Impact of a Follow-Up Care Model on the Lifestyle and Self-Care of Patients with Chronic Obstructive Pulmonary Disease: A Randomized Clinical Trial

Background: Despite advancements in the treatment of chronic obstructive pulmonary disease (COPD), it is an irreversible disease with poor prognosis. Individuals with COPD not only experience progressive shortness of breath and physical limitations, but also face psychological and social challenges.Aim: This study was conducted with aim to determine the impact of the continuous care model on the lifestyle and self-care of patients with COPD.Method: This randomized controlled clinical trial was conducted on ۷۰ patients with chronic obstructive pulmonary disease at Sina Respiratory Hospital at Zabol, southeastern Iran in ۲۰۲۳-۲۰۲۴. The participants who met the inclusion criteria were randomly allocated into intervention and control groups. The Miller Lifestyle Questionnaire and the Miller Self- Care Questionnaire were completed for data collection. For the intervention group, the continuous care model was implemented over ۳ months in ۴ stages: familiarization, sensitization, control, and evaluation. The statistical analysis was conducted by SPSS software (version ۲۶). p<۰.۰۵ was considered statistically significant.Results: The mean lifestyle score after the intervention decreased in both groups (control: ۷۶.۴۰ ± ۴.۵۵ to ۷۵.۷۱ ± ۶.۶۲; intervention: ۷۱.۲۳ ± ۴.۶۵ to ۴۸.۰۵ ± ۴.۹۷); however, only the decrease in the intervention group was statistically significant compared with the pre-intervention value (p<۰.۰۵), and the mean self-care after the intervention significantly increased compared to the mean before the intervention in the intervention group (p<۰.۰۵).Implications for Practice: The continuous care model can improve self-care behaviors and lifestyles of patients. Therefore, the use of this model is recommended in clinical settings and after discharge for respiratory patients, especially those with COPD, which is a chronic disease.

کلیدواژه ها:

Chronic Obstructive Pulmonary Disease ، Follow-Up Care Model ، lifestyle ، self-care