The Effect of the 5A Self-management Program on Dyspnea in Persons with Chronic Obstructive Pulmonary Disease
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Abstract
This pretest-posttest quasi-experimental study aimed to examine the effect of the 5A self-management program on dyspnea in persons with chronic obstructive pulmonary disease at a tertiary-care hospital. A purposive sample of 60 persons with chronic obstructive pulmonary disease aged 40 years and older participated in this study.They were divided into a control group (n = 30) receiving usual care and an intervention group participating in the 5 A self-management program. The group characteristics were
matched in terms of gender, age, and severity of dyspnea. While the control group received usual care, the intervention group participated in the 5A self-management program synthesized from Glasgow et al.’s 5A model and Global Initiative for Chronic Obstructive Lung Disease guidelines.This eight-week program included five approaches:Assess, Advise, Agree, Assist, and Arrange. The research instruments included the Personal and Treatment Data Questionnaire, the Dyspnea Assessment Questionnaire,and the Dyspnea Management Behavior Questionnaire. Data were analyzed using descriptive statistics and t-test. The findings revealed that after the program, the mean dyspnea score of the participants in the intervention program was significantly less than that before the program and the control group. Therefore, the 5A self-management program could help persons with chronic obstructive pulmonary disease manage themselves appropriately and reduce their breathing difficulties.
Keywords: 5A self-management, Chronic obstructive pulmonary disease, Dyspnea
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บทความ ข้อมูล เนื้อหา รูปภาพ ฯลฯ ที่ได้รับการตีพิมพ์ในรามาธิบดีพยาบาลสาร ถือเป็นลิขสิทธิ์ของวารสาร หากบุคคลหรือหน่วยงานใดต้องการนำทั้งหมดหรือส่วนหนึ่งส่วนใดไปเผยแพร่หรือเพื่อกระทำการใด ใด จะต้องได้รับอนุญาตเป็นลายลักษณ์อักษรจากรามาธิบดีพยาบาลสารก่อนเท่านั้น
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