TY - JOUR T1 - A systematic review of nursing interventions for breathlessness in COPD JF - European Respiratory Journal JO - Eur Respir J DO - 10.1183/1393003.congress-2017.PA2582 VL - 50 IS - suppl 61 SP - PA2582 AU - Simen Alexander Steindal AU - Trine Oksholm AU - Henny Torheim AU - Vivi Lycke Christensen AU - Kathryn Lee AU - Anners Lerdal AU - Heidi Øksnes Markussen AU - Gerd Gran AU - Marit Leine AU - Christine Råheim Borge Y1 - 2017/09/01 UR - http://erj.ersjournals.com/content/50/suppl_61/PA2582.abstract N2 - Introduction: To our knowledge, no systematic reviews (SR) have focused on the efficacy of nursing interventions for improving breathlessness in chronic obstructive pulmonary disease (COPD).Aim: To present SR of nursing intervention studies that evaluated efficacy for improving breathlessness in adults with COPD.Methods: A systematic search in CINAHL, PsycINFO, Embase, and Medline was conducted to identify studies with pre- and post-test design, clinical controlled trials or RCTs published from January 2000 to April 2015.Results: Nineteen articles were included. Four categories of nursing interventions on breathlessness were identified. In the category homebased nursing four out of eight studies, including one RCT, two 2-group pre-post design, and one 1-group pre-post design found that nursing interventions improved breathlessness (p=0.04-<0.001). In the category mixed self-management/rehabilitation intervention performed in hospital and at home, five RCTs and one 2-group pre-post design found a positive change in favour of the experimental groups compared with controls (p=0.02-<0.0001). In the category pulmonary rehabilitation in clinics one RCT found no effect, while one 1-group pre-post design found a positive change over time (p<0.001). In the category other interventions one out of three RCTs found a positive effect in favour of the experimental groups compared with controls (p=0.03-0.0003).Conclusions: Results suggest that mixed self-management/rehabilitation interventions performed in hospital and home follow-up improve breathlessness in COPD. To strengthen the knowledge of nursing interventions improving breathlessness in COPD, more RCTs are need. ER -