Effects of breathing exercise program by enhancing Self-efficacy on Pulmonary function and Quality of life among patients with Chronic obstructive pulmonary disease.
Keywords:Breathing exercise program, Self-efficacy, Pulmonary function, Quality of life, Patients with chronic obstructive pulmonary disease
This study was quasi-experimental research designed. The purpose of this research is to investigate the effects of a breathing exercise program that involves self-efficacy training on pulmonary function and quality of life among patients with chronic obstructive pulmonary disease (COPD). The participants were people aged 35-59 years old and they have all been diagnosed with COPD and are receiving treatment at either a COPD clinic in Wang-thong hospital, Phitsanuloke province. There were selected by stratified random sampling. 60 participants were divided into an experimental group and a control group, 30 for each group. The experimental group received breathing exercises that involves self-efficacy training, adapted from Bandura's concept of self-efficacy while the control group received a conventional advisory intervention. The study duration was 12 weeks. Research instrument were conducted as questionnaires divided into two parts: pulmonary function record form and St. George’s Respiratory Questionnaire for COPD Patients [SGRQ-C]. Cronbach's alpha coefficient was used to test reliability of the health-related quality of life questionnaire and a value of .86. Data were analyzed using descriptive statistics, Independent t-test, Paired t-test, Wilcoxon Signed - Rank test and Mann – Whitney U test.
The results of study were as follows: 1) After receiving the program, the experimental group had higher mean pulmonary function than before and higher than the control group with a statistical significance (p < .05). 2) After receiving the program, the experimental group had better mean score on quality of life than before and better than the control group with a statistical significance (p <.05). The results of this study suggest that community nurse practitioner should continuously promote breathing exercise by enhancing Self-efficacy for COPD patients.
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