Document Type : Original Article


Health School, Shahrekord University of Medical Science, Shahrekord, Iran


OBJECTIVE AND AIM: Chronic obstructive pulmonary disease (COPD) is one of the most common
chronic diseases. The patient’s fear and anxiety of shortness of breath and coughing during exercise
may lead to a decrease in patients’ daily activities. Therefore, the present study aimed to determine
the effect of empowerment program based on the social cognitive theory (SCT) on the daily activity
of patients with COPD.
METHODS: This quasi‑experimental study was performed on 70 patients with COPD referred to
Kashani and Hajar centers in 2019. Samples were randomly divided into two groups of experimental
and control. Data collection tools included demographic information questionnaire and activity of daily
living questionnaire, specific for COPD, and a researcher‑made questionnaire for measuring SCT
constructs. For the experimental group, the training program consisted of four theoretical and practical
sessions of 40 min/week. The data were collected at three time points, before, immediately and 3
months after the training are 3 time. The data were analyzed by SPSS software using descriptive
and inferential statistics.
RESULTS: The difference between the mean scores of behavioral ability, self‑efficacy, and
empowerment in the three stages was significant only in the experimental group (P < 0.001). The
mean daily activity score of patients before, immediately, and 3 months after intervention showed
a statistically significant difference between the two groups (52.46 ± 21.98, 63.36 ± 21.95, and
71.34 ± 19.02), respectively, in the intervention group, and (51.79 ± 19.29, 53.70 ± 19.28, and
53.82 ± 19.26), respectively, in the control group (P < 0.001).
CONCLUSION: The results of this study showed that empowerment of patients through interventions
based on SCT can increase the daily activity of patients with COPD. Because nurses play an important
role in patient education and improvement, it is hoped that the findings of this study will be used as
a strategy to increase the daily activity and ultimately improve the quality of life in these patients.


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