Journal of Education and Health Promotion

The effect of empowerment program based on the social cognitive theory on the activity of daily living in patients with chronic obstructive pulmonary disease

. Fatemeh Aliakbari; . Forouzan Mohammad Alipour; . Elahe Tavassoli; . Morteza Sedehi

Volume 10, Issue 6 , June 2020, , Pages 1-8

Abstract

OBJECTIVE AND AIM: Chronic obstructive pulmonary disease (COPD) is one of the most commonchronic diseases. The patient’s fear and anxiety of shortness of breath and coughing during ... Read More OBJECTIVE AND AIM: Chronic obstructive pulmonary disease (COPD) is one of the most commonchronic diseases. The patient’s fear and anxiety of shortness of breath and coughing during exercisemay lead to a decrease in patients’ daily activities. Therefore, the present study aimed to determinethe effect of empowerment program based on the social cognitive theory (SCT) on the daily activityof patients with COPD.METHODS: This quasi‑experimental study was performed on 70 patients with COPD referred toKashani and Hajar centers in 2019. Samples were randomly divided into two groups of experimentaland control. Data collection tools included demographic information questionnaire and activity of dailyliving questionnaire, specific for COPD, and a researcher‑made questionnaire for measuring SCTconstructs. For the experimental group, the training program consisted of four theoretical and practicalsessions of 40 min/week. The data were collected at three time points, before, immediately and 3months after the training are 3 time. The data were analyzed by SPSS software using descriptiveand inferential statistics.RESULTS: The difference between the mean scores of behavioral ability, self‑efficacy, andempowerment in the three stages was significant only in the experimental group (P < 0.001). Themean daily activity score of patients before, immediately, and 3 months after intervention showeda statistically significant difference between the two groups (52.46 ± 21.98, 63.36 ± 21.95, and71.34 ± 19.02), respectively, in the intervention group, and (51.79 ± 19.29, 53.70 ± 19.28, and53.82 ± 19.26), respectively, in the control group (P < 0.001).CONCLUSION: The results of this study showed that empowerment of patients through interventionsbased on SCT can increase the daily activity of patients with COPD. Because nurses play an importantrole in patient education and improvement, it is hoped that the findings of this study will be used asa strategy to increase the daily activity and ultimately improve the quality of life in these patients.

Assessment of knowledge, attitude, and behavior about the disease process and physiotherapy management in patients with chronic obstructive pulmonary disease: A qualitative study

. Ashish Gupta; . Vinod Ravaliya; . Daxa Mishra, Vyoma Dani; . Chandni Sodawala; . Hardi Shah; . Disha Patel

Volume 9, Issue 1 , January 2019, , Pages 1-6

Abstract

BACKGROUND: Chronic obstructive pulmonary disease (COPD) is a group of progressive lungdiseases; the most common are emphysema and chronic bronchitis. It is considered to be the majorcause ... Read More BACKGROUND: Chronic obstructive pulmonary disease (COPD) is a group of progressive lungdiseases; the most common are emphysema and chronic bronchitis. It is considered to be the majorcause of morbidity and mortality worldwide and is considered to be one of the leading causes of deathsin India, the main reason being misconception/misinterpretation of the disease and unawarenessabout the risk factors which hinder early diagnosis and its treatment effectively. Therefore, thepresent study aimed to assess the knowledge, attitude and behavior about the disease process andphysiotherapy management in patients diagnosed with COPD.MATERIALS AND METHODS: Ethical clearance was obtained before initiating the study. It wasa cross‑sectional, qualitative study. In total, 14 patients of COPD were recruited for the study byconvenience sampling. The total study duration was 6 months. Two focused groups (n = 14) wereconducted with seven COPD patients (diagnosed by chest physician on the basis of pulmonaryfunction testing) in each after obtaining the written informed consent. Focus group contents werevideo graphed after obtaining the consent and a focus group discussion (FGD) guide comprisingof 15 questions was used for the study. Transcripts were prepared from the audio/video recordingsand were analyzed qualitatively by narrative analysis.RESULTS: The narration transcripted during both the sessions of FGD showed significantnegligence about the disease process, its precipitating factors, preventive measures, andphysiotherapy management among the patients suffering from COPD in the community. Noneof the patients were aware even about the term “chronic obstructive pulmonary disease” andonly 35.71% of patients were aware of physiotherapy management as a mean of treatment forCOPD.CONCLUSIONS: The present study concludes that there is a lack of knowledge, incorrect attitudes,and flawed behavioral changes which needs to be corrected among the patients with COPD. Thesepatients require correct, detailed, and broad‑based information about their condition and availabilityof treatment options.

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Keywords = chronic obstructive pulmonary disease

The effect of empowerment program based on the social cognitive theory on the activity of daily living in patients with chronic obstructive pulmonary disease

Abstract

Assessment of knowledge, attitude, and behavior about the disease process and physiotherapy management in patients with chronic obstructive pulmonary disease: A qualitative study

Abstract