Does affiliation to a cross-sectorial lung team impact well-being, health-related quality of life, symptoms of anxiety and depression and patient involvement in patients with COPD? A randomised controlled trial

Birgit Refsgaard Iversen*, Anders Løkke, Vibeke Bregnballe, Lotte Ørneborg Rodkjær

*Kontaktforfatter

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

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Abstract

Background: Chronic obstructive pulmonary disease (COPD) is a progressive lung disease causing limitations in daily life. A cross-sectorial lung team was established for COPD patients at risk of hospitalisation due to exacerbation of COPD. Aims: To investigate the impact of affiliation to a cross-sectorial lung team on well-being, health-related quality of life, symptoms of anxiety and depression and patient involvement in patients with severe COPD. Methods: A randomised controlled trial was conducted from September 2017 to March 2020. In total, 109 patients were included for analysis in the study: 53 patients were affiliated to a cross-sectorial lung team and 56 patients received usual care. The patients were included for 1 year. Data were collected at baseline and at follow-up after 1 year. Data were collected using COPD Assessment Test (CAT), Hospital Anxiety and Depression Scale (HADS), EuroQol 5-Dimensions (EQ-5D) and Patient Assessment of Chronic Illness Care (PACIC). Results: The questionnaire response rate was between 84% and 96%. No statistically significant differences were detected between patients affiliated to the cross-sectorial lung team and patients receiving usual care, in either patient's well-being, health-related quality of life, symptoms of anxiety and depression, or patient involvement. However, CAT-total score decreased with −0.21(95%CI: −1.63; 1.20) for patients affiliated to the cross-sectorial lung team and increased with 1.44(95%CI; −0.11; 3.00) for patients receiving usual care. Conclusion: Affiliation to the cross-sectorial lung team seems safe as it did not deteriorate the patients' well-being, symptoms of anxiety and depression, health-related quality of life or patient involvement. Further research is needed and interviewing patients to obtain more knowledge on their experiences might be preferable.

OriginalsprogEngelsk
TidsskriftScandinavian Journal of Caring Sciences
Vol/bind36
Udgave nummer3
Sider (fra-til)730-741
ISSN0283-9318
DOI
StatusUdgivet - sep. 2022

Bibliografisk note

Funding Information:
The author(s) disclosed the following financial support for the research, authorships and/or publication of this article. This work was supported by Novo Nordisk Foundation, Health Foundation, King Christian the 10th Foundation, Frølich Foundation, The Danish Nurses Organization Research Foundation. Danish Lung Society Foundation. City of Aarhus and Aarhus University Hospital

Publisher Copyright:
© 2021 Nordic College of Caring Science

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