The role of a multidisciplinary student team in the community management of chronic obstructive pulmonary disease
| Autor: | Herchel Clarke, Miranda Voss |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty Students Medical Urban Population Alternative medicine Service-learning Health literacy Pulmonary Disease Chronic Obstructive South Africa 03 medical and health sciences 0302 clinical medicine Nursing Quality of life Multidisciplinary approach Humans Medicine Community Health Services Prospective Studies 030212 general & internal medicine Poverty Care Planning Aged COPD business.industry Inhaler Public Health Environmental and Occupational Health Community management Middle Aged medicine.disease Home Care Services Exercise Therapy Health Literacy 030228 respiratory system Quality of Life Physical therapy Female business |
| Zdroj: | Primary Health Care Research & Development. 17:415-420 |
| ISSN: | 1477-1128 1463-4236 |
| Popis: | ObjectiveTo determine whether a community-based, multidisciplinary team consisting of home-based caregivers and supervised students could improve the functional status and quality of life of patients living with chronic obstructive pulmonary disease (COPD) in a low-income, peri-urban setting in South Africa.MethodsThis was a quasi-experimental study conducted over three months. Attention was paid to health literacy, inhaler technique, respiratory conditioning and nutrition.ResultsHealth literacy was poor and most patients were not using their inhalers correctly. Five of 12 patients found exercising challenging and withdrew from the study early. In the remaining seven patients, statistically significant improvements in FEV1%, and quality of life scores were seen at three months. Improvements in exercise tolerance and BODE prognostic index did not reach statistical significance.ConclusionA home-based multidisciplinary student team can improve the functional status and the quality of life in patients living with COPD in a low-income setting. This approach offers a suitable model for community-based service learning. |
| Databáze: | OpenAIRE |
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