Effect of the 5A Model on Clinical Status Indexes of COPD Patients

Rehabil Nurs. 2018 May/Jun;43(3):158-166. doi: 10.1097/rnj.0000000000000012.

Abstract

Purpose: This RCT study investigates the effects of a self-management program on clinical status indexes of COPD patients.

Design: In this study, 50 COPD patients referred to the respiratory clinic participated.

Methods: Patients were randomly assigned to control and intervention groups. The control group received standard care, and the intervention group received standard care plus the self-management program. Patients were assessed by spirometry, Modified Borg scale, and 6-minute walking test at the baseline and the end of 12-weeks. Paired t-test, independent t-test, and chi-square were used to analyze variables.

Findings: No significant difference was noted in the spirometry indexes mean in the two groups; however, significant differences were noted in dyspnea and exercise tolerance at the end.

Conclusion/clinical relevance: Using the 5A model can lead to increased exercise tolerance and decreased dyspnea in COPD patients. Therefore, this self-management program is recommended as an effective way to improve their functional status.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Aged
  • Behavior Therapy / methods
  • Behavior Therapy / standards*
  • Chi-Square Distribution
  • Evidence-Based Practice / methods
  • Evidence-Based Practice / standards
  • Female
  • Health Status*
  • Humans
  • Male
  • Middle Aged
  • Pulmonary Disease, Chronic Obstructive / psychology
  • Pulmonary Disease, Chronic Obstructive / rehabilitation*
  • Self-Management / methods
  • Self-Management / psychology