2025, Vol. 7, Issue 2, Part B

author(s)
Revanasiddappagouda Patil

abstract

Introduction: Chronic Obstructive Pulmonary Disease (COPD) is a leading global health burden, responsible for over 3 million deaths annually. Traditional management approaches have expanded to include self-management interventions, with nurses playing a central role. In the digital era, nursing interventional packages integrating education, skill training, psychosocial support, and digital tools are emerging as key strategies for improving patient outcomes.

Methods: A narrative review with systematic elements was conducted following PRISMA principles. Six databases (PubMed, CINAHL, Scopus, Web of Science, Embase, Cochrane) and grey literature were searched for studies published between 2000 and 2025. Eligible studies included adult COPD patients receiving nurse-led self-management interventions, with or without digital integration. Data extraction covered intervention characteristics, outcomes, and effectiveness. Quality appraisal employed Cochrane, Newcastle-Ottawa, CASP, and AMSTAR-2 tools.

Results: Out of 3,482 records screened, 132 studies were included. Nurse-led interventions significantly improved self-efficacy, medication adherence, inhaler technique, and quality of life, while reducing hospital readmissions. Digital tools, including tele-nursing and mobile health applications, enhanced accessibility, patient engagement, and continuity of care. Hybrid models (face-to-face plus digital) produced the strongest and most sustainable outcomes. Psychosocial benefits, such as reduced anxiety and improved social support, were frequently reported. Cost-effectiveness analyses demonstrated substantial healthcare savings, though implementation barriers in low- and middle-income countries included digital illiteracy and limited infrastructure.

Discussion: Nursing interventional packages are effective in improving COPD self-management, with digital integration amplifying their impact. Future research should explore long-term sustainability, equity in digital access, and advanced technologies. Policymakers should support nurse-led, digitally enabled interventions as cost-effective, patient-centered strategies for chronic disease management.