Salvado Susana, Grilo Eugénia, Henriques Helga, Ferraz Isabel, Gaspar Filomena, Baixinho Cristina
Nursing Research, Innovation and Development Centre of Lisbon, 1900-160 Lisboa, Portugal.
Unidade Local de Saúde da Cova da Beira, 6230-411 Fundão, Portugal.
Healthcare (Basel). 2025 Aug 31;13(17):2176. doi: 10.3390/healthcare13172176.
: Pulmonary rehabilitation is recognised as one of the most cost-effective interventions. However, patients' adherence to these programmes remains a challenge. This systematic literature review aimed to describe pulmonary rehabilitation interventions carried out by nurses that promote self-care in elderly people with COPD (at home). : The exploratory literature search was conducted to support the development of the research question and the PICO strategy. The criteria for eligibility were determined for participants, interventions, comparators, and outcomes. Research was conducted in the CINAHL, SCOPUS, and MEDLINE databases and that covered publications up to 31 December 2024 with no temporal limit identified, eight articles that included cohort studies, randomised controlled trials (RCTs), and quasi-experimental studies that met the quality standards established by JBI. : The identified interventions include health education, breathing training and physical exercise, the development of tailor-made plans with monitoring and follow-up, psychological support, and oxygen therapy management. : The results highlight the importance of tailor-made interventions that can enhance self-care in elderly people with COPD in a home setting, as well as key components of respiratory rehabilitation.
肺康复被认为是最具成本效益的干预措施之一。然而，患者对这些项目的依从性仍然是一个挑战。本系统文献综述旨在描述护士实施的促进慢性阻塞性肺疾病（COPD）老年患者（在家中）自我护理的肺康复干预措施。：进行探索性文献检索以支持研究问题的制定和PICO策略。确定了参与者、干预措施、对照和结果的纳入标准。在CINAHL、SCOPUS和MEDLINE数据库中进行了研究，涵盖截至2024年12月31日的出版物，未确定时间限制，共有8篇文章，包括队列研究、随机对照试验（RCT）和符合JBI制定的质量标准的准实验研究。：确定的干预措施包括健康教育、呼吸训练和体育锻炼、制定有监测和随访的量身定制计划、心理支持和氧疗管理。：结果强调了量身定制的干预措施对于增强COPD老年患者在家中自我护理的重要性，以及呼吸康复的关键组成部分。
