The Effects of Education, Motivation, and Inhaler Skills Program through Line Application on Clinical Control in Patients with Chronic Obstructive Pulmonary Disease
Article Sidebar
Main Article Content
Abstract
Purpose: To study the effects of education, motivation, and inhaler skills program through line application on clinical control in patients with chronic obstructive pulmonary disease.
Design: Experimental design.
Methods: The total sample size was 63. There were 31 in the experimental group and 32 in the control group. The experimental group received standard nursing care and the education, motivation, and inhaler skills program through line application. The control group received standard nursing care and self-care guidebook. The duration of study was six weeks. The research outcomes were collected using the clinical COPD questionnaire. The data were analyzed using descriptive statistics, and t-test.
Main findings: The results showed that the majority of participants (95.3%) were male with an average age of 72.14 years (SD = 9. 46). At post-intervention, the experimental group had significantly better clinical control than before receiving the program (p < .05) and better than the control group (p < .05).
Conclusion and recommendations: The finding of this study confirms the effects of education, motivation, and inhaler skills program through line application to increase clinical control in patients with COPD. Nurses should use this program to promote accuracy in using inhaler medication and to provide knowledge in self-care for control of COPD in clinical practice, particularly during the scheduled appointment.
Article Details
Copyright Notice: Nursing Science Journal of Thailand has exclusive rights to publish and distribute the manuscript and all contents therein. Without the journal’s permission, the dissemination of the manuscript in another journal or online, and the reproduction of the manuscript for non-educational purpose are prohibited.
Disclaimer: The opinion expressed and figures provided in this journal, NSJT, are the sole responsibility of the authors. The editorial board bears no responsibility in this regard.
References
World Health Organization. Global strategy on diet, physical activity and health [Internet]. Geneva: World Health Organization; 2018 [cited 2018 Nov 1]. Available from: http://www.who.int/dietphysicalactivity/factsheet_olderadults/en/
Strategy and Planning Division, Office of the Permanent Secretary, Ministry of Public Health. Public health statistics A.D.2017. Nonthaburi: Strategy and Planning Division, Office of the Permanent Secretary, Ministry of Public Health; 2017. 145 p. (in Thai).
Global Initiative for Chronic Obstructive Lung Disease (GOLD). Global strategy for diagnosis, management, and prevention of COPD [Internet]. Fontana, WI: GOLD; 2017 [cited 2017 Dec 6]. Available from: http://goldcopd.org/?s=prevalence.
World Health Organization. Chronic respiratory disease [Internet]. Geneva: World Health Organization; 2015 [cited 2018 Nov 1]. Available from: http://www.who.int/respiratory/copd/en/
Working Group to Develop Clinical Practice Guidelines for Chronic Obstructive Pulmonary Disease. Clinical practice guidelines for chronic obstructive pulmonary disease 2010 [Internet]. Bangkok: Union Ultraviolet; 2010 [cited 2018 Nov 1]. Available from: http://www.lpnh.go.th/newlp/wp-content/uploads/2013/10/แนวทางการรักษาโรคปอดอุดกั้นเรื้อรัง2553-Thaichest-ไทย.pdf. (in Thai).
Trappenburg JCA, Monninkhof EM, Bourbeau J, Troosters T, Schrijvers AJP, Verheij TJM, et al. Effect of an action plan with ongoing support by a case manager on exacerbation-related outcome in patients with COPD: a multicentre randomised controlled trial. Thorax. 2011;66(11):977-84. doi: 10.1136/thoraxjnl-2011-200071.
Miravitlles M, Sliwinski P, Rhee CK, Costello RW, Carter V, Tan J, et al. Evaluation of criteria for clinical control in a prospective, international, multicenter study of patients with COPD. Respir Med. 2018;136:8-14. doi: 10.1016/j.rmed.2018.01.019.
van der Molen T, Willemse BWM, Schokker S, ten Hacken NH, Postma DS, Juniper EF. Development, validity and responsiveness of the Clinical COPD Questionnaire. Health Qual Life Outcomes. 2003;1:13. doi: 10.1186/1477-7525-1-13.
Preaphon N, Srisanpang S, Tippayanet N. The relationship between metered dose inhaler technique and exacerbation in COPD at the emergency room of Somdej Prabraromarachineenath Hospital, Natavee District, Songkla Province. Community Health Development Quarterly Khon Kaen University. 2013;1(2):47-57. (in Thai).
Batterink J, Dahri K, Aulakh A, Rempel C. Evaluation of the use of inhaled medications by hospital in patients with chronic obstructive pulmonary disease. Can J Hosp Pharm. 2012;65(2):111-8. doi: 10.4212/cjhp.v65i2.1118.
Poudel RS, Shrestha S, Bhatta P, Piryani RM. Do face-to-face training and telephonic reminder improve dry powder inhaler technique in patients with COPD? Int J Telemed Appl. 2017;2017:5091890. doi: 10.1155/2017/5091890.
Press VG, Kelly CA, Kim JJ, White SR, Meltzer DO, Arora VM. Virtual teach-to-goal adaptive learning of inhaler technique for inpatients with asthma or COPD. J Allergy Clin Immunol Pract. 2017;5(4):1032-9.e1. doi: 10.1016/j.jaip.2016.11.018.
Martín-Lesende I, Orruño E, Bilbao A, Vergara I, Cairo MC, Bayón JC, et al. Impact of telemonitoring home care patients with heart failure or chronic lung disease from primary care on healthcare resource use (the TELBIL study randomised controlled trial). BMC Health Serv Res. 2013;13:118. doi: 10.1186/1472-6963-13-118.
Jehn M, Donaldson G, Kiran B, Liebers U, Mueller K, Scherer D, et al. Tele-monitoring reduces exacerbation of COPD in the context of climate change--a randomized controlled trial. Environ Health. 2013;12:99. doi: 10.1186/1476-069X-12-99.
Thanthitithankul B, Ua-Kit N. The effect of inhaler use combined with a telephone nursing care program on dyspnea among chronic obstructive pulmonary disease patients. Thai Journal of Cardio-Thoracic Nursing. 2017;28(2):97-110. (in Thai).
Pansa S, Srichada P, Siwaborwornwattana A, Tedrapeemetawenumchai S. Improved clinical outcomes in asthmatic and COPD inhaler users with multimedia-acquired pharmacy counseling. Journal of Health Science. 2017;25(3):424-33. (in Thai).
Booncherd C. Follow-up for disabled, bedridden, cancer patients and primary pharmaceutical care by using the LINE application in Kutchum District, Yasothon Province. Journal of Health Science. 2018;27(5):920-6. (in Thai).
Fisher JD, Fisher WA. Changing AIDS-risk behavior. Psychol Bull. 1992;111(3):455-74. doi: 10.1037/0033-2909.111.3.455.
NHS Liverpool Clinical Commissioning Group. Inhaler technique checklist [Internet]. Liverpool, UK: NHS; 2016 [cited 2018 Jun 15]. Available from: http://psnc.org.uk/liverpool-lpc/wp content/uploads/sites/117/2016/06/Inhaler_Technique_Checklist.pdf.
Wattanakitkrileart D. Nursing care of chronic obstructive pulmonary disease. In: Tosuksri W, Saneha C, Wattanakitkrileart D, Sriyuktasuth A, editors. Medical nursing 1. 4th ed. Bangkok: Faculty of Nursing Mahidol University Book Project; 2016. p.57-94. (in Thai).
Miller MR. Structural and physiological age-associated changes in aging lungs. Semin Respir Crit Care Med. 2010;31(5):521-7. doi: 10.1055/s-0030-1265893.
Brandsma C-A, de Vries M, Costa R, Woldhuis RR, Königshoff M, Timens W. Lung ageing and COPD: is there a role for ageing in abnormal tissue repair? Eur Respir Rev. 2017;26(146):170073. doi: 10.1183/16000617.0073-2017.
Polhan B, Wattanakitkrileart D, Pongthavornkamol K. The effects of education and inhaler skills program through line application on symptom control among asthmatic patients. Journal of The Royal Thai Army Nurses. 2019;20(3):93-103. (in Thai).
To KW, Lee IF-K, Choi KC, Cheung YTY, Yu DS-F. An information-motivation-behavioural-based model and adherence to inhalation therapy and other health outcomes in patients with chronic obstructive pulmonary disease: a pilot randomized controlled trial. Int J Nurs Pract. 2020;26(2):e12799. doi: org/10.1111/ijn.12799.
Jeon E, Park H-A. Development of the IMB model and an evidence-based diabetes self-management mobile application. Healthc Inform Res. 2018;24(2):125-38. doi: 10.4258/hir.2018.24.2.125.