{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T01:13:54Z","timestamp":1793236434862,"version":"4.5.0"},"reference-count":59,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2020,8,28]],"date-time":"2020-08-28T00:00:00Z","timestamp":1598572800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Advanced Nursing"],"published-print":{"date-parts":[[2020,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To analyse the effects of nurse\u2010driven self\u2010management (SM) programs on physical and psychosocial health variables in people with chronic obstructive pulmonary disease (COPD).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A systematic review and meta\u2010analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data Sources<\/jats:title>\n                    <jats:p>An exhaustive scanning of PubMed, Cochrane Controlled Register of Trials, CINAHL, ScienceDirect and Medline databases between January 2010\u2013December 2019 was conducted for this meta\u2010analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Review Methods<\/jats:title>\n                    <jats:p>\n                      Randomized controlled trials (RCTs) related to nurse\u2010driven SM programs in COPD population were included. The standardized mean differences with 95% confidence intervals were determined for the main variables and heterogeneity was analysed using the\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      test. The Preferred Reporting Items for Systematic Reviews and Meta\u2010Analysis (PRISMA) was used.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Twelve studies were included. The results indicated that significant difference in physical health scores based on COPD Assessment Tool (CAT) and walking distance according to the 6\u2010min walk distance (6MWD) test in the intervention groups compared with the control groups. About psychosocial health findings, the quality of life increased and the Hospital Anxiety and Depression Scale (HADS) scores decreased following SM programs. All of the studies had good quality (varying from 5\u20138 points) according to The Modified Jadad Scale.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Nurse\u2010driven SM programs may contribute to prognosis in patients with COPD. Due to methodological weaknesses in the included trials, high\u2010quality RCTs are needed to better determine the effects of nurse\u2010driven SM programs in the management of COPD. Nurse\u2010driven SM programs may be employed as a useful strategy to improve health status and QOL and psychosocial health in the COPD population, as well.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Impact<\/jats:title>\n                    <jats:p>Current evidence shows that nurse\u2010driven SM programs could be safely integrated into the clinical practice for patients with COPD. Future studies are warranted that evaluating the effects of nurse\u2010driven SM programs on other frequently observed COPD symptoms such as dyspnoea, fatigue and sleep disturbance.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jan.14505","type":"journal-article","created":{"date-parts":[[2020,8,28]],"date-time":"2020-08-28T16:17:47Z","timestamp":1598631467000},"page":"2849-2871","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":32,"title":["The effects of nurse\u2010driven self\u2010management programs on chronic obstructive pulmonary disease: A systematic review and meta\u2010analysis"],"prefix":"10.1111","volume":"76","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1910-2985","authenticated-orcid":false,"given":"Aylin","family":"Helvaci","sequence":"first","affiliation":[{"name":"Faculty of Nursing Medical Nursing Department Hacettepe University Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0311-9982","authenticated-orcid":false,"given":"Zehra","family":"Gok Metin","sequence":"additional","affiliation":[{"name":"Faculty of Nursing Medical Nursing Department Hacettepe University Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,8,28]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2018.17933"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2017.03.010"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2018.12.004"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.3109\/15412555.2014.974735"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.e7642"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.2196\/14408"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.e1060"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rmed.2005.08.003"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rmed.2016.11.005"},{"key":"e_1_2_11_11_1","volume-title":"Oxford centre for evidence based medicine\u2010levels of evidence (March 2009)","author":"CEBM","year":"2009"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.2147\/COPD.S196592"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/jrsm.1090"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2008.09.009"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.128.4.2017"},{"issue":"1141","key":"e_1_2_11_16_1","first-page":"447","article-title":"The use of the Hospital Anxiety and Depression Scale (HADS) in patients with chronic obstructive pulmonary disease: A pilot study","volume":"114","author":"Dowson C.","year":"2001","journal-title":"New Zealand Medical Journal"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.3109\/15412555.2014.898050"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1183\/13993003.00025-2016"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.200811-1757ST"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.4037\/ajcc1998.7.3.200"},{"issue":"11","key":"e_1_2_11_21_1","first-page":"e003479","article-title":"The cost\u2010effectiveness of a structured education pulmonary rehabilitation programme for chronic obstructive pulmonary disease in primary care: The PRINCE cluster randomised trial","volume":"3","author":"Gillespie P.","year":"2013","journal-title":"British Medical Journal Open"},{"key":"e_1_2_11_22_1","volume-title":"Global strategy for the diagnosis, management and prevention of chronic obstructive pulmonary disease 2019 report","author":"GOLD","year":"2019"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.2147\/COPD.S123744"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1475-6773.2004.00269.x"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.d5928"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.327.7414.557"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.2147\/COPD.S103998"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2009.10.017"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.k2241"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.00102509"},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.12728"},{"key":"e_1_2_11_32_1","doi-asserted-by":"publisher","DOI":"10.2147\/COPD.S49622"},{"issue":"5","key":"e_1_2_11_33_1","first-page":"345","article-title":"Blinding: Who, what, when, why, how?","volume":"53","author":"Karanicolas P. 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