Effects of the Nurse-led Discharge Education on Symptom Experience and Self-Care Compliance in Patients with Chronic Obstructive Pulmonary Disease

일대일 퇴원교육이 만성폐쇄성 폐질환자의 증상경험 및 자가간호수행에 미치는 효과

  • 조은혜 (광주기독병원 호흡기내과 외래) ;
  • 황선영 (조선대학교 간호학과)
  • Received : 2011.08.09
  • Accepted : 2011.12.19
  • Published : 2011.12.31

Abstract

Purpose: This study was conducted to examine the effects of the nurse-led one-on-one discharge education on the levels of symptom experience and self-care compliance among patients with chronic obstructive pulmonary disease (COPD) who had not previously participated in an education or respiratory rehabilitation program. Methods: This study used a quasi-experimental pre-and post-test design with nonequivalent control group. Sixty seven hospitalized patients (34 for experimental and 33 for control groups) were recruited from in-patient units of a general hospital from August to November, 2010. The one-on-one education session of symptom management and daily self-care was administered to experimental group for 50 minutes along with a follow-up phone call. Self-administered questionnaire was administered at the pretest and at 1 month after discharge. Results: The subjects were 67.43(${\pm}10.24$)years old in average. The mean differences of symptom experience (t=3.39, p=.001) and self-care compliance (t=-38.13, p<.001) in the experimental group was significantly higher than those of the control group. Conclusion: Nurse-led one-on-one discharge education was effective in reducing the level of symptom experience and enhancing self-care compliance at home within one month after discharge. Therefore, this form of one-on-one education provided by nurses might be applicable effectively for COPD patients who do not have access to respiratory rehabilitation programs.

Keywords

References

  1. Bae, H. O., & Suh, S. R. (2001). Effect of structured information provided on knowledge and self-care behavior of liver cirrhosis patients. Journal of Korean Academy of Adult Nursing, 13, 476-485.
  2. Barnett, M. (2008). Management of end-stage COPD. British Journal of Nursing, 17, 1390-1394.
  3. COPD Guideline. (2005). Chronic care in Korea: Clinical Research Center for Chronic Obstructive Airway Diseases. Retrieved July 10, 2010, from http://www.copdkorea.com/gigabbs/bbs/board.php?bo-table=gt411
  4. COAD-MV guideline. (2007). Chronic care in Korea: Clinical Research Center for Chronic Obstructive Airway Diseases. Wep site: http://wwwcopdkorea.com/gigabbs/bbs/board.php?bo-table=gt411
  5. Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). New York: Lawrence Erlbaum Associates.
  6. Global Initiative for Chronic Obstructive Lung Disease. (GOLD, 2008). Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease (2008). NHLBI/WHO Workshop Report.
  7. Han, S. J. (2003). The effects of a pulmonary rehabilitation program for chronic obstructive pulmonary disease patients. Journal of Korean Academy of Nursing, 33, 1008-1017.
  8. Jung, J. H., & Kim, J. Y. (2006). The effects of self-efficacy promoting pulmonary rehabilitation program in outpatients with chronic obstructive pulmonary disease. Journal of Korean Tuberculosis and Respiratory Diseases, 61, 533-546. https://doi.org/10.4046/trd.2006.61.6.533
  9. Kang, J. H. (2007). Trend studies on applications of pulmonary rehabilitation programs for the patients with chronic lung disease. Unpublished master's thesis, Hanyang University, Seoul.
  10. Kang, G. J., Kim, M. H., & Hwang, S. K. (2008). Self-care, symptom experience, and health-related quality of life by COPD severity. Journal of Korean Academy of Adult Nursing, 20, 163-175.
  11. Kapella, M. C., Larson, J. L., Patel, M. K., Covey, M. K., & Berry, J. K. (2006). Subjective fatigue, influencing variable, and consequences in chronic obstructive pulmonary disease. Nursing Research, 55 (1), 10-17.
  12. Kim, S. H. (2002). The effect of home-based pulmonary rehabilitation program in COPD patients. Unpublished master's thesis, Yonsei University, Seoul.
  13. Kim, R. I., & Yong, J. S. (2005). Relationships among self-care, self-efficacy, and social support in patients with chronic obstructive pulmonary disease. Korean Academy Society of Nursing Education, 11, 270-277.
  14. Kim, D. S., Kim, Y. S., Jung, K. S., Chang, J. H., Lim, C. M., Lee, J. H., et al. (2005). Prevalence of chronic obstructive pulmonary disease in Korea: A population-based spirometry survey. American Journal of Respiratory and Critical Care Medicine, 172, 842-847.
  15. Kim, E. J., Park, J. H., Yoon, S. J., Lee, S. J., Cha, S. I., Park, J. Y., et al. (2006). Relationship between dyspnea and disease severity, quality of life and social factor in patients with chronic obstructive pulmonary disease. Journal of Korean Tuberculosis and Respiratory Diseases, 60, 397-403. https://doi.org/10.4046/trd.2006.60.4.397
  16. Kim, H. S., & Kang, H. S. (2006). Effects of a pulmonary rehabilitation program for patients with chronic obstructive pulmonary disease. Journal of Korean Clinical Nursing Research, 12 (1), 43-53.
  17. Lee, C. K. (2007). Effects of inpatient pulmonary rehabilitation program on dyspnea, exercise capacity, and health related quality of life. Journal of Koran Academy of Nursing, 37, 343-352.
  18. Lee, S. H., & Kim, Y. S. (2006). The effects of pulmonary rehabilitation on the patients with chronic obstructive pulmonary disease. Journal of Korean Clinical Nursing Research, 12, 53-62.
  19. Lenz, E. R., Pugh, L. C., Milligan, R. A., Gift, A., & Suppe, F. (1997). The middle-range theory of unpleasant symptoms; An update. Advanced Nursing Science, 19 (3), 14-27.
  20. Moon, C. S. (2010). Symptom experience, depression, and family support in elderly patients with chronic obstructive pulmonary diseases. Unpublished master's thesis, Ewha Womans University, Seoul.
  21. Noh, H. S., & Min, H. S. (2003). A study on nursing needs and respiratory self-care practice degree in elderly chronic obstructive pulmonary disease. Journal of Korean Academic Society of Nursing Education, 9, 17-29.
  22. Orem, D. E. (1985). Nursing concepts of practice. New York; McGraw-Hill.
  23. Oh, E. G. (2003). Home based pulmonary rehabilitation in patients with chronic lung disease. International Journal of Nursing Studies, 40, 873-879.
  24. Park, S. J. (2002). Symptom experience and quality of life in patience with chronic lung disease. Journal of Korean Academy of Adult Nursing, 14, 470-478.
  25. Statistics Korea. (2009, December). Classification of disease and causes of death 2009. Retrieved December 8, 2010, From http://Kosis.kr
  26. Xiaolian, J., Chaiwan, S., Panuthai, S., Yijuan, C., Lei, Y., & Jiping, I. (2002). Family support and self-care behavior of Chinese chronic obstructive pulmonary disease patients. Nursing and Health Sciences, 4 (1-2), 41-49.