2007 OPEN FORUM Abstracts
INFLUENCE OF THE EDUCATION PROGRAM FOR COPD PATIENTS ON A HEALTH RELATED QUALITY OF LIFE.
S. Semenyuk1, A. Belevskiy1
Background: Chronic obstructive pulmonary disease limits exercise tolerance and impairs quality of life. And the therapy of COPD is largely palliative, the key aims of treatment being to reduce exacerbations, minimize symptoms, improve patients' ability to perform their usual daily activities and increase of health related quality of life (HRQoL). An education program can play a role in improving skills, ability to cope with illness, and health status.
Material and Method: 89 patients stage II, III and IV(GOLD 2003) under outpatient conditions were included in this study. 75 patients were randomized in to four groups according to methods of the education (individual or small group and with physical training program or alone) and control group (n=14)received the usual general advice. All patients underwent the following tests: pulmonary function test, 6-MWT, dyspnea score. A health related quality of life was measured by the MOC 36 â item Short Health Survey (SF-36) and the St. George's Respiratory Questionnaire (SGRQ). Measurements were carried on baseline, 1 month, 6 month and 1 year after education course. The main teaching items of the program are: self-control of typical symptoms; self-management skills; strategies to help minimize dyspnea; effects and side effects of the medication; correct inhalation technique; advice about when to seek help; self-management and decision-making during exacerbations.
Results: HRQoL was improved in total four groups according to SF-36 and SGRQ examinations. SF-36 results are increasing significantly SF, RE, MH in total four groups. FA was improved in groups with fitness program. RP, BP, GH were not changed after education course. SGRQ results are increasing symptoms in two groups with physical training program after 6 month. Activity was improved significantly in total groups from 1 month after course, and saved in groups with physical training program only. Impact was increase in total groups, particularly in groups with individual education. We found a loss of positive influence of education course according to SF-36 and SGRQ by the end of year. The education with the physical training program increased the walking performance, and reduced shortness of breath severity also.
Conclusion: A self-management education program has increased HRQoL. The most effective is the individual method of education with the physical training program. The physical training program is a prolonging factor of the positive impact.