Impact of a nurse-led intervention on the capacity for self-care of the person with Chronic Obstructive Pulmonary Disease - Systematic Review of Literature

Background: Exercise training is a major component of Respiratory Rehabilitation included in the non-pharmacological treatment of the person with COPD which has shown to reduce the number of exacerbations of the disease and to improve the quality of life (GOLD,2019). However, little is known about the impact of the nurse-led intervention on the capacity for self-care of the person with COPD. Methods: Systematic literature review based on Cochrane model. We used the PICOT method with the main starting question: what is the impact of a nurse-led intervention on the capacity for self-care of the person with COPD? Database search was conducted before February 4, 2019, in CINAHL; MEDLINE; EMBASE and Web of Science and SCOPUS. Four independent reviewers assessed methodologic quality and reviewed the studies. Results: We identified 24 articles and 14 thesis. After removing the duplicates (n=5) and reading 19 articles by title and abstract, 13 were excluded. Six articles were submitted a full text reading to assess the inclusion criteria. One article was included. Nurse-led intervention in respiratory rehabilitation enhance quality of life, activity of daily living performance and reduce fatigue. Conclusion: This systematic literature review shows the need to develop robust studies focused on assessing the impact of nurse-led interventions on the capacity for self-care of people with COPD in order to broaden the body of disciplinary nursing knowledge.