Effects of Self-Management Education Programme in Improving Self-Efficacy of Patients With Chronic Obstructive Pulmonary Disease:'An Exploratory Trial

2.50
Hdl Handle:
http://hdl.handle.net/10755/335080
Category:
Full-text
Type:
Presentation
Title:
Effects of Self-Management Education Programme in Improving Self-Efficacy of Patients With Chronic Obstructive Pulmonary Disease:'An Exploratory Trial
Other Titles:
Global Prevention and Management of Cardiovascular Related Disease
Author(s):
Ng, Wai I
Lead Author STTI Affiliation:
Non-member
Author Details:
Wai I Ng, PhD, RN, nwi@kwnc.edu.mo
Abstract:
Session presented on Thursday, July 24, 2014: Purpose: Chronic obstructive pulmonary disease (COPD) cannot be cured, but can be prevented and treated. Statistics show that it contributes more to the global burden of disease in terms of disability-adjusted life years (DALYs) than other respiratory diseases. In Macau, respiratory disease is the top three causes of all deaths in recent years (DSEC, 2008), however, the emphasis of healthcare service provision in relation to COPD patients is mainly focused on acute management. Therefore, the purpose of this study is to compare the self-efficacy of Macau COPD patients before and after implementation of self-management education programme (SMEP). Methods: An exploratory randomized controlled trial (RCT) was adopted (MRC 2008), and a mixed methods approach was employed. 51 consented Macau COPD patients were randomly allocated to experimental and control group. Experimental group received SMEP while the control group received usual conventional care. All patients were assessed with COPD self-efficacy scale before and 6 months after completion of self-management education. Focus group interviews were implemented to explore the subjective view of patients towards their self-efficacy after the education. Results: The patients demonstrated improvement in general self-efficacy and self-efficacy in intense emotional arousal, physical exertion and weather/environmental effects. The subjective perception of the patients towards the effects of SMEP in improving their self-efficacy was mostly consistent with the quantitative findings, except that the programme was not the main cause for improving their self-efficacy in negative emotional. Conclusion: Macau COPD patients who are Chinese tend to tolerate intense emotional arousal and this is a significant characteristic in Chinese. Due to the long lacking of chronic patient support, the Macau COPD patients perceive self-management education programme as an essential element of self-efficacy empowerment. Therefore, SMEP is necessary for COPD patients, but most importantly, the design of the education should carefully put cultural factors into consideration.
Keywords:
self-efficacy; Chronic Obstructive Pulmonary Disease; self-management education
Repository Posting Date:
17-Nov-2014
Date of Publication:
17-Nov-2014 ; 17-Nov-2014
Other Identifiers:
INRC14A09
Conference Date:
2014
Conference Name:
25th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Hong Kong
Description:
International Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kong

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleEffects of Self-Management Education Programme in Improving Self-Efficacy of Patients With Chronic Obstructive Pulmonary Disease:'An Exploratory Trialen
dc.title.alternativeGlobal Prevention and Management of Cardiovascular Related Diseaseen
dc.contributor.authorNg, Wai Ien
dc.contributor.departmentNon-memberen
dc.author.detailsWai I Ng, PhD, RN, nwi@kwnc.edu.moen
dc.identifier.urihttp://hdl.handle.net/10755/335080-
dc.description.abstractSession presented on Thursday, July 24, 2014: Purpose: Chronic obstructive pulmonary disease (COPD) cannot be cured, but can be prevented and treated. Statistics show that it contributes more to the global burden of disease in terms of disability-adjusted life years (DALYs) than other respiratory diseases. In Macau, respiratory disease is the top three causes of all deaths in recent years (DSEC, 2008), however, the emphasis of healthcare service provision in relation to COPD patients is mainly focused on acute management. Therefore, the purpose of this study is to compare the self-efficacy of Macau COPD patients before and after implementation of self-management education programme (SMEP). Methods: An exploratory randomized controlled trial (RCT) was adopted (MRC 2008), and a mixed methods approach was employed. 51 consented Macau COPD patients were randomly allocated to experimental and control group. Experimental group received SMEP while the control group received usual conventional care. All patients were assessed with COPD self-efficacy scale before and 6 months after completion of self-management education. Focus group interviews were implemented to explore the subjective view of patients towards their self-efficacy after the education. Results: The patients demonstrated improvement in general self-efficacy and self-efficacy in intense emotional arousal, physical exertion and weather/environmental effects. The subjective perception of the patients towards the effects of SMEP in improving their self-efficacy was mostly consistent with the quantitative findings, except that the programme was not the main cause for improving their self-efficacy in negative emotional. Conclusion: Macau COPD patients who are Chinese tend to tolerate intense emotional arousal and this is a significant characteristic in Chinese. Due to the long lacking of chronic patient support, the Macau COPD patients perceive self-management education programme as an essential element of self-efficacy empowerment. Therefore, SMEP is necessary for COPD patients, but most importantly, the design of the education should carefully put cultural factors into consideration.en
dc.subjectself-efficacyen
dc.subjectChronic Obstructive Pulmonary Diseaseen
dc.subjectself-management educationen
dc.date.available2014-11-17T13:43:43Z-
dc.date.issued2014-11-17-
dc.date.issued2014-11-17en
dc.date.accessioned2014-11-17T13:43:43Z-
dc.conference.date2014en
dc.conference.name25th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationHong Kongen
dc.descriptionInternational Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kongen
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