Simen Alexander Steindal1, Trine
Oksholm2, Henny Torheim3, Vivi Lycke Christensen1, Kathryn Lee4, Anners
Lerdal5, Heidi ?ksnes Markussen6, Gerd Gran6, Marit Leine5
and Christine R?heim Borge5
Diaconal University College, Oslo, Norway, 2VID Specialized University,
Bergen, Norway, 3NTNU, ?lesund, Norway, 4University of
California, San Francisco, United States of America, 5Lovisenberg
Diakonale Hospital, Oslo, Norway, 6Western Norway University, Bergen,
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).
To present SR of nursing intervention studies that evaluated efficacy
for improving breathlessness in adults with COPD.
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.
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
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.
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