Nurse-led Integrated Care to Improve Quality of Life in COPD Patients With a Pulmonary Exacerbation
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- COPD Exacerbation
- Sponsor
- University of Zurich
- Enrollment
- 69
- Locations
- 1
- Primary Endpoint
- Change in CRQ (Chronic Respiratory Questionnaire) scores
- Status
- Completed
- Last Updated
- 2 years ago
Overview
Brief Summary
The aim of the study is to evaluate the effect and effectiveness of the nurse-led integrated care programme for the management of COPD (Chronic Obstructive Pulmonary Disease) exacerbations on patients' quality of life, rehospitalisation and exacerbation rate, illness-related emotional distress, selected health behaviours and cost-utility at three months. Furthermore, understanding barriers and facilitators to implementation success is of interest.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Patients with a confirmed diagnosis of COPD (GOLD 1-4)
- •Hospitalisation due to a COPD exacerbation and decision to start with steroids and/or antibiotics (severe exacerbation)
Exclusion Criteria
- •Cognitive impairment (dementia, delirium)
- •Not speaking German, French, Italian, English, Spanish, Portuguese, Serbian, Tamil, Hindi, Turkish or Slovakian
Outcomes
Primary Outcomes
Change in CRQ (Chronic Respiratory Questionnaire) scores
Time Frame: at week one and week 13
Change in the four CRQ (Chronic Respiratory Questionnaire) subscores from week 1 to 13. The self-administered questionnaire version with standardised dyspnea questions (SAS) will be used. The questionnaire was developed for patients with chronic airflow limitations and comprises 20 items which assess four domains: 1) dyspnea, 2) fatigue, 3) emotional function and 4) mastery. The scoring scale ranges from 1 (extreme) to 7 (not at all) and will be assessed with a recall period of the past 2 weeks. A subscore for each domain (sum of items / number of items) will be calculated.