Impact of an Educational Program on Self Efficacy of Patients with Chronic Obstructive Pulmonary Disease

Document Type : Original Article

Authors

1 of Medical-Surgical Nursing, Faculty of Nursing, Ain Shams University

2 Surgery and Vascular, Faculty of Medicine, Suez Canal University

3 Chest Medicine, Faculty of Medicine, Mansoura University

4 Medical-Surgical Nursing, Faculty of Nursing, Port Said University

Abstract

   Background: Worldwide, chronic obstructive pulmonary disease (COPD) is in the spotlight because of its morbidity, mortality and high prevalence. In Egypt is highlighted as a major public health problem. The aim of the present study was to evaluate the impact of an educational program on knowledge, practice, and self-efficacy of patients with stable chronic obstructive pulmonary disease. Research Design Quasi- experimental research design was utilized in this study. Subject& Methods, the sample was consisted of all available patients with stable COPD during the time of data collection. Two tools were used to collect data: Structured interview sheet which consisted ofsocio-demographic characteristics, and medical history. and; Self-Efficacy Scale for Patients with COPD. The result of the study concluded that there was no statistically significant difference between pre and post & pre and follow up scores, but there was a highly statistically significant difference between pre and post program all self-efficacy factors except with weather ∕environment, while there was no statistically significant difference between pre and follow up program in all self-efficacy factors except in negative affect factor. Conclusion, the study concluded that after implementation of the educational program, remarkable improvements were occurred in knowledge, practice, and self-efficacy sub scores. Recommendation, the study recommended continuous monitoring and evaluation of self-efficacy for patients, to enhance disease management through establishing a rehabilitation program for patient, and to improve their self-efficacy. Promotion and enhancement of the self-care modalities to the patient; a strict written instruction with pictures about disease process, allowed foods , rest and physical activities and follow up should be continued after termination of educational program.
 

Keywords


Abedi, H., Salimi, S. J., Feizi, A., & Safari, S. (2013). Effect of self-efficacy enhancement program on self-care behaviors in chronic obstructive pulmonary disease. Iranian Journal of Nursing and Midwifery Research18(5), 421–424
Akazawa, M., Stearns, S. C., & Biddle, A. K. (2008). Assessing treatment effects of inhaled corticosteroids on medical expenses and exacerbations among COPD patients: longitudinal analysis of managed care claims. Health services research43(6), 2164-2182.‏
Antwi, S., Steck, S., and Heidari, K. (2013). Association between prevalence of chronic obstructive pulmonary disease and health-related quality of life, South Carolina, 2011. Preventing chronic disease10.‏
Badway, M. S., Hamed, A. F., & Yousef, F. M. (2016). Prevalence of chronic obstructive pulmonary disease (COPD) in Qena Governorate. Egyptian Journal of Chest Diseases and Tuberculosis65(1), 29-34.‏
Baghai-Ravary, R., Quint, J. K., Goldring, J. J., Hurst, J. R., Donaldson, G. C., & Wedzicha, J. A. (2009). Determinants and impact of fatigue in patients with chronic obstructive pulmonary disease. Respiratory medicine103(2), 216-223.‏
Belletti, D., Liu, J., Zacker, C., & Wogen, J. (2013). Results of the CAPPS: COPD–assessment of practice in primary care study. Current medical research and opinion29(8), 957-966
Bentsen, S. B., Gundersen, D., Assmus, J., Bringsvor, H., & Berland, A. (2013). Multiple symptoms in patients with chronic obstructive pulmonary disease in Norway. Nursing & health sciences, 15(3), 292-299
Bratås, O., Espnes, G. A., Rannestad, T., & Walstad, R. (2010). Characteristics of patients with chronic obstructive pulmonary disease choosing rehabilitation. Journal of rehabilitation medicine, 42(4), 362-367.
Centers for Disease Control and Prevention (2013). Chronic obstructive pulmonary disease. Retrieved May 3, 2014 From: http://www.cdc.gov/copd.
Chinet, T., Dumoulin, J., Honore, I., Braun, J. M., Couderc, L. J., Febvre, M., Mangiapan, G., Maurer, C., Serrier, P., Soyez, F.,  & Terrioux, P., & Jebrak, G. (2016). [The place of inhaled corticosteroids in COPD]. Revue des maladies respiratoires, 33 (15),877-891.
Decramer, M., Janssens, W., & Miravitlles, M. (2012). Chronic obstructive pulmonary disease. Lancet, 379(9823), 1341–51.
Farag, T. S., Hafez, M. R., Elshafie, T., & Abo-Elkheir, O. I. (2012). Anxiety and depression among patients with Bronchial asthma, chronic obstructive pulmonary disease and diffuse parenchymatous lung diseases. Egyptian Journal of Hospital Medicine, 49, 718-731.
Fu, S. N., Yu, W. C., Wong, C. K. H., & Lam, M. C. H. (2016). Prevalence of undiagnosed airflow obstruction among people with a history of smoking in a primary care setting. International Journal of Chronic Obstructive Pulmonary Disease, 11, 2391-2399.
Guarascio, A. J., Ray, S. M., Finch, C. K., & Self, T. H. (2013). The clinical and economic burden of chronic obstructive pulmonary disease in the USA. Clinico Economics and outcomes research: CEOR, 5, 235-245.
Hernandez, P., Balter, M. S., Bourbeau, J., Chan, C. K., Marciniuk, D. D., & Walker, S. L. (2013). Canadian practice assessment in chronic obstructive pulmonary disease: respiratory specialist physician perception versus patient reality. Canadian Respiratory Journal, 20(2), 97-105.
Hernandez, P., Balter, M., Bourbeau, J., & Hodder, R. (2009). Living with chronic obstructive pulmonary disease: a survey of patients’ knowledge and attitudes. Respiratory medicine, 103(7), 1004-1012.
Jacobsen, R., Rusch, E., Andersen, P. K., Adams, J., Jensen, C. R., & Frølich, A. (2014). The effect of rehabilitation on health‐care utilisation in COPD patients in Copenhagen. The clinical respiratory journal, 8(3), 321-329..
Jones, R. C. M., Hyland, M. E., Hanney, K., & Erwin, J. (2004). A qualitative study of compliance with medication and lifestyle modification in Chronic Obstructive Pulmonary Disease (COPD). Primary Care Respiratory Journal, 13(3), 149-154.
Karner, C., Chong, J., & Poole, P. (2014). Tiotropium versus placebo for chronic obstructive pulmonary disease. The Cochrane Library,(7). 
Khoshkesht, S., Zakerimoghadam, M., Ghiyasvandian, S., Kazemnejad, A., & Hashemian, M. (2015). The effect of home-based pulmonary rehabilitation on self-efficacy in chronic obstructive pulmonary disease patients.  J Pak Med Assoc,  65(10),1041-6.
Krigsman, K., Nilsson, J. L. G., & Ring, L. (2007). Adherence to multiple drug therapies: refill adherence to concomitant use of diabetes and asthma/COPD medication. Pharmacoepidemiology and drug safety, 16(10), 1120-1128.
Kupryś-Lipińska, I. &Kuna, P. (2014). Impact of Chronic Obstructive Pulmonary Disease (COPD) on Patient's Life and        his Family. Pneumonol Alergol Pol,82(2),82-95.
Lewis, S. L., Dirksen, S. R., Heitkemper, M. M., & Bucher, L. (2014). Medical-surgical nursing: assessment and management of clinical problems (9th ed.), single volume. Elsevier Health Sciences.
Lidia, A.D. (2012). Respiratory Rehabilitation in Chronic Obstructive  Bronchopneumonia (phD thesis, University of Medicine and Pharmacy of Craiova) Derieved from: http://www.umfcv.ro/files/r/e/Respiratory%20rehabilitation%20in%20chronic%20obstructive%20bronchopneumonia.pdf.
Lodewijckx, C., Sermeus, W., Panella, M., Deneckere, S., Leigheb, F., Troosters, T., Boto, P., Mendes, R., Decramer, M., & Vanhaecht, K. (2013). Quality indicators for in‐hospital management of exacerbation of chronic obstructive pulmonary disease: results of an international Delphi study. Journal of advanced nursing, 69(2), 348-362.
Lomborg, B. (2013). Global problems, smart solutions: costs and benefits. (1st  ed.).New York, Cambridge University Press.
Mahmud, T., Bokhari, S. N., & Aasim, M. (2012). Comparison of frequency of undiagnosed chronic obstructive pulmonary disease in current or former tobacco smokers having ischemic heart diseaseIndian J Chest Dis Allied Sci, 54(2),111-6.
Mohamed, A. (2005). Pulmonary Rehabilitation: Self-care Strategies for Chronic Obstructive Pulmonary Disease  Patients. (Unpublished  doctorate thesis).Medical –Surgical Nursing Department  Faculty of Nursing, Ain Shams University.
Mohamed, D. M., Ahmed, S. S., Mohamed, A. H., & Rahman, A. A. A. (2016). Effect of care protocol on the knowledge, practice and clinical outcomes of patients with chronic obstructive pulmonary disease. Journal of Nursing Education and Practice, 7(2), p107.
Monninkhof, E., Van der Valk, P., Van der Palen, J., Van Herwaarden, C., Partridge, M. R., & Zielhuis, G. (2003). Self-management education for patients with chronic obstructive pulmonary disease: a systematic review. Thorax, 58(5), 394-398.
Qaseem, A., Wilt, T. J., Weinberger, S. E., Hanania, N. A., Criner, G., Van der Molen, T., Marciniuk, D., Denberg, T., Schünemann, H., Wedzicha,  W., MacDonald,  R., & Shekelle,  P.. (2011). Diagnosis and management of stable chronic obstructive pulmonary disease: a clinical practice guideline update from the American College of Physicians, American College of Chest Physicians, American Thoracic Society, and European Respiratory Society. Annals of internal medicine, 155(3), 179-191
Reema, T., Adepu, R., & Sabin, T. (2010). Impact of clinical pharmacist intervention on knowledge, attitude and practice (KAP) of patients with chronic obstructive pulmonary disease. International Journal of Pharmacy &Pharmaceutical Sciences;2(4); 54.
Restrepo, R. D., Alvarez, M. T., & Wilkins, R. L. (2008). Medication adherence issues in patients treated for COPD. Int J Chron Obstruct Pulmon Dis, 3(3), 371-384.
Salah, M., Hamdi, A., & Shehata, H. (2013). Improving breathlessness and fatigue in patient with COPD. Journal of American Science, 9(12).
Scott, A. S., Baltzan, M. A., Dajczman, E., & Wolkove, N. (2011). Patient knowledge in chronic obstructive pulmonary disease: back to basics. COPD: Journal of Chronic Obstructive Pulmonary Disease, 8(5), 375-379.
Spencer, P., & Hanania, N. A. (2013). Optimizing safety of COPD treatments: role of the nurse practitioner. Journal of multidisciplinary healthcare, 6(53-63).
Subba, H. K., & Subba, R. (2015). Knowledge on self care among COPD patients attending at Chitwan Medical College Teaching Hospital, Bharatpur. Journal of Chitwan Medical College, 4(3), 34-37.
Thabane, M.; COPD Working Group.(2012). Smoking cessation for patients with chronic obstructive pulmonary disease (COPD): an evidence-based analysis. Ont Health Technol Assess Ser. ,12(4),1-50.
Walia, G. K., Vellakkal, R., & Gupta, V. (2016). Chronic Obstructive Pulmonary Disease and its Non-Smoking Risk Factors in India. COPD: Journal of Chronic Obstructive Pulmonary Disease, 13(2), 251-261.
World Health Organization (2016). COPD: Definition. Retrieved April 24, 2014 from: http://www.who.int/respiratory/copd/ definition/en/ .
Zamzam, M. A., Azab, N. Y., El Wahsh, R. A., Ragab, A. Z., & Allam, E. M. (2012). Quality of life in COPD patients. Egyptian Journal of Chest Diseases and Tuberculosis, 61(4), 281-289.
Kara, M., & Aşti, T. (2004). Effect of education on self-efficacy of Turkish patients with chronic obstructive pulmonary disease. Patient education and counseling, 55(1), 114-120.
Garrod, R., Marshall, J., & Jones, F. (2008). Self-efficacy measurement and goal attainment after pulmonary rehabilitation. The International Journal of Chronic Obstructive Pulmonary Disease, 3(4), 791-796
Davis, A. H., Carrieri-Kohlman, V., Janson, S. L., Gold, W. M., & Stulbarg, M. S. (2006). Effects of treatment on two types of self-efficacy in people with chronic obstructive pulmonary disease. Journal of pain and symptom management, 32(1), 60-70.
Stellefson, M.,  Tennant, B., &  Don Chaney, J. (2012). A Critical review of effects of COPD self-management education on self-efficacy. Public Health; 2012 (2012): 10. Derived October 23, 2014  From: https://www.hindawi.com/journals/isrn/2012/152047/.