Author(s): Salvado, Susana ; Grilo, Eugénia ; Henriques, Helga ; Ferraz, Isabel ; Gaspar, Filomena ; Baixinho, Cristina
Date: 2025
Persistent ID: http://hdl.handle.net/10400.8/14317
Origin: IC-online
Subject(s): Chronic obstructive pulmonary disease; Elderly person; Home; Nursing; Respiratory rehabilitation; Self-care
Background/Objectives: Pulmonary rehabilitation is recognised as one of the most cost-effective interventions. However, patients’ adherence to these programmes remains a challenge. This systematic literature review aimed to describe pulmonary rehabilitation interventions carried out by nurses that promote self-care in elderly people with COPD (at home). Methods: The exploratory literature search was conducted to support the development of the research question and the PICO strategy. The criteria for eligibility were determined for participants, interventions, comparators, and outcomes. Research was conducted in the CINAHL, SCOPUS, and MEDLINE databases and that covered publications up to 31 December 2024 with no temporal limit identified, eight articles that included cohort studies, randomised controlled trials (RCTs), and quasi-experimental studies that met the quality standards established by JBI. Results: The identified interventions include health education, breathing training and physical exercise, the development of tailor-made plans with monitoring and follow-up, psychological support, and oxygen therapy management. Conclusions: The results highlight the importance of tailor-made interventions that can enhance self-care in elderly people with COPD in a home setting, as well as key components of respiratory rehabilitation.
