The effect of home-based pulmonary rehabilitation on self-efficacy in chronic obstructive pulmonary disease patients. | [Journal of Pakistan Medical Association • 2015]

Author(s):

1. Sahar Khoshkesht: Department of Medical-Surgical Nursing, Faculty of Nursing and Midwifery, Alborz University of Medical Sciences, Karaj, Iran

2. Masoumeh Zakerimoghadam: Department of Critical Care Nursing, Faculty of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran

3. Shahrzad Ghiyasvandian: Department of Medical-Surgical Nursing, Faculty of Nursing and Midwifery, Tehran University of MedicalSciences, Tehran, Iran

4. Anoshirvan Kazemnejad: Social Determination of Health Research Center, Faculty of Medical Sciences, Alborz University of MedicalSciences, Karaj, Iran

5. Mohammad Reza Hashemian: Nursing and Respiratory HealthManagement Research Center, NRITLD, Masih-Daneshvari Hospital, Tehran, Iran

Abstract:

Objective: To investigate the effect of pulmonary rehabilitation on the self-efficacy of patients with chronic obstructive pulmonary disease. Methods: The randomised case-control trial was conducted from December 2010 to February 2011 at MasihDaneshvari Hospital, Tehran, Iran, in an outpatient clinic and comprised patients with mild to moderate chronic obstructive pulmonary disease. The patients were randomly divided into experimental and control groups. The pulmonary rehabilitation programme for the experimental group consisted of education about the disease, diet therapy, stress reduction methods, effective cough, breathing exercises, and muscle stretching exercises. The patients were encouraged to practise the programme at home three times per week for 7 weeks. They were followed up through weekly telephone contacts. The control group received only routine visits and weekly telephone follow-up. Data were gathered using the Persian version of chronic obstructive pulmonary disease self-efficacy scale, which was filled out at baseline and 7 weeks post-intervention. SPSS 16 was used for statistical analysis. Results: Of the 66 patients in the study, 34(51.5%) were in cases and 32(48.5%) were controls. The overall mean age was 56.65±8.83 years and 47(71.2%) were males. There was a significant difference between the two groups in total score of self-efficacy (p

Page(s): 1041-1046

DOI: DOI not available

Published: Journal: Journal of Pakistan Medical Association, Volume: 65, Issue: 10, Year: 2015

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