The impact of an Education-Based Intervention Program (EBIP) on dyspnea and chronic self-care management among chronic obstructive pulmonary disease patients

Abstract

To evaluate the impact of dyspnea and chronic self-care management outcomes of an Education-Based Intervention Program (EBIP) compared to routine care. Methods: The population of the study consisted of self-care management scale of 61 patients diagnosed with chronic obstructive pulmonary disease (COPD) stage 2 and within one month after discharge. A total of 51 conforming patients were divided into experimental and control groups for a single-blind randomized trial. Data were collected using an introductory information form, the baseline dyspnea index (BDI), pulmonary function test (PFT), the self-care management process in chronic illness Original Article (SCMP-G) scale and body mass index (BMI). There were no addition interventions to the control group. The intervention group underwent a 3-month EBIP intervention that included education, house visits and follow-ups through phone calls between March 2019 and June 2019. The data were analyzed using Kolmogorov-Smirnov and Shapiro-Wilk tests, χ 2 , Mann Whitney U and Wilcoxon signed-rank tests. p<0.05 was statistically significant. Results: The study was completed with a total of 40 COPD patients. The effect of the EBIP training program on BDI, PFT, and SCMP-G scores in the intervention group was statistically proven (p<0.05). However, the differences between the groups in the BDI sub-dimension of functional impairment and PFT were not statistically significant (p>0.05). Conclusion: Providing patients with illness-related education through EBIP provided a partial improvement in dyspnea and a significant improvement in chronic care management among COPD patients.

Compliance to self-care management among adults with chronic obstructive pulmonary disease

“…This result come in accordance with van de Hei et al, (2021) who studied ''Personalized medication adherence management in asthma and chronic obstructive pulmonary disease: a review of effective interventions and development of a practical adherence toolkit'' and reported that there were a positive correlation between the studied sample knowledge and their compliance to self-care management. Also this result was supported by Çevirme & Gökçay, (2020) who reported that the patients' self-care management was affected by the patients' level of knowledge.…”

Conceptualisations of COPD self-management: A narrative review of the research literature

“…4,23,27,29,38,40,63,65,69 This was reflected in the definitions used by the authors of included texts that espoused a medicocentric conceptualisation of COPD self-management (notably, 16 texts did not present a formal definition of self-management). 23,27,32,34,37,41,45,46,48,52,54,58,59,61 Many of the authors referred to medical aspects in the definitions they used, including symptom management, self-monitoring, compliance with medical regimens and self-management interventions, and with the recommendations of health care professionals. 24,26,29,31,35,36,38,39,42,43,49,50,55,57,60,62,68 The concepts of patient education and behaviour change were also included in the definitions used by authors.…”

“…Similarly, within the main body of the medicocentric texts, emphasis was placed on the treatment of COPD, carrying out disease-specific medical regimens, managing symptoms, and adherence to treatment regimens. 23,25,28,30,32,33,35,39,43,44,47,49,50,52,59,61,63,66,69 There was a strong focus on education of people with COPD. 23,29,31,35,37,41,43,44,46,52,54,57,62,65 Many of the publications that took a medicocentric perspective also emphasised the role of lifestyle and behaviour change.…”

Predictors of self‐care behaviour trajectories in patients with chronic obstructive pulmonary disease: A latent class growth analysis

“…Our study showed that patients with more access to medical resources are more likely to be on a positive trajectory. Some studies also have demonstrated that self‐care programmes can improve patients' self‐care ability and self‐care efficacy (Cevirme & Gokcay, 2020; Liou et al, 2020). However, the follow‐up duration of these studies was only followed up for 3 months for patients, and the short‐term effect was good but the long‐term effect was unknown.…”