Patient perceived impact of nurse-led self-management interventions for COPD: A systematic review of qualitative research

Elizabeth Baker, Francis Fatoye

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Self-management interventions are increasingly implemented to manage the health impact and economic burden of the growing prevalence of chronic obstructive pulmonary disease. Nurses are the primary providers of self-management education, yet there have been few attempts to assess their contribution in delivering these programmes. Qualitative evidence that explores patients’ perceptions of the benefits of self-management is limited.

To synthesize qualitative evidence on patient perceived benefits of nursing interventions to support self-management.

Systematic review and qualitative synthesis.

Data were collected from six electronic databases: British Nursing Index (BNI, Proquest), MEDLINE (Ovid), CINAHL (EBSCO), AMED (Ovid), Embase (Ovid), and PsycINFO (Ovid). Pre-defined keywords were used to identify qualitative or mixed methods English-language studies published in any year. The included studies were selected by screening titles, abstracts and full-texts against inclusion and exclusion criteria that were established a priori. The Critical Appraisal Skills Programme tool was used to undertake a quality review. Data were analysed with a framework approach using categories of self-management outcomes reported in a previous review as a coding structure.

Fourteen articles were included in the review. Four key themes were identified from the original research: Empowerment through new knowledge, Psychological wellbeing, Expanding social worlds and Increased physical activity.

When provided with adequate knowledge and support, patients gained self-confidence and their coping behaviour increased. Social and psychological support were identified as key aspects of self-management interventions that patients found improved their sense of wellbeing. Group exercise components of self-management programmes were also favourably evaluated due to a perceived sense of increased well-being and enhanced social interaction.
Original languageEnglish
Pages (from-to)22-34
Number of pages13
JournalInt J Nurs Stud
Early online date31 Dec 2018
Publication statusPublished - Mar 2019


  • Chronic obstructive pulmonary disease
  • Disease management
  • Nurse-led clinics
  • Qualitative studies
  • Self-care
  • Systematic review


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