Khoshkesht Sahar, Zakerimoghadam Masoumeh, Ghiyasvandian Shahrzad, Kazemnejad Anoshirvan, Hashemian Mohammadreza
Departments of Medical-Surgical Nursing, Faculty of Nursing and Midwifery, Alborz University of Medical Sciences, Karaj, Iran.
Departments of Critical Care Nursing, Faculty of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
J Pak Med Assoc. 2015 Oct;65(10):1041-6.
To investigate the effect of pulmonary rehabilitation on the self-efficacy of patients with chronic obstructive pulmonary disease.
The randomised case-control trial was conducted from December 2010 to February 2011 at Masih-Daneshvari Hospital, Tehran, Iran, in an outpatient clinic and comprised patients with mild to moderate chronic obstructive pulmonary disease. The patients were randomly divided into experimental and control groups. The pulmonary rehabilitation programme for the experimental group consisted of education about the disease, diet therapy, stress reduction methods, effective cough, breathing exercises, and muscle stretching exercises. The patients were encouraged to practise the programme at home three times per week for 7 weeks. They were followed up through weekly telephone contacts. The control group received only routine visits and weekly telephone follow-up. Data were gathered using the Persian version of chronic obstructive pulmonary disease self-efficacy scale, which was filled out at baseline and 7 weeks post-intervention. SPSS 16 was used for statistical analysis.
Of the 66 patients in the study, 34(51.5%) were in cases and 32(48.5%) were controls. The overall mean age was 56.65±8.83 years and 47(71.2%) were males. There was a significant difference between the two groups in total score of self-efficacy (p<0.001) and so was the case with all subscales of self-efficacy (p<0.001).
Pulmonary rehabilitation programme can be used by nurses during discharge planning for patients in order to improve all subscales of self-efficacy of those suffering from chronic obstructive pulmonary disease.
探讨肺康复对慢性阻塞性肺疾病患者自我效能感的影响。
2010年12月至2011年2月在伊朗德黑兰的马西-达内什瓦里医院门诊进行随机病例对照试验，纳入轻度至中度慢性阻塞性肺疾病患者。将患者随机分为实验组和对照组。实验组的肺康复计划包括疾病教育、饮食治疗、减压方法、有效咳嗽、呼吸练习和肌肉伸展练习。鼓励患者每周在家中进行3次该计划，持续7周。通过每周电话联系进行随访。对照组仅接受常规就诊和每周电话随访。使用慢性阻塞性肺疾病自我效能量表的波斯语版本收集数据，在基线和干预后7周填写。使用SPSS 16进行统计分析。
研究中的66例患者中，34例（51.5%）为病例组，32例（48.5%）为对照组。总体平均年龄为56.65±8.83岁，47例（71.2%）为男性。两组在自我效能感总分上存在显著差异（p<0.001），自我效能感的所有子量表情况也是如此（p<0.001）。
护士在为患者进行出院计划时可采用肺康复计划，以改善慢性阻塞性肺疾病患者自我效能感的所有子量表。
