Effect of comprehensive therapy based on Chinese medicine patterns on self-efficacy and effectiveness satisfaction in chronic obstructive pulmonary disease patients
- 44 Downloads
To evaluate the effect of comprehensive therapy based on Chinese medicine (CM) patterns on self-efficacy and satisfaction with its effectiveness in patients with chronic obstructive pulmonary disease (COPD).
A total of 216 patients were randomly divided into the trial group (n =108) and the control group (n =108) based on the stratified and block randomization design. Patients in the trial group were treated with conventional Western medicine combined with Bufei Jianpi Granules (补肺健脾颗粒), Bufei Yishen Granules (补肺益肾颗粒), and Yiqi Zishen Granules (益气滋肾颗粒) according to the CM patterns respectively, and patients in the control group were treated with conventional Western medicine. The COPD Self-Efficacy Scale (CSES) and the Effectiveness Satisfaction Questionnaire for COPD (ESQ-COPD) were employed in a 6-month treatment and in further 6 month follow-up visit.
Among the 216 patients, 191 patients (97 in the trial group and 94 in the control group) fully completed the study. After 12-month treatment and follow-up, the mean scores of the trial group all continued to increase over time, which were significantly higher than those of the control group (P <0.05), and the improvement in the following trial group domain: negative affect domain (12.13%), intense emotional arousal domain (12.21%), physical exertion domain (11.72%), weather/environmental domain (13.77%), behavioral risk domain (7.67%) and total score (10.65%). The trial group also exhibited significantly higher mean scores in the ESQ-COPD (P <0.05) and the improvement in the following domain: capacity for life and work domain (30.59%), clinical symptoms domain (53.52%), effect of therapy domain (35.95%), convenience of therapy domain (35.54%), and whole effect domain (52.47%).
Bufei Jianpi Granules, Bufei Yishen Granules and Yiqi Zishen Granules can improve the self-efficacy and satisfaction of COPD patients.
Keywordschronic obstructive pulmonary disease Chinese medicine self efficacy effectiveness satisfaction
Unable to display preview. Download preview PDF.
The authors acknowledge Prof. SUN Zi-kai of Jiangsu Provincial Hospital of Traditional Chinese Medicine, and Prof. ZHANG Wei of Affiliated Hospital of Shandong University of Traditional Chinese Medicine for the great assistance in the participation of the whole study.
- 2.WHO. World health statistics 2015. http://www.who.int/gho/publications/world_health_statistics/2015/en/Google Scholar
- 6.GOLD. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease. Revised 2016. http://goldcopd.org/global-strategydiagnosis-management-prevention-copd-2016/.Google Scholar
- 9.Li JS, Wang MH, Yu XQ, Li SY, Wang HF, Li Y. Study on the effectiveness satisfaction questionnaire of COPD for chronic obstructive pulmonary disease patient. Inf Tradit Chin Med (Chin) 2010;17:8–9.Google Scholar
- 10.Zhang WJ, Zhang YP. Recent research in chronic obstructive pulmonary disease treated with traditional Chinese medicine. J Beijing Univ Chin Med (Chin) 2007;14:39–41.Google Scholar
- 12.Wang ZW, Li JS, Yu XQ, Wang MH, Li SY. Symptom diagnosis criteria for chronic obstructive pulmonary diseases at stationary phase from literature. Tradit Chin Med Res (Chin) 2008;21:55–58.Google Scholar
- 13.COPD Study Group of Chinese Society of Respiratory Disease. Treatment guidelines of chronic obstructive pulmonary disease (Revised 2013). Chin J Tuber Respir Dis (Chin) 2013;36:1–10.Google Scholar
- 14.Li JS, Li SY, Wang ZW, Yu XQ, Wang MH, Wang YY. Syndrome diagnostic criteria of traditional Chinese medicine of chronic obstructive pulmonary disease (2011 edition). J Tradit Chin Med (Chin) 2012;53:177–178.Google Scholar
- 15.Li SY, Li JS, Wang MH, Xie Y, Yu XQ, Sun ZK, et al. Effects of comprehensive therapy based on traditional Chinese medicine patterns in stable chronic obstructive pulmonary disease: a four-center, open-label, randomized, controlled study. BMC Complement Altern Med 2012;12:197.CrossRefPubMedPubMedCentralGoogle Scholar
- 16.Wang MH, Li JS, Yu XQ, Li SY, Wang HF, Li Y. The evaluation on reliability, validity and responsibility of the COPD Self-Efficacy Scale for chronic obstructive pulmonary disease patient. Liaoning J Tradit Chin Med (Chin) 2011; 38:818–821.Google Scholar
- 30.Evans CJ, Trudeau E, Mertzanis P, Marquis P, Peña BM, Wong J, et al. Development and validation of the Pain Treatment Satisfaction Scale (PTSS): a patient satisfaction questionnaire for use in patients with chronic or acute pain. Pain 2004;112:254-226.Google Scholar