The development of self-management supportive model for patient with silicosis

Abstract

        The objective of this action research was to develop a self-management supportive model for silicosis patients and evaluate the outcomes of developed model. The 4 phases of model development included 1) Planning phase: Situational analysis and literature review was used to draft the self-management supportive model for silicosis patients 2) Action phase: competency of nurses responsible for silicosis patients (n=15) was enhanced and nursing care plan as well as self-management manual were developed. 3) Observation phase: outcomes were measured after the model was tested with 13 silicosis patients. 4) Reflection phase: feedback on problems and obstacles of developed model was used for model revision. The data was collected using In-depth interview, and questionnaire and was analyzed by using content analysis and descriptive statistics. The result of this research showed that there were 7 goals of the selfmanagement model in silicosis patients including 1) decreasing dyspnea and difficulty breathing, 2) complication prevention, 3) delay the progression of silicosis, 4) reducing stress and anxiety, 5) having family - centered care, 6) having channels for emergency care, and
7) adequate and balanced diet. Nurses have to support the self-management of the patients through providing advice, demonstration, and counseling. Evaluation of the outcomes showed that patients had the highest scores on self-management related to complication prevention, while self –management related to dyspnea and difficulty breathing decreasing was the lowest. Silicosis patients and nurse satisfied with the selfmanagement
model and patients had neither complication nor return to hospital before the appointment. This self-management supportive model could be used as practice
guideline for healthcare workers to improve quality of life for silicosis patients.