COPD self-management reduces hospital admissions and improves health-related quality of life (HRQoL). However, whilst most patients are managed in primary care, the majority of self-management trials have recruited participants with more severe disease from secondary care. We report the findings of a systematic review of the effectiveness of community-based self-management interventions in primary care patients with COPD. We systematically searched eleven electronic databases and identified 12 eligible randomised controlled trials with seven included in meta-analyses for HRQoL, anxiety and depression. We report no difference in HRQoL at final follow-up (St George’s Respiratory Questionnaire total score −0.29; 95%CI −2.09, 1.51; I² 0%), nor any difference in anxiety or depression. In conclusion, supported self-management interventions delivered in the community to patients from primary care do not appear to be effective. Further research is recommended to identify effective self-management interventions suitable for primary care populations, particularly those with milder disease.

慢性阻塞性肺病自我管理可减少住院次数并改善与健康相关的生活质量 (HRQoL)。然而，虽然大多数患者在初级保健中接受管理，但大多数自我管理试验都是从二级保健中招募患有更严重疾病的参与者。我们报告了对初级保健慢性阻塞性肺病患者基于社区的自我管理干预措施有效性的系统评价结果。我们系统地检索了 11 个电子数据库，并确定了 12 项合格的随机对照试验，其中 7 项纳入了 HRQoL、焦虑和抑郁的荟萃分析。我们报告最终随访时的 HRQoL 没有差异（圣乔治呼吸问卷总分 -0.29；95%CI -2.09, 1.51；I ² 0%），焦虑或抑郁也没有任何差异。总之，在社区中向初级保健患者提供的支持性自我管理干预措施似乎并不有效。建议进一步研究以确定适合初级保健人群，特别是病情较轻的人群的有效自我管理干预措施。