Emotional-distress-based Integrated Care Programme in Patients With Stable COPD

Summary

The investigators have developed a new counselling service that focuses on the emotional distress experienced by people living with chronic obstructive pulmonary disease (\*COPD\*). The new programme is led by an advanced practice nursing (\*APN\*) team. Other professionals are involved in the programme, such as medical staff and physiotherapists. The new counselling service lasts three months. Patients will receive ten counselling sessions with a specialized nurse. The overall objective of the study is to assess the feasibility of the newly developed emotional-distress-based integrated care programme.

Eligibility

Inclusion Criteria:

* Patients with a confirmed diagnosis of COPD (GOLD 1-4) and existing lung function in the past 12 months
* Age ≥ 18
* Outpatient treatment on the pneumology clinic of the university hospital Zurich. Last consultation within the past 12 months

Exclusion Criteria:

* Significant changes in symptoms over the past 3 months that exceeded the everyday fluctuations and required intensification of treatment (moderate, severe exacerbations or pneumonia) and no COPD-related hospitalisation in the past 3 months
* Cognitive impairment (dementia, delirium)
* Unstable psychiatric situation, i.e., current psychiatric treatment due to personality disorder, schizophrenia, drug use, suicidal tendencies. No exclusion for nicotine and alcohol abuse, anxiety, and depression
* Not speaking or reading German
* Intervention via telephone or video call not possible
* Lung transplant (recipient or candidate)

Conditions2

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