ผลของโปรแกรมการส่งเสริมการรับรู้สมรรถนะแห่งตนในการบริหาร การหายใจต่อการรับรู้สมรรถนะแห่งตนและประสิทธิภาพการหายใจในผู้ป่วยโรคปอดอุดกั้นเรื้อรัง
Keywords:
การส่งเสริมการรับรู้สมรรถนะแห่งตน, การบริหารการหายใจ, การรับรู้สมรรถนะแห่งตน ประสิทธิภาพการหายใจ, ผู้ป่วยโรคปอดอุดกั้นเรื้อรัง, breathing exercise self-effcacy, self-effcacy perception, breathing exercise, chronic obstructive pulmonary disease (COPD) patiAbstract
Abstract:
Objective: To examine ways in which a breathing exercise self-effciency programmecould impact chronic obstructive pulmonary disease (COPD) patients’ self-effcacy perception and breathing exercise. Design: Two-group experimental research, with a pre-test and a post-test. Methodology: The participants in the study were 84 purposively sampled chronicobstructive pulmonary disease patients. Through a simple sampling method, the participantswere divided equally into a control group and an experimental group. The instrumentsconsisted of (i) a breathing exercise self-effciency programme; (ii) a health education andbreathing exercise manual; and (iii) a breathing exercise demonstration video. Throughoutthe 8-week study, data were collected using a personal information interview form and a set of breathing effciency assessment tools, which comprised (i) St. George’s respiratory questionnaire (SGRQ); (ii) the breathlessness, cough and sputum scale (BCSS); (iii) the peak expiratory flow rate (PEFR); and a 6-minute walking test (6-MWT). The data were analysed in terms of percentage and mean, using a paired t-test, independent t-test and ANCOVA. Results: After programme administration, the experimental group showed a significantly higher breathing exercise self-effcacy perception average score than the control group did (p < .001). Next, the experimental group’s breathing problem score was signifcantly lower than that of the control group (p < .01). However, no signifcant differences were found between the two groups’ breathlessness, cough and sputum; peak expiratory flow rates; and 6-minute walking performance. Recommendations: It is suggested that a long-term follow-up study be conducted to ensure the programme’s effectiveness in improving pulmonary function.
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