Effects of a self-management support program on symptoms occurrence and health care utilization in patients with chronic obstructive pulmonary disease
Keywords:
Chronic obstructive pulmonary disease, Health care utilization, Self-management support, Symptoms occurrenceAbstract
The purpose of this quasi-experiment research was to study the effect of a self-management support program on symptoms occurrence and health care utilization in patients with chronic obstructive pulmonary disease (COPD). The subjects were 60 patients with COPD who attended the outpatient clinic of Central Chest Institute of Thailand. They were purposive sampling and divided into an experiment and a comparison group equally (30 people per group). The experiment group received a self-management support program whereas the comparison group obtained the routine nursing care. The instruments for data collection were personal and illness-related questionnaires, symptoms assessment form, and health care utilization record form. Data were analyzed using descriptive statistics, Chi-square, Fisher’s exact, and Mc Nemar test.
Results revealed that after receiving the program, the experiment group had symptoms on sputum production, sputum color change, cough, wheeze, running nose, sore throat and fever as well as health care utilization significantly less than before and had significantly less wheeze and health care utilization than the comparison group.
The findings indicate an evidence that a self-management support program could reduce symptoms and health care utilization in patients with COPD. Therefore, it should be applied to nursing practice for caring patients with COPD.
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