Respiratory teaching of patients: how effective is it?

J, Howard; Davies, Janet L.; Roghmann, Klaus J.

doi:10.1111/j.1365-2648.1987.tb01323.x

Cited by 10 publications

(6 citation statements)

References 4 publications

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“…The predialysis patients had all participated in a patient education programme prior to starting dialysis treatment. Previous investigators have shown that educational interventions have enabled patients with chronic illness to adjust more readily to their situation and to accept treatment more readily (26)(27)(28). Participation in the patient education programme may help explain why patients' perception of overall health and anxiety in the present study did not change despite deterioration of renal function and initiation of maintenance dialysis.…”

Section: Discussionmentioning

confidence: 62%

Well‐being and Functional Ability in Uraemic Patients Before and After Having Started Dialysis Treatment

Klang¹,

Clyne

1997

Scandinavian Caring Sciences

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In this study perceived well-being and functioning in 28 uraemic patients (14 women and 14 men, mean age 54 years) were measured in the predialysis stage during conservative renal therapy and 3-9 months after having started maintenance dialysis treatment. The patients had participated in a patient education programme in the predialysis stage. Disease-specific symptoms, perceived health (Health Index), functional (SIP) and emotional (STAI) status were analysed. The results showed that there were no significant differences in the patients' correction of uraemia, frequency of symptoms or anxiety prior to and after having started dialysis. After having started dialysis treatment, fatigue, lack of energy and functional disability in work increased while disability in recreation and pastime decreased. Standard bicarbonate correlated significantly to the symptoms of leg cramps and itching. Serum albumin correlated significantly to eating dysfunction in the SIP. There was a large variation within the group with regard to their self-rated disturbances. Some patients reported a relatively intact quality of life, some reported a moderate influence, and some a severe decrease in quality of life irrespective of whether they were in the predialysis state or on maintenance haemodialysis or CAPD. In conclusion, dialysis treatment resulted in increased fatigue and lack of energy, while disease-specific symptoms, functional disability and anxiety did not increase during the first months on dialysis. The symptoms of itching and leg cramps correlated significantly with level of metabolic acidosis, and eating disability correlated with serum albumin levels, indicating that biochemical variables should be combined with patient assessment of health and well-being in order to optimize treatment and care. Moreover, the wide range of scores in all the research variables indicates that assessment of quality of life can be helpful in allocating support to those patients in need of it.

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Section: Discussionmentioning

confidence: 62%

Well‐being and Functional Ability in Uraemic Patients Before and After Having Started Dialysis Treatment

Klang¹,

Clyne

1997

Scandinavian Caring Sciences

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“…This was followed by a homebased individual training programme, and the level of satisfaction with health was sustained one year later (12). A nurse-led education programme resulted in patients requiring fewer hospital stays and of shorter duration after one year (13).…”

Section: Non-randomised Studies Performed In Hospitalmentioning

confidence: 99%

“…The patients' medical records were examined for background data, such as age, sex, occupation, civil status, type of housing, number of years since the disease was first diagnosed, FEV1, previous participation in out-patient COPD classes, and BMI. A questionnaire was constructed for use in a preand a post-test, based on previous studies on the subject of knowledge (11,13,15,16,19,20), selfcare (11, 13-16, 19, 20), motivation (19) and experiences of how COPD influences everyday life (11,12,15,(17)(18)(19)(20)(27)(28)(29). A team of healthcare professionals (physician, nurse, physiotherapist and assistant nurse) and a statistician assessed the validity of the questions, after which four patients with COPD tested the questionnaire following groupbased education.…”

Section: Instrumentsmentioning

confidence: 99%

“…As smoking is the main cause of COPD, smokers with COPD need motivation to stop smoking, while all patients need education in order to alleviate their symptoms and guidance on how to live with a chronic disease that increasingly restricts everyday life (1,3,4). It is assumed that these patients will need increasing hospitalisation (1), yet there are few studies available on the effect of hospitalbased education provided by a nurse to groups of patients with COPD (11)(12)(13). The aim of this study was, therefore, to evaluate the strengthening effect on patient empowerment for-inpatients with COPD, of a nurse-led, groupbased education programme based on the health belief model (HBM) in relation to conventional patient education.…”

Section: Introductionmentioning

confidence: 99%

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Evaluation of a Nurse-Led Group-Based Education Programme for In-Patients with Chronic Obstructive Pulmonary Disease

Göransson¹,

Kirkegaard²,

Fridlund³

2003

Nordic Journal of Nursing Research

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“…Both their knowledge of the disease and skill in managing it increased. Howard, Davies, and Roghmann (1987) reported that hospitalized patients who participated in a structured pulmonary teaching program required fewer admissions and stayed out of the hospital longer than those who did not participate. The elements most important in determining the length of hospital stay and the length of time patients were able to stay out of the hospital were the use of medications, control of the environment, and knowledge of the changes in the pulmonary system that occur with COPD.…”

mentioning

confidence: 99%