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Psychosocial Interventions for Patients with Severe COPD—An Up-to-Date Literature Review

Background and Objectives: Chronic obstructive pulmonary disease (COPD) is a life limiting condition with a long list of serious psychosocial consequences, aggravating with illness progression. In advanced stages, chronic respiratory failure often develops, which might undermine mental health and re...

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Autores principales: Rzadkiewicz, Marta, Nasiłowski, Jacek
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6780939/
https://www.ncbi.nlm.nih.gov/pubmed/31527553
http://dx.doi.org/10.3390/medicina55090597
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author Rzadkiewicz, Marta
Nasiłowski, Jacek
author_facet Rzadkiewicz, Marta
Nasiłowski, Jacek
author_sort Rzadkiewicz, Marta
collection PubMed
description Background and Objectives: Chronic obstructive pulmonary disease (COPD) is a life limiting condition with a long list of serious psychosocial consequences, aggravating with illness progression. In advanced stages, chronic respiratory failure often develops, which might undermine mental health and reduce activity. The study objective was to review the recent studies concerning psychosocial interventions dedicated to patients with severe COPD. Materials and Methods: The PubMed database was searched for terms, such as ‘COPD and long-term oxygen therapy, non-invasive ventilation, severe or respiratory failure’ and ‘psychological or psychosocial or mental health and intervention.’ Studies were included that described patients with stable, severe COPD and the outcomes of psychosocial interventions. Results and Conclusions: Thirty-four studies were identified and divided into four thematic groups: home medical support, exercise, self-management and mental health. The number of studies that focused on mental health preservation in severe COPD was very limited; i.e., none refer directly to those treated with respiratory failure. Improving patients’ self-efficacy gave promising effects to the acceptance of palliative care, pulmonary rehabilitation completion and mental health. Physical activity might be recommended to be included in interventions for mental health enhancement, although little is known about the role of the particular forms of exercise. An increasing beneficial use of new technologies for psychosocial interventions was noted. Psychosocial interventions applied in advanced COPD underline the roles of self-efficacy, telehealth and physical activity in physical and mental health preservation. However, all of the above elements need to be independently tested on more homogenous groups of patients and have the possible modes of their treatment analysed.
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spelling pubmed-67809392019-10-30 Psychosocial Interventions for Patients with Severe COPD—An Up-to-Date Literature Review Rzadkiewicz, Marta Nasiłowski, Jacek Medicina (Kaunas) Review Background and Objectives: Chronic obstructive pulmonary disease (COPD) is a life limiting condition with a long list of serious psychosocial consequences, aggravating with illness progression. In advanced stages, chronic respiratory failure often develops, which might undermine mental health and reduce activity. The study objective was to review the recent studies concerning psychosocial interventions dedicated to patients with severe COPD. Materials and Methods: The PubMed database was searched for terms, such as ‘COPD and long-term oxygen therapy, non-invasive ventilation, severe or respiratory failure’ and ‘psychological or psychosocial or mental health and intervention.’ Studies were included that described patients with stable, severe COPD and the outcomes of psychosocial interventions. Results and Conclusions: Thirty-four studies were identified and divided into four thematic groups: home medical support, exercise, self-management and mental health. The number of studies that focused on mental health preservation in severe COPD was very limited; i.e., none refer directly to those treated with respiratory failure. Improving patients’ self-efficacy gave promising effects to the acceptance of palliative care, pulmonary rehabilitation completion and mental health. Physical activity might be recommended to be included in interventions for mental health enhancement, although little is known about the role of the particular forms of exercise. An increasing beneficial use of new technologies for psychosocial interventions was noted. Psychosocial interventions applied in advanced COPD underline the roles of self-efficacy, telehealth and physical activity in physical and mental health preservation. However, all of the above elements need to be independently tested on more homogenous groups of patients and have the possible modes of their treatment analysed. MDPI 2019-09-16 /pmc/articles/PMC6780939/ /pubmed/31527553 http://dx.doi.org/10.3390/medicina55090597 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Rzadkiewicz, Marta
Nasiłowski, Jacek
Psychosocial Interventions for Patients with Severe COPD—An Up-to-Date Literature Review
title Psychosocial Interventions for Patients with Severe COPD—An Up-to-Date Literature Review
title_full Psychosocial Interventions for Patients with Severe COPD—An Up-to-Date Literature Review
title_fullStr Psychosocial Interventions for Patients with Severe COPD—An Up-to-Date Literature Review
title_full_unstemmed Psychosocial Interventions for Patients with Severe COPD—An Up-to-Date Literature Review
title_short Psychosocial Interventions for Patients with Severe COPD—An Up-to-Date Literature Review
title_sort psychosocial interventions for patients with severe copd—an up-to-date literature review
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6780939/
https://www.ncbi.nlm.nih.gov/pubmed/31527553
http://dx.doi.org/10.3390/medicina55090597
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