Self-management programmes for COPD: Moving forward
Self-management programmes for COPD: Moving forward
复制标题
DOI：
10.1177/1479972311433574
复制
发表时间：
2012-02-01
影响因子：
4.1
通讯作者：
van der Palen, Job
中科院分区：
文献类型：
--
作者：
Effing, Tanja W.;Bourbeau, Jean;van der Palen, Job
自我管理在慢性阻塞性肺疾病（COPD）管理中越来越重要。然而，在涉及哪些过程、如何确定自我管理的价值以及研究重点方面存在困惑。为了更深入地了解COPD自我管理的项目内容、结果和未来方向，一群感兴趣的研究人员和医生召开了一次研讨会，他们之前都曾就这一主题发表过文章，并曾在其他项目上合作过。本文总结了他们的初步发现。自我管理方案旨在改变结构性行为，以便在方案完成后维持治疗效果。这些方案应包括旨在改变行为的技术，应因人而异，考虑到病人的观点，并可随着病人的病程和合并症而变化。评估应包括过程变量。这份报告是在自我管理领域朝着更一致的方向迈出的一步。为了提高有效性的清晰度，未来的研究应该清楚地描述他们的干预措施，适当地设计和支持，并包括更多关注新技能的获得和实践的结果。这样将获得更多的证据和对自我管理方案的更好理解，并有可能更具体地制定关于自我管理的准则。
Self-management is of increasing importance in chronic obstructive pulmonary disease (COPD) management. However, there is confusion over what processes are involved, how the value of self-management should be determined, and about the research priorities. To gain more insight into and agreement about the content of programmes, outcomes, and future directions of COPD self-management, a group of interested researchers and physicians, all of whom had previously published on this subject and who had previously collaborated on other projects, convened a workshop. This article summarises their initial findings. Self-management programmes aim at structural behaviour change to sustain treatment effects after programmes have been completed. The programmes should include techniques aimed at behavioural change, be tailored individually, take the patient's perspective into account, and may vary with the course of the patient's disease and co-morbidities. Assessment should include process variables. This report is a step towards greater conformity in the field of self-management. To enhance clarity regarding effectiveness, future studies should clearly describe their intervention, be properly designed and powered, and include outcomes that focus more on the acquisition and practice of new skills. In this way more evidence and a better comprehension on self-management programmes will be obtained, and more specific formulation of guidelines on self-management made possible.