Volume 29, Issue 99 And 100 (April- June 2016)                   IJN 2016, 29(99 And 100): 45-55 | Back to browse issues page

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Heidari M, Fayazi S, Borsi S, Vafaizadeh M. Effect of Self-Management Program on Self-Efficacy in Patients with Chronic Obstructive Pulmonary Disease. IJN. 2016; 29 (99 and 100) :45-55
URL: http://ijn.iums.ac.ir/article-1-2282-en.html
Instructor, Department of Medical-Surgical Nursing, Abadan School of Medical Sciences, Abadan, Iran. (*Corresponding author): Tel: 09378772274 Email: heidari.maryam84@yahoo.com
Abstract:   (1639 Views)


Background & Aim: Chronic Obstructive Pulmonary Disease (COPD) has been considered as one of the most common chronic diseases that lead to drop in authority and function in patients, and this has caused significant challenges in the care systems. The aim of this study is to investigate the effect of self-management program on self-efficacy in patients with COPD to find efficient method to improve the patients’ health status.

Material & Methods: This randomized clinical trial was performed on 50 COPD patients with moderate and severe grade who have the inclusion criteria. Patients were randomly assigned to control and intervention groups. Intervention group received the self-management program in addition to the regular care based on 5A model. All Patients were assessed by self-efficacy scale questionnaire at the beginning of the intervention and after 3 months. The t-test and chi square was used in SPSS software to analyze the data.

Results: The results show that there was no significant difference between the groups in self-efficacy at first, but there was significant difference after intervention (P<0.05). Also, comparing the self-efficacy difference mean in the groups showed significant difference (P<0.05).

Conclusion: Regarding to the effectiveness of short term self-management program on the improvement of self-efficacy in patients with COPD, use of self-management program in addition to routine practice care is recommended.

Full-Text [PDF 813 kb]   (790 Downloads)    
Type of Study: Research | Subject: nursing
Received: 2016/01/23 | Accepted: 2016/04/20 | Published: 2016/04/20

1. Polatli M,Bilgin C,Saylan B,Bazlilar S,Toprak E,Ergen H. A cross sectional observational study on the influence of chronic obstructive pulmonary disease on activities of daily living:the COPDd life study. Tuberk Toruks 2012; 60(1): 1-12.
2. Fauci, Braunwald, Kasper, Hauser, Longo, Jameson, et al. Harrison’s principles of medicine:disorders of respiratory system. Translated by Arjmand B.Tehran:arjmand; 17th ed. 2009. P179-97.
3. Trappenburg JC, Koevoets L, de Weert-van Oene GH, Monninkhof EM, Bourbeau J, Troosters T, et al. Action Plan to enhance self-management and early detection of exacerbations in COPD patients; a multicenter RCT. BMC Pulm Med. 2009;9(1):1-10.
4. Shavro SA, Ezhilarasu P, Augustine J, Bechtel JJ, Christopher DJ. Correlation of health-related quality of life with other disease severity indices in Indian chronic obstructive pulmonary disease patients. Int J Chron Obstruct Pulmon Dis. 2012;7(5):291-6.
5. Smeltzer SC, Bare BG, Hinkle JL, Cheever KH. Brunner&suddarths textbook of medical-surgical nursing.11th ed. philadelphia: Lippincott Williams & Wilkins; 2008. P: 686.
6. Bhandari R, Sharma R. Epidemiology of chronic obstructive pulmonary disease: a descriptive study in the mid-western region of Nepal. Int J Chron Obstruct Pulmon Dis. 2012;7:253-7.
7. Mirbagheri N, Memarian R, Mohamadi E. [Effects of regular walking programme on quality of life of elderly patients with moderate COPD]. Ofogh Danesh-Gonabad medical science university 2009; 14(4): 19-26. Persian
8. Blacker L, Jones C, Mooney C: Managing chronic obstructive pulmonary disease: Wiley& Sons, Ltd; 2007. 113-8.
9. Warner J. Strategic plan to address COPD in California. California:American lung association; 2012 novamber 15. available at: http://action.lung.org/site/Search?q= strategic+plan+to+address+copd+in+California.+&btnG=Search&output=xml_no_dtd&client=convio_frontend&sort=date%3AD%3AL%3Ad1&num=10&proxystylesheet=convio_frontend&oe=ISO-88591&ie=ISO88591&ulang=&entqr=3&entqrm=0&ud=1&site=ala
10. Geddes EL, O'Brien K, Reid WD, Brooks D, Crowe J. Inspiratory muscle training in adults with chronic obstructive pulmonary disease: an update of a systematic review. Respir Med. 2008;102(12):1715-29.
11. Blinderman CD, Homel P, Billings JA, Tennstedt S, Portenoy RK. Symptom distress and quality of life in patients with advanced chronic obstructive pulmonary disease. J Pain Symptom Manage. 2009; 38(1):115-23.
12. Brandt CL. Study of Older Adults' Use of Self‐Regulation for COPD Self‐Management Informs An Evidence‐Based Patient Teaching Plan. Rehabil Nurs. 2013;38(1):11-23.
13. Menn P, Weber N, Holle R. Health-related quality of life in patients with severe COPD hospitalized for exacerbations-comparing EQ-5D, SF-12 and SGRQ. Health Qual life Outcomes. 2010;8(1):1-10.
14. Abedi H, Salimi S, Feizi A, Safari Vaghasloo S. [Assessment of Relationship between Self-Efficacy and Self-Care in COPD Patients]. Journal of Urmia Nursing & Midwifery Faculty. 2012;10(1): 68-74. Persian
15. Nguyen HQ, Donesky-Cuenco D, Wolpin S, Reinke LF, Benditt JO, Paul SM, et al. Randomized controlled trial of an internet-based versus face-to-face dyspnea self-management program for patients with chronic obstructive pulmonary disease: pilot study. J Med Internet Res. 2008;10(2): e9.
16. Nolte S, Elsworth GR, Sinclair AJ, Osborne RH. The extent and breadth of benefits from participating in chronic disease self-management courses: a national patient-reported outcomes survey. Patient Educ Couns. 2007;65(3):351-60.
17. Bourbeau J, Van der Palen J. Promoting effective self-management programmes to improve COPD. Eur Respir J. 2009;33(3):461-3.
18. Efraimsson EÖ, Hillervik C, Ehrenberg A. Effects of COPD self‐care management education at a nurse‐led primary health care clinic. Scand J Caring Sci. 2008;22(2):178-85.
19. McGeoch GR, Willsman KJ, Dowson CA, Town GI, Frampton CM, McCartin FJ, et al. Self‐management plans in the primary care of patients with chronic obstructive pulmonary disease. Respirology. 2006;11(5):611-8.
20. Bourbeau J, Nault D, Dang-Tan T. Self-management and behaviour modification in COPD. Patient Educ Couns. 2004;52(3):271-7.
21. Monninkhof E, Van der Valk P, Van der Palen J, Van Herwaarden C, Partridge M, Zielhuis G. Self-management education for patients with chronic obstructive pulmonary disease: a systematic review. Thorax. 2003;58(5):394-8.
22. Wigal JK, Creer TL, Kotses H. The COPD Self-Efficacy Scale. Chest Journal. 1991;99(5):1193-6.
23. Bentsen SB, Rokne B, Wentzel‐Larsen T, Henriksen AH, Wahl AK. The Norwegian version of the chronic obstructive pulmonary disease self‐efficacy scale (CSES): a validation and reliability study. Scand J Caring Sci. 2010;24(3):600-9.
24. Rice KL, Dewan N, Bloomfield HE, Grill J, Schult TM, Nelson DB, et al. Disease management program for chronic obstructive pulmonary disease: a randomized controlled trial. Am J Respir Crit Care Med. 2010;182(7):890-6.
25. Bischoff EW, Akkermans R, Bourbeau J, van Weel C, Vercoulen JH, Schermer TR. Comprehensive self management and routine monitoring in chronic obstructive pulmonary disease patients in general practice: randomised controlled trial. BMJ. 2012;345:e7642.
26. Halvani A, Tavakoli M, Safari Kamalabadi M. [Epidemiology of COPD in inpatients]. Journal of Yazd Shahid Sedoughi medical science university 2009; 17(2): 3-9. Persian
27. Lomundal BK, Steinsbekk A. Observational studies of a one year self-management program and a two year pulmonary rehabilitation program in patients with COPD. Int J Chron Obstruct Pulmon Dis. 2007;2(4):617-624.
28. Kheirabadi GR, Keypour M, Attaran N, Bagherian R, Maracy MR. [Effect of add-on" Self management and behavior modification" education on severity of COPD]. Tanaffos. 2008;7(3):23-30. Persian
29. Jiang X, He G. Effects of an uncertainty management intervention on uncertainty, anxiety, depression, and quality of life of chronic obstructive pulmonary disease outpatients. Res Nurs Health. 2012;35(4):409-18.
30. Bucknall C, Miller G, Lloyd S, Cleland J, McCluskey S, Cotton M, et al. Glasgow supported self-management trial (GSuST) for patients with moderate to severe COPD: randomised controlled trial. BMJ. 2012; 344(1): 1-13.
31. Kaşıkçı MK. Using self‐efficacy theory to educate a patient with chronic obstructive pulmonary disease: A case study of 1‐year follow‐up. Int J Nurs Pract. 2011;17(1):1-8.
32. Ahmadi M, Jahani S, Poormansouri S, Shariati A, Tabesh H. [The Effectiveness of self management program on quality of life in patients with sickle cell disease]. Iranian journal of pediatric hematology and oncology. 2015;5(1):18. Persian
33. Baljani E, Rahimi J, Amanpour E, Salimi S, Parkhashjoo M. [Effects of a nursing intervention on improving self-efficacy and reducing cardiovascular risk factors in patients with cardiovascular diseases]. Journal of hayat. 2011;17(1):45-54. Persian
34. Hamnes B, Mowinckel P, Kjeken I, Hagen KB. Effects of a one week multidisciplinary inpatient self-management programme for patients with fibromyalgia: a randomised controlled trial. BMC Musculoskelet Disord. 2012;13(1):1-9.

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