Ali Hasanpour Dehkordi1, Farshad Heidari-Beni2, Iman Reiszadeh3, Masih Hosseini4, Fereydoun Khajeh Ali5. 1. Social Determinants of Health Research Center, School of Allied Medical Sciences, Shahrekord University of Medical sciences, Shahrekord, Iran. 2. Nursing Care Research Center (NCRC), School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran. 3. Kashani Hospital, Shahrekord University of Medical Sciences, Shahrekord, Iran. 4. Department of Anatomical Sciences and Histology, School of Medicine, Shahrekord University of Medical Sciences, Shahrekord, Iran. 5. Department of Internal Medicine, Shahrekord University of Medical Sciences, Shahrekord, Iran.
Abstract
Background: Self-management is becoming increasingly important in patients with chronic obstructive pulmonary disease (COPD) as it is associated with improved clinical outcomes. The aim of this study was to determine the effect of a self-management program on health status and dyspnea severity in patients with COPD. Materials and Methods: This semi-experimental study was done on patients with COPD who were hospitalized at Ayatollah Kashani and Hajar hospitals from July 2017 to November 2019 in Shahrekord, Iran. Sixty patients with COPD were selected and completed three questionnaires, including a demographic questionnaire, COPD Assessment Test (CAT), and Dyspnea Scale (mMRC). The researcher educated the self-management skills to the intervention group, and the control group received routine care only. Three months after the intervention, the questionnaires were completed again by the control and intervention groups. Data were analyzed using descriptive and analytical statistics by SPSS version 24. Results: The results of this study showed that there was no significant difference in health status between the two groups before the intervention (p=0.827). Three months after the intervention, the health status score in the control and intervention groups were 20.93±5.00 and 18.00±5.18, respectively, which this difference was statistically significant (p=0.030). Also, at the beginning of the study, the difference in dyspnea score between the two groups was not statistically significant (p=0.593). However, three months after the intervention, the score of dyspnea in the control and intervention groups was 2.1±0.995 and 1.53±1.074, respectively, which this difference was significant (p= 0.038). Conclusion: This study showed that self-management intervention could improve the health status and reduce the dyspnea of patients with COPD. Copyright
Background: Self-management is becoming increasingly important in patients with chronic obstructive pulmonary disease (COPD) as it is associated with improved clinical outcomes. The aim of this study was to determine the effect of a self-management program on health status and dyspnea severity in patients with COPD. Materials and Methods: This semi-experimental study was done on patients with COPD who were hospitalized at Ayatollah Kashani and Hajar hospitals from July 2017 to November 2019 in Shahrekord, Iran. Sixty patients with COPD were selected and completed three questionnaires, including a demographic questionnaire, COPD Assessment Test (CAT), and Dyspnea Scale (mMRC). The researcher educated the self-management skills to the intervention group, and the control group received routine care only. Three months after the intervention, the questionnaires were completed again by the control and intervention groups. Data were analyzed using descriptive and analytical statistics by SPSS version 24. Results: The results of this study showed that there was no significant difference in health status between the two groups before the intervention (p=0.827). Three months after the intervention, the health status score in the control and intervention groups were 20.93±5.00 and 18.00±5.18, respectively, which this difference was statistically significant (p=0.030). Also, at the beginning of the study, the difference in dyspnea score between the two groups was not statistically significant (p=0.593). However, three months after the intervention, the score of dyspnea in the control and intervention groups was 2.1±0.995 and 1.53±1.074, respectively, which this difference was significant (p= 0.038). Conclusion: This study showed that self-management intervention could improve the health status and reduce the dyspnea of patients with COPD. Copyright
Authors: Jamile Ashmore; Rennie Russo; Jennifer Peoples; John Sloan; Bradford E Jackson; Sejong Bae; Karan P Singh; Steven N Blair; David Coultas Journal: Contemp Clin Trials Date: 2013-05-13 Impact factor: 2.226
Authors: Esther Pwa Talboom-Kamp; Noortje A Verdijk; Marise J Kasteleyn; Lara M Harmans; Irvin Jsh Talboom; Ingrid Looijmans-van den Akker; Nan van Geloven; Mattijs E Numans; Niels H Chavannes Journal: J Med Internet Res Date: 2017-08-16 Impact factor: 5.428