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  • 1.
    Zakrisson, Ann-Britt
    et al.
    Örebro universitet, Hälsoakademin.
    Engfeldt, Peter
    Örebro universitet, Hälsoakademin.
    Hägglund, Doris
    Örebro universitet, Hälsoakademin.
    Odencrants, Sigrid
    Örebro universitet, Hälsoakademin.
    Hasselgren, Mikael
    Centre for Assessment of Medical Technology in Örebro, Sweden ; Department of Public Health and Caring Sciences, Family Medicine and Clinical Epidemiology, Uppsala University, Sweden ; Primary Care Research Unit, County Council in Värmland, Karlstad, Sweden.
    Arne, Mats
    Centre for Assessment of Medical Technology in Örebro, Sweden ; Primary Care Research Unit, County Council in Värmland, Karlstad, Sweden.
    Theander, Kersti
    epartment of Public Health and Caring Sciences, Family Medicine and Clinical Epidemiology, Uppsala University, Sweden ; Primary Care Research Unit, County Council in Värmland, Karlstad, Sweden ; Department of Nursing, Karlstad University, Sweden.
    Nurse-led multidisciplinary programme for patients with COPD in primary health care: a controlled trial2011In: Primary Care Respiratory Journal, ISSN 1471-4418, E-ISSN 1475-1534, Vol. 20, no 4, p. 427-433Article in journal (Refereed)
    Abstract [en]

    AIM:To investigate the effects of a nurse-led multidisciplinary programme (NMP) of pulmonary rehabilitation in primary health care with regard to functional capacity, quality of life (QoL), and exacerbations among patients with chronic obstructive pulmonary disease (COPD).

    METHOD:A 1-year longitudinal study with a quasi-experimental design was undertaken in patients with COPD, 49 in the intervention group and 54 in the control group. Functional capacity was assessed using the 6-minute walking test, and quality of life (QoL) was assessed using the Clinical COPD Questionnaire. Exacerbations were calculated by examination of patient records.

    RESULTS:No significant differences were found between the groups in functional capacity and QoL after 1 year. The exacerbations decreased in the intervention group (n = -0.2) and increased in the control group (n = 0.3) during the year after NMP. The mean difference of change in exacerbation frequency between the groups was statistically significant after one year (p=0.009).

    CONCLUSIONS:The NMP in primary care produced a significant reduction in exacerbation frequency, but functional capacity and QoL were unchanged. More and larger studies are needed to evaluate potential benefits in functional capacity and QoL.

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