| Impact of panic disorder upon self-management educational goals in chronic obstructive pulmonary disease? | |
| | |
MedLine Citation:
|
PMID: 20299537 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
The rationale for introducing self-management plans for the whole chronic obstructive pulmonary disease (COPD) population is uncertain. This study's aim was to investigate whether people with panic disorder (PD), compared to non-panic-disordered (NPD), derived additional educational or psychological benefits from having a self-management plan. The 24-week prospective study followed 76 participants hospitalized with an exacerbation of COPD. Participants completed mental health questionnaires including psychological measures of self-management plan impact. Subsequently, a nurse provided education for using a self-management plan. All participants were Plan naïve irrespective of their PD status. Self-management knowledge was assessed before introducing the Plan (baseline), 1 week post discharge and at 24 weeks. At baseline 28 (37%) of participants met the criteria for PD and this group had higher scores (better knowledge) for an impending (p < 0.05) and severe exacerbation (p < 0.05) and capacity to act during a severe exacerbation (p < 0.01). No interaction effect was found between PD and NPD scores over time, indicating that the PD's knowledge did not improve or deteriorate over time relative to the NPD. Evidence was mixed regarding the Plan's psychological impact. Self-management confidence improved in both groups. Amongst the PD group, perceived control of self-management tasks increased but so did body vigilance and distress about having COPD. There is mixed evidence regarding educational and psychological benefits of COPD self-management plans for people with PD. No additional educational advantages were found for the PD group. Plans may increase confidence and control over self-management but may also increase body vigilance and distress about having COPD. |
| | |
Authors:
|
Claire A Dowson; Roeline G Kuijer; Ian G Town; Roger T Mulder |
Related Documents
:
|
18571987 - Practice educators in the united kingdom: a national job description. 3235807 - An outbreak of salmonella gastroenteritis in an urban jail. 14768987 - A survey of residents' attitudes and practices in screening for, managing, and document... 20095177 - Self assessment exercises in intensive care medicine. 12664527 - Improving feeding practices: current patterns, common constraints, and the design of in... 12815537 - Holding civic medicine accountable: will morreim's liability scheme work in a disaster? |
Publication Detail:
|
Type: Comparative Study; Journal Article; Research Support, Non-U.S. Gov't Date: 2010-03-18 |
Journal Detail:
|
Title: Chronic respiratory disease Volume: 7 ISSN: 1479-9731 ISO Abbreviation: Chron Respir Dis Publication Date: 2010 |
Date Detail:
|
Created Date: 2010-05-18 Completed Date: 2010-10-12 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 101197408 Medline TA: Chron Respir Dis Country: England |
Other Details:
|
Languages: eng Pagination: 83-90 Citation Subset: IM |
Affiliation:
|
Department of Public Health & General Practice, University of Otago, Christchurch, New Zealand. claire.dowson@otago.ac.nz |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Aged Female Follow-Up Studies Humans Male Panic Disorder / psychology* Patient Education as Topic* Prognosis Prospective Studies Pulmonary Disease, Chronic Obstructive / complications, psychology, therapy* Questionnaires Self Care / methods* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Obstructive sleep apnea syndrome is associated with deficits in verbal but not visual memory.
Next Document: High prevalence of undiagnosed and severe chronic obstructive pulmonary disease at first hospital ad...