The Effects of the Respiratory Rehabilitation Program on Perceived Self-Efficacy and Dyspnea in Patients with Lung Cancer

Abstract

This study aims to examine the effects of the respiratory rehabilitation program on perceived self-efficacy and dyspnea in patients with lung cancer. Methods: This is a quasi-experimental research study with a two-group repeated measures design with the pretest and post-test at Week 4 and Week 8. The theory of self-efficacy by Bandura was used as the conceptual framework. The sample consisted of patients with nonesmall-cell lung cancer Stage 4 who visited the oncology clinic in a university hospital. Twenty-eight patients were enrolled and equally allocated to the control group and experimental group. The control group received routine nursing care only, whereas the experimental group received the respiratory rehabilitation program. The program comprised dyspnea educating, breathing exercise, using handheld fans, effective coughing, respiratory strengthening training, and follow-up by phone in the third and sixth week. Data for perceived selfefficacy and dyspnea were collected before the program start and reassessment in the fourth and eighth week. Instrumentation was composed of the respiratory rehabilitation program, demographic data, perceived self-efficacy assessment for respiratory rehabilitation, and the Cancer Dyspnea Scale. Data were analyzed using descriptive statistics and one-factor repeated measures analysis of variance and by comparing means between groups. Results: The result revealed that almost all of the patients in the sample were men, and the mean age of the experimental group and control group was 65.80 years (standard deviation ¼ 8.80) and 73.00 years (standard deviation ¼ 7.60), respectively. There was significant different in the mean score of perceived self-efficacy and dyspnea between the experimental group and the control group (p < .050). Conclusion:Based on the findings of the study, the respiratory rehabilitation program should be used to promote self-efficacy and relieve dyspnea in patients with lung cancer.

Effect of Nursing Model Based on Rosenthal Effect on Self-Efficacy and Cognition of Life Meaning in Patients with Non-Small-Cell Lung Cancer

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Effects of Stress Psychological Intervention on the Cardiopulmonary Function, Negative Emotion, Self-Efficacy, and Quality of Life in Patients with Acute Respiratory Failure

“…Generally speaking, the greater the self-efficacy an individual possesses, the greater the positive effect of persistence and effort on their behavior and the higher the level of mental health. More and more studies have shown that improving self-efficacy plays an important role in the management of chronic and mental illnesses [ 21 ]. Most patients with ARF are depressed and pessimistic, so psychological support is the key to alleviating their psychological pressure.…”

Cáncer de pulmón, tendencias desde la perspectiva del cuidado

“…Se encontraron 10 artículos que muestran resultados relacionados con la sintomatología experimentada y tratada en personas con cáncer de pulmón; los principales hallazgos señalan que los síntomas más frecuentes son, la tos, expectoración, fatiga y disnea, siendo esta última la más común (45) . Las prácticas de autogestión más utilizadas para aliviar la disnea son: el uso de oxigenoterapia y administración de broncodilatadores por encima de las dosis prescritas (40) ; así mismo, la utilización de terapia Fan-to-face es efectiva para aliviar la disnea en pacientes con cáncer terminal (46) y la rehabilitación respiratoria se describe como recurso fundamental para el manejo de los síntomas y la mejora de la autoefi cacia (42) . En lo que respecta al personal de salud, expresa que la tos es una preocupación clínica para la atención de las personas, siendo los opiáceos la estrategia farmacológica más efectiva para tratarla (41) .…”