Abstract
IntroductionThe pivotal role played by self-management in bronchiectasis has been highlighted in the guideline for non-cystic fibrosis bronchiectasis 2010[1], published by the British Thoracic Society (BTS), although research in this field is currently limited.Aims and Objectives This audit aimed to identify whether 1) patients at University Hospital Llandough (UHL) self-manage their bronchiectasis and 2) whether UHL were meeting recommendations set by the BTS in their guidelines by providing patients with individualised written self-management plans.MethodsQuestionnaires inquiring about self-management were distributed to patients, both in clinic and by post. Questionnaires completed by >80% were analysed.ResultsA total of 57 patients participated in this study. Results had shown that 81.1% of patients were self-regulating their own medication. 94.7% of patients were able to recognise signs of chest infections with 62.3% being able to manage exacerbations using rescue antibiotics. In addition, 63.2% of patients provide sputum samples to their General Practitioners during infections. 68.4% of patients practise physiotherapy techniques to clear their chest.The 2012 national BTS bronchiectasis audit results have shown that for UHL only 12.7% (8/63) of patients attending clinic during the audit period had individualised written self-management plans.ConclusionMost patients at UHL are able to self-manage their bronchiectasis well, despite not being provided individualised written self-management plans.References1. British Thoracic Society, Bronchiectasis (non-CF) Guideline Group. Guideline for non-CF bronchiectasis. Thorax. 2010; 65 (Suppl 1): i1-i58.