Department of Nursing, University Jaume I, Castellón de la Plana, Spain.
Department of Nursing, Universidad de Alicante, Nursing and Healthcare Research Unit (Investén-isciii), Instituto de Salud Carlos III, CIBERFES, Grupo Balmis, ISABIAL, Alicante, Spain.
Patient Educ Couns. 2019 Mar;102(3):511-519. doi: 10.1016/j.pec.2018.09.013. Epub 2018 Sep 16.
The objective of this study was to assess the effectiveness of an education program and telephone call follow-up at improving the health related quality of life (HRQL) of patients with chronic obstructive pulmonary disease (COPD).
Experimental, controlled, randomized, single blind study, masked data analysis. Duration of 2 years and 3 months. Patients hospitalised for exacerbation. The effectiveness was evaluated by calculating the absolute and relative change (%) of the St. George questionnaire scores (total and by dimensions) before and after the intervention program. Calculation of the effect of the group variable on the absolute and relative changes of the variables, Multiple Analysis of Variance (MANOVA).
Completed study of 116 patients. Greater effects on their HRQL reported at admission (48.3 ± SD 20.0 years). Patients in the intervention group improved significantly in their total SGRQ scores (-6.83) in absolute and relative terms and more significantly in their activity dimension (-16.05).
The education program was effective at improving global HRQL, especially the activity dimension, in exacerbated COPD patients.
This research contributes to clarifying the benefits and contents of education programs for patients with COPD; hospital admission is the suitable moment to contact these patients.
本研究旨在评估教育计划和电话随访对改善慢性阻塞性肺疾病（COPD）患者健康相关生活质量（HRQL）的效果。
实验性、对照、随机、单盲研究，数据分析设盲。研究持续 2 年 3 个月。患者因加重而住院。通过计算圣乔治问卷评分（总分和各维度）在干预前后的绝对和相对变化（%）来评估有效性。计算组变量对变量的绝对和相对变化的影响，采用多变量方差分析（MANOVA）。
完成了 116 例患者的研究。入院时报告的 HRQL 改善更大（48.3±20.0 岁）。干预组患者的 SGRQ 总分（绝对值-6.83，相对值-9.3%）和活动维度（绝对值-16.05，相对值-21.4%）显著改善。
教育计划可有效改善加重期 COPD 患者的总体 HRQL，尤其是活动维度。
本研究有助于阐明 COPD 患者教育计划的益处和内容；住院是接触这些患者的合适时机。
