Effectiveness of a self-management program for patients with chronic obstructive pulmonary disease KutChum Hospital.

Abstract

Introduction: Chronic obstructive pulmonary disease is an important health problem and is on the rise continuously. Patients need to have good self-management. To reduce relapses and promote a good quality of life.

Objective: To study and compare acute exacerbations. Readmission within 28 days, lung function and self-management abilities of COPD patients in the group receive a self-management program first and after the experiment study method: This is a quasi-experimental research. (Quai-experimental research) with control and experimental groups. The sample group consisted of patients with chronic obstructive pulmonary disease, aged 35-59 years and over, receiving treatment during 20 October 266 - 20 December 2023. A purposive sample was selected according to the specified qualifications, totaling 80 patients, divided into 2 groups: 1) a control group. 40 patients received regular nursing care. 2) The experimental group received a self-management program for 40 patients. The instrument used to collect data was a personal information questionnaire. Assess the severity of the disease self-management behavior questionnaire, Lung function test machine. Tools used to conduct research self-management program for COPD patients. Data were analyzed using percentage, mean, standard deviation, Pair t test, and Pearson chi square.

Results: It was found that patients with chronic obstructive pulmonary disease: 1) Acute exacerbation symptoms after receiving the program, it decreased significantly at the level of .05. 2) Readmission within 28 days after receiving the program. Not different from 3) the experimental group that received a self-management program The mean lung function value was significantly better than before the experiment, .05, but the control group's lung function was not different. 4) The experimental group received a self-management program. They had better self-management behavior than before the experiment. Significant at the .05 level.

Conclusions and recommendations: Self-management programs for patients with chronic obstructive pulmonary disease can promote. The patient has good self-management. It should be used and followed up in the long term.