Effectiveness of a Nursing Interventions Emphasing Self-mangement Program on Health Outcomes with Chronic Obstructive Pulmonary Disease, Atsamat Hospital

Abstract

Purposes : To compare mean scores of self-management and pulmonary function of patients with chronic obstructive pulmonary disease in Atsamat Hospital.

Study design : Quasi-experimental research; Two group pretest posttest design.

Materials and Methods : 44 of samples were consisted of patients with chronic obstructive pulmonary disease who received services at pulmonary disease Clinic at Atsamat Hospital  and met the inclusion and exclusion criteria. We were conducted between August and November 2023, a total of 44 samples  were classified as a control group and experimental group, 22 of per group. Data were collected using questionnaires and recording forms. Data were analyzed using frequency, percentage, mean, standard deviation and independent t-test. Statistical significance was set at 95% Confidence Interval.

Main findings : 1) After the experiment, most of subjects in experimental group had a very high level of overall self-management, (20/22) (90.91%), followed by a high level, (2/22) (9.1%), but in the control group it was found that Most had a moderate level of self-management, (1/22)(50.0%), followed by a high level, (10/22)(45.5%). 2) After experiment, it were found that experimental group had a significantly higher mean scores self-management than control group (p<.001), with an mean scores self-management 1.98 scores higher (95%CI; 1.69, 2.27) and 3) the sample in experimental group had a significantly higher mean pulmonary function disease than control group (p = .03), with a mean chronic obstructive pulmonary function greater than 65.45% (95%CI; 6.47, 124.43).

Conclusion and recommendations : The intervention developed by researchers resulted in increased health outcomes for patients. Therefore, relevant agencies should use them in their agencies.