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

Articles in Press

Document Type : Original Quantitative and Qualitative Research Paper

Authors

1 Department of nursing, School of Nursing and Midwifery, Zabol University of Medical sciences, Zabol, Iran

2 School of Nursing and Midwifery, Zabol University of Medical Sciences, Zabol, Iran.

3 Department of Hematology, Faculty of Allied Medical Sciences, Zabol University of Medical Sciences, Zabol, Iran

10.22038/ebcj.2026.89677.3174

Abstract

Background:
Despite advancements in the treatment of COPD, it is an irreversible disease with poor prognosis. Individuals with COPD not only experience progressive shortness of breath and physical limitations resulting from it but also face psychological and social challenges.
Aim:
This study aimed to determine the impact of the continuous care model on the lifestyle and self-care.
Method:
In randomized controlled clinical trial 70 patients with COPD who met the inclusion criteria were selected and randomly allocated into intervention and control groups. The intervention took place between 2023-2024 in sina hospital at city of zabol. The Miller Lifestyle Questionnaire and the Miller Self- Care Questionnaire were completed. For the intervention group, the continuous care model was implemented over 3 months in 4 stages : familiarization, sensitization, control, and evaluation. The statistical analysis was conducted by SPSS.
Results :
Results indicated that the mean lifestyle score after the intervention decreased in both groups (control: 76.40 ± 4.55 to 75.71 ± 6.62; intervention: 71.23 ± 4.65 to 48.05 ± 4.97); however, only the decrease in the intervention group was statistically significant compared with the pre-intervention value. (P <0.05, t=19.96). The mean self-care after the intervention significantly increased compared to the mean before the intervention in the intervention group (t-paired P<0.05).
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.

Keywords

Main Subjects

Evidence Based Care

Articles in Press, Accepted Manuscript
Available Online from 05 April 2026

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