Self-management and integrated pulmonary care as an essential part of treatment of patients with chronic obstructive pulmonary disease

Adv Respir Med. 2021;89(3):291-298. doi: 10.5603/ARM.a2021.0057.

Abstract

Chronic obstructive pulmonary disease (COPD) is a common, chronic and progressive disease that is a major public health problem worldwide. Treatment for stable COPD relies on pharmacological and non-pharmacological procedures. Education, self-management interventions and personalized pulmonary rehabilitation should be part of chronic care for patients with COPD at all stages of their disease. The comprehensive care should be provided by integrated pulmonary care based on pulmonary centers and a multidisciplinary team to all patients with COPD. Holistic approach to the patient with COPD and his involvement in therapy and working closely with healthcare professionals will improve quality of life of COPD patients. It also modifies the course of the disease, prevents progression and may reduce the frequency of exacerbations. In this article, we present the proposed model of integrated pulmonary care, structures necessary for multidisciplinary treatment and self-management intervention as essential elements in the treatment of patients with COPD.

Keywords: COPD treatment; chronic obstructive pulmonary disease; integrated pulmonary care; self-management.

MeSH terms

  • Disease Progression
  • Health Behavior
  • Health Promotion / methods*
  • Humans
  • Life Style
  • Patient Education as Topic / methods*
  • Pulmonary Disease, Chronic Obstructive / physiopathology
  • Pulmonary Disease, Chronic Obstructive / therapy*
  • Quality of Life
  • Self-Management / education*