查看文章

This article aimed to analyse the outcome of self-management randomised control trials and their impact upon chronic obstructive pulmonary disease patients' health outcomes using meta-analysis approach. PubMed, Scopus, CINAHL, Web of Science databases and Cochrane Library, were searched for articles between 1990 and December 2015 by two researchers. Self-management programs significantly improved patients' quality of life across all domains of the St George Respiratory Questionnaire (SGRQ) (activity −2.21 (95% CI: −3.61 to −0.80), p = 0.002; impact −3.30 (95% CI: −5.28 to −1.32), p = 0.001; symptoms −3.12 (95% CI: −4.94 to −1.03), p = 0.001; total −3.32 (95% CI: −4.60 to −2.04), p < 0.001), the six-minute walk test (−30.50 (95% CI: 3.32 to 57.68), p = 0.028), and across three domains of the chronic obstructive pulmonary disease self-efficacy scale (negative effect −1.22 (95% CI: −2.31 to −0.14), p …