A Study to Evaluate Nursing Intervention Package on Self-efficacy, Dyspnoea and Quality of Life among COPD Patients, Residing in Selected Districts of Rajasthan

  • Manish Kumar Tripathi Professor, Ramsnehi College of Nursing, Bhilwara, Rajasthan, India.
  • Yogeshwar Puri Goswami Principal, Geetanjali College of Nursing, Udaipur, Rajasthan, India.
Keywords: Self-efficacy, Dyspnoea, Quality of Life, Nursing Intervention Package, COPD, COPD Rehabilitation

Abstract

Introduction: COPD is an emerging threat to the world as it affects the lives of individuals by decreasing their quality of life. In the current context, nurses can play an important role in the management of COPD by promoting an active lifestyle and some lifestyle modifications.
Aim: To evaluate the effectiveness of the nursing intervention package on self-efficacy, dyspnoea and quality of life among COPD patients.
Settings and Design: Quantitative experimental approach, and pre-experimental one-group pre-test and post-test research design were used. The study was conducted at 9 selected hospitals in various districts of Rajasthan.
Method: 240 COPD patients were selected by non-probability, convenient sampling technique. Pre-test data were collected by socio-demographic proforma, General Self Efficacy Scale, Dyspnoea-12 Scale, and St. George’s Respiratory Questionnaire. After the pre-test, a nursing intervention package was administered by the researcher and post-test data was collected using the same research tools.
Results: The obtained pre-test mean score of self-efficacy was 23.63 (SD = 4.548) whereas, in the post-test, mean score was 33.14 (SD = 2.969). The pre-test and post-test mean scores of dyspnoea were 18.51 (SD = 5.266) and 8.12 (SD = 3.290) respectively and the pre-test and post-test mean scores of quality of life were 71.06 (SD = 12.707) and 52.44 (S = 7.698) respectively.
Conclusion: The investigator concluded that the nursing intervention package was effective in reducing dyspnoea and improving self-efficacy and quality of life in COPD patients.

How to cite this article:
Tripathi MK, Goswami YP. A Study to Evaluate Nursing Intervention Package on Self-efficacy, Dyspnoea and Quality of Life among COPD Patients, Residing in Selected Districts of Rajasthan. Chettinad Health City Med J. 2022;11(4):9-14.

DOI: https://doi.org/10.24321/2278.2044.202234

References

Elliot Physical Therapy [Internet]. The importance of proper breathing for your overall health; 2017 [cited 2022 Aug 16]. Available from: https://elliottphysicaltherapy.com/importance-properbreathing-overall-health/

World Health Organization [Internet]. Chronic respiratory diseases; [cited 2022 Aug 16]. Available from: https://www.who.int/health-topics/chronicrespiratory-diseases#tab=tab_1

World Health Organization [Internet]. Chronic obstructive pulmonary disease (COPD); 2022 [cited 2022 Aug 17]. Available from: https://www.who.int/news-room/fact-sheets/detail/chronic-obstructivepulmonary-disease-(copd)

Kharbanda S, Anand R. Health-related quality of life in patients with chronic obstructive pulmonary disease a hospital-based study. Indian J Med Res. 2021;153(4):459-64. [PubMed] [Google Scholar]

Mccullagh BN, Comellas AP, Ballas ZK, Newell Jr JD, Zimmerman MB, Azar AE. Antibody deficiency in patients with frequent exacerbations of Chronic Obstructive Pulmonary Disease (COPD). PLoS One. 2017;12(2). [PubMed] [Google Scholar]

Hurst JR, Vestbo J, Anzueto A, Locantore N, Mullerova H, Tal-Singer R, Miller B, Lomas DA, Agusti A, MacNee W, Calverley P, Rennard S, Wouters EF, Wedzicha JA; Evaluation of COPD Longitudinally to Identify Predictive Surrogate Endpoints (ECLIPSE) Investigators. Susceptibility to exacerbation in Chronic Obstructive Pulmonary Disease. New Engl J Med. 2010;363(12):1128-38. [PubMed] [Google Scholar]

Wedzicha JA, Brill SE, Allinson JP, Donaldson GC. Mechanisms and impact of the frequent exacerbator phenotype in chronic obstructive pulmonary disease. BMC Med. 2013;11(1):181. [PubMed] [Google Scholar]

Miravitlles M, Ribera A. Understanding the impact of symptoms on the burden of COPD. Respir Res. 2017;18(1):67. [PubMed] [Google Scholar]

American Nurses Association [Internet]. Nursing excellence; [cited 2022 Jul 4]. Available from: https://www.nursingworld.org/practice-policy/nursingexcellence/

Ng WI, Smith GD. Effects of a self-management education program on self-efficacy in patients with COPD a mixed-methods sequential explanatory designed study. Int J Chron Obstruct Pulmon Dis. 2017;12:2129. [PubMed] [Google Scholar]

Paulsamy P, Venkatesan K, Alshahrani S, Sethuraj P, Vasudevan R. Effect of controlled breathing exercise on dyspnea in patients with Chronic Obstructive Pulmonary Disease (COPD). Asian J Med Prin Clin Pract [Internet]. 2021 [cited 2022 Oct 8];4(4):59-64. Available from: https://www.researchgate.net/publication/354325832_Effect_of_Controlled_Breathing_Exercise_on_Dyspnea_in_Patients_with_Chronic_Obstructive_Pulmonary_Disease_COPD

Sasirekha B. A study to assess the effectiveness of selected nursing interventions on knowledge regarding COPD, functional capacity of lungs and quality of life among patients with Chronic Obstructive Pulmonary Disease (COPD) in a selected hospital at Cuddalore District. Rani Meyyammai College of Nursing, Annamalai University. 2020.

Published
2022-12-31