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Nurse-Led/Involved Home-Based Interventions for Older Adults With Chronic Obstructive Pulmonary Disease (COPD): A
Lucillie Silahis Sturm1, Sarah Yeun-Sim Jeong2, Michelle Giles3
1Planned Care for Better Health, Community and Aged Care Services, Hunter New England Local Health District, Adamstown, New South Wales, Australia.
Journal of Clinical Nursing
|January 20, 2025
Summary
Nurse-led home interventions for COPD show some benefits but require more research. Patients desire holistic, long-term support, and nurses seek better management backing for these crucial programs.
Area of Science:
- Gerontology
- Pulmonology
- Nursing Science
Background:
- Chronic Obstructive Pulmonary Disease (COPD) significantly impacts older adults' quality of life.
- Home-based interventions are explored to manage COPD in aging populations.
- The role of nurses in delivering these interventions is a key focus.
Purpose of the Study:
- To evaluate the effectiveness of nurse-led/involved home-based interventions for elderly COPD patients.
- To understand the experiences of both patients and nurses with these interventions.
Main Methods:
- A mixed-methods systematic review adhering to JBI methodology.
- Searched multiple databases (CINAHL, MEDLINE, etc.) for studies from 2010-2023.
- Included English-language reports of nurse-led/involved home-based COPD interventions, synthesizing data using a convergent segregated approach.
Main Results:
- Seven interventions were identified across various study designs.
- Interventions showed some effectiveness in reducing hospitalizations and costs, but findings were not statistically significant.
- Patients valued the support but desired more holistic and extended care; some found interventions a 'double-edged sword'.
Conclusions:
- Existing nurse-led home interventions for COPD offer partial benefits but require further investigation.
- Patients prefer comprehensive, long-term support, highlighting a need for more holistic approaches.
- Future research should use larger sample sizes and standardized outcome measures for conclusive evidence.