumol. 2017; 53(Supl 1): 2-64. https://doi.org/10.1016/S0300-2896(17)30356-3
22. Schünemann HJ, Griffith L, Jaeschke R, Goldstein R, Stubbing D, Guyatt GH. Evaluation of the minimal important difference for the feeling thermometer and the St. George ́s Respiratory Questionnaire in patient with chronic airflow obstruction. J Clin Epidemiol. 2003; 56(12): 1170-6. https://doi.org/10.1016/S0895-4356(03)00115-X
23. Sieloff CL, Messmer PR. Imogene M. King: Marco de sistemas de interacción y teoría intermedia de la consecusión de objetivos. En: Alligood MR, Marriner A. Modelos y teorías en Enfermería. España: Ediciones Elsevier. 8 va ed. 2015.
24. Ferrer M, Alonso J, Prieto L, Plaza V, Monsó E, Marrades R, et al. Validity and reliability of the St George’s Respiratory Questionnaire after adaptation to a different language and culture: The Spanish example. Eur Respir J. 1996; 9(6): 1160-6. https://doi.org/10.1183/09031936.96.09061160
25. Pineda-Higuita SE, Ramos-Melchor VJ, Cadavid-Carmona D. Calidad de vida en pacientes con Enfermedad Pulmonar Obstructiva Univ. Salud. 2016; 18(3): 482-93 . http://dx.doi.org/10.22267/rus.161803.53
26. Farag TS, Sobn ESM, Elsawy SB, Fahmy BM. Evaluation of health-related quality of life in patinets with chronic obstructive pulmonary disease. Egypt J Bronchol. 2018; 12(3): 288-94. https://doi.org/10.4103/ejb.ejb_11_18
27. Folch-Ayora A, Orts-Cortés MI, Macia-Soler L, Andreu-Guillamon MV, Moncho J. Patient education during hospital admission due to exacerbation of chronic obstructive pulmonary disease: Effects on quality of life - Controlled and randomized experimental study. Patient Educ Couns. 2018; 102(3): 511-9. https://doi.org/10.1016/j.pec.2018.09.013
28. Caballero A, Torres-Duque CA, Jaramillo C, Bolivar F, Sanabria F, Osorio P, et al. Prevalence of COPD in five colombian cities situated at low, medium and high altitude. (PREPOCOL study). Chest. 2008; 133(2): 343-9. https://doi.org/10.1378/chest.07-1361
29. Tülüce D, Kutlutürkan S. The effect of health coaching on treatment adherence, self-efficacy, and quality of life in patients with chronic obstructive pulmonary disease. Int J Nurs Pract. 2018; 24(4): p.11. https://doi.org/10.1111/ijn.12661
30. Posada A, Caballero A, Ibáñez M, Ardila L, Álvarez A, Soler S, et al. Evaluación de la calidad de vida en pacientes del programa manejo integral de la enfermedad pulmonar obstructiva crónica (EPOC) de la EPS sanitas en Bogotá. Rev. Médica Sanitas. 2009; 12(2): 14-21.
31. Tiemensma J, Gaab E, Voorhaar M, Asijee G, Kaptein AA. Illness perceptions and coping determine quality of life in COPD patients. Int J Chron Obstruct Pulmon Dis. 2016; 11(1): 2001-7. https://doi.org/10.2147/COPD.S109227
32. Cano-Rosales DJ, Bolívar-Grimaldos F, Omaña-Roa JJ, Sepúlveda-Sierra AM. Calidad de vida relacionada con la salud en pacientes con enfermedad pulmonar obstructiva crónica en Hospital Universitario de Santander. MÉD.UIS. 2017; 30(2):11-9. http://dx.doi.org/10.18273/revmed.v30n2-2017001
33. Rosi ń czuk J, Przyszlak M, Uchmanowicz I. Sociodemographic and clinical factors affecting the quality of life of patients with chronic obstructive pulmonary disease. Int J Chron Obstruct Pulmon Dis. 2018; 13: 2869-82. https://doi.org/10.2147/COPD.S165714
34. Fernández-López JA, Fernández-Fidalgo M, Cieza A. Los conceptos de calidad de vida, salud y bienestar analizados desde la perspectiva de la clasificación internacional del funcionamiento (CIF). Rev. esp. salud pública. 2010; 84(2): 169-84.
35. Kyeong-Cheol S. Physical activity in chronic obstructive pulmonary disease: clinical impact and risk factors. Korean J Intern Med. 2018; 33(1): 75-7. https://doi.org/10.3904/kjim.2017.387
36. Bourne CLA, Kanabar P, Mitchell K, Schreder S, Houchen-Wolloff L, Bankart MJG, et al. A self- management programme of activity coping and education-SPACE for COPD(C)- in primary care: The protocol for a pragmatic trial. BMJ Open. 2017; 7(7): p.10. http://dx.doi.org/10.1136/bmjopen-2016-014463
37. Mozaffari M, Azami S, Naderi M. Determining the effect of implementing an educational package on quality of life among patients with chronic obstructive pulmonary disease referring to teaching hospitals affiliated with Ilam University of Medical Sciences in 2016. J Family Med Prim Care. 2018; 7(3): 606-11. https://doi.org/10.4103/jfmpc.jfmpc_304_17
38. Cannon D, Buys N, Bajee-Sriram K, Sharma S, Morris N, Sun J. The effects of chronic obstructive pulmonary disease self-management interventions on improvement of quality of life in COPD patients: A meta-analysis. Respir Med. 2016; 121: 81-90. http://dx.doi.org/10.1016/j.rmed.2016.11.005
39. National Institute for Health and Care Excellence. Chronic obstructive pulmonary disease in over 16s: diagnosis and management (CG101). Manchester, UK: NICE; 2010 June. [Consultado octubre 20 2018]. Disponible en: http://bit.ly/reuCG101
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