Advertisement

Effect of comprehensive therapy based on Chinese medicine patterns on self-efficacy and effectiveness satisfaction in chronic obstructive pulmonary disease patients

  • Xue-qing Yu
  • Ming-hang Wang
  • Jian-sheng LiEmail author
  • Su-yun Li
  • Yang Xie
  • Yun-ping Bai
  • Hai-long Zhang
  • Fan Cao
  • Cong-xia Hou
  • Li-jun Ma
Original Article

Abstract

Objective

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).

Methods

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.

Results

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%).

Conclusions

Bufei Jianpi Granules, Bufei Yishen Granules and Yiqi Zishen Granules can improve the self-efficacy and satisfaction of COPD patients.

Keywords

chronic obstructive pulmonary disease Chinese medicine self efficacy effectiveness satisfaction 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Notes

Acknowledgments

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.

References

  1. 1.
    Diaz-Guzman E, Mannino DM. Epidemiology and prevalence of chronic obstructive pulmonary disease. Clin Chest Med 2014;35:7–16.CrossRefPubMedGoogle Scholar
  2. 2.
    WHO. World health statistics 2015. http://www.who.int/gho/publications/world_health_statistics/2015/en/Google Scholar
  3. 3.
    Yin P, Zhang M, Li YC, Jiang Y, Zhao WH. Prevalence of COPD and its association with socioeconomic status in China: Findings from China Chronic Disease Risk Factor Surveillance 2007. BMC Public Health 2011;11:586.CrossRefPubMedPubMedCentralGoogle Scholar
  4. 4.
    Lin HH, Murray M, Cohen T, Colijn C, Ezzati M. Effects of smoking and solid-fuel use on COPD, lung cancer, and tuberculosis in China: a time-based, multiple risk factor, modeling study. Lancet 2008;372:1473–1483.CrossRefPubMedPubMedCentralGoogle Scholar
  5. 5.
    Zhang MW, Ho RC, Cheung MW, Fu E, Mak A. Prevalence of depressive symptoms in patients with chronic obstructive pulmonary disease: a systematic review, meta-analysis and meta-regression. Gen Hosp Psychiatry 2011;33:217–223.CrossRefPubMedGoogle Scholar
  6. 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
  7. 7.
    Wigal JK, Creer TL, Kotses H. The COPD self-efficacy scale. Chest 1991;99:1193–1196.CrossRefPubMedGoogle Scholar
  8. 8.
    Rofail D, Taylor F, Regnault A, Filonenko A. Treatment satisfaction instruments for different purposes during a product's lifecycle: keeping the end in mind. Patient 2011;4:227–240.CrossRefPubMedGoogle Scholar
  9. 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. 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
  11. 11.
    Lu AP, Chen KJ. Chinese medicine pattern diagnosis could lead to innovation in medical sciences. Chin J Integr Med 2011;17:811–817.CrossRefPubMedGoogle Scholar
  12. 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. 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. 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. 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. 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
  17. 17.
    Li JS, Xie Y, Yu XQ, Li SY, Shao SJ, Guo LX, et al. An evaluation of self-efficacy and satisfaction with the effectiveness of Bufei Yishen Granule combined with acupoint sticking therapy in patients with chronic obstructive pulmonary disease. Eur J Integr Med 2013;5:313–325.CrossRefGoogle Scholar
  18. 18.
    Rycroft CE, Heyes A, Lanza L, Becker K. Epidemiology of chronic obstructive pulmonary disease: a literature review. Int J Chron Obstruct Pulmon Dis 2012;7:457–494.CrossRefPubMedPubMedCentralGoogle Scholar
  19. 19.
    Calverley PM, Anderson JA, Celli B, Ferguson GT, Jenkins C, Jones PW, et al. Satmeterol and flutieasene propionate and survival in chronic obstructive pulmonary disease. N Engl J Med 2007;356:775–789.CrossRefPubMedGoogle Scholar
  20. 20.
    Bandura A. Self-efficacy: toward a unifying theory of behavioral change. Psychol Rev 1977;84:191–215.CrossRefPubMedGoogle Scholar
  21. 21.
    Bandura A. Social cognitive theory: an agentic perspective. Annu Rev Psychol 2001;52:1–26.CrossRefPubMedGoogle Scholar
  22. 22.
    Barlow J, Wright C, Sheasby J, Turner A, Hainsworth J. Self-management approaches for people with chronic conditions: a review. Patient Educ Couns 2002;48:177–187.CrossRefPubMedGoogle Scholar
  23. 23.
    Frei A, Svarin A, Steurer-Stey C, Puhan MA. Self-efficacy instruments for patients with chronic diseases suffer from methodological limitations—a systematic review. Health Qual Life Outcomes 2009;7:86.CrossRefPubMedPubMedCentralGoogle Scholar
  24. 24.
    Kohler CL, Fish L, Greene PG. The relationship of perceived self-efficacy to quality of life in chronic obstructive pulmonary disease. Health Psychol 2002;21:610–614.CrossRefPubMedGoogle Scholar
  25. 25.
    Arnold R, Ranchor AV, Koëter GH, de Jongste MJ, Wempe JB, ten Hacken NH, et al. Changes in personal control as a predictor of quality of life after pulmonary rehabilitation. Patient Educ Couns 2006;61:99–108.CrossRefPubMedGoogle Scholar
  26. 26.
    Shikiar R, Rentz AM. Satisfaction with medication: an overview of conceptual, methodologic, and regulatory issues. Value Health 2004;7:204–215.CrossRefPubMedGoogle Scholar
  27. 27.
    Rejas J, Ruiz MA, Pardo A, Soto J. Minimally important difference of the Treatment Satisfaction with Medicines Questionnaire (SATMED-Q). BMC Med Res Methodol 2011;11:142.CrossRefPubMedPubMedCentralGoogle Scholar
  28. 28.
    Görtz-Dorten A, Breuer D, Hautmann C, Rothenberger A, Döpfner M. What contributes to patient and parent satisfaction with medication in the treatment of children with ADHD? A report on the development of a new rating scale. Eur Child Adolesc Psych 2011;20:297–307.CrossRefGoogle Scholar
  29. 29.
    Barbosa CD, Balp MM, Kulich K, Germain N, Rofail D. A literature review to explore the link between treatment satisfaction and adherence, compliance, and persistence. Patient Prefer Adher 2012;6:39–48.CrossRefGoogle Scholar
  30. 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

Copyright information

© Chinese Association of the Integration of Traditional and Western Medicine and Springer-Verlag GmbH Germany 2017

Authors and Affiliations

  • Xue-qing Yu
    • 1
    • 2
  • Ming-hang Wang
    • 1
    • 2
  • Jian-sheng Li
    • 2
    • 3
    Email author
  • Su-yun Li
    • 1
    • 2
  • Yang Xie
    • 1
    • 2
  • Yun-ping Bai
    • 2
    • 3
  • Hai-long Zhang
    • 1
    • 2
  • Fan Cao
    • 2
    • 3
  • Cong-xia Hou
    • 2
    • 3
  • Li-jun Ma
    • 4
  1. 1.Department of Respiratorythe First Affiliated Hospital of Henan University of Chinese MedicineZhengzhouChina
  2. 2.Collaborative Innovation Center for Respiratory Disease Diagnosis and Treatment & Chinese Medicine Development of Henan ProvinceHenan University of Chinese MedicineZhengzhouChina
  3. 3.Henan Key Laboratory of Chinese Medicine for Respiratory DiseaseHenan University of Chinese MedicineZhengzhouChina
  4. 4.Department of RespiratoryHenan Provincial People’s HospitalZhengzhouChina

Personalised recommendations