Effect of Self-Management Support Program on Ability to Manage Symptom and Dyspnea Among Patients with Chronic Obstructive Pulmonary Disease

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Nootcharat Chantaro
Natenapha Khupantawee
Tippamas Chinnawong


Chronic Obstructive Pulmonary Disease non-chronic disease can not be cured. Dyspnea is a common
symptom in all patients. When symptoms are severe and begin to effect the diary routine. Cause suffering with
this symptom throughout life. This quasi-experimental study aimed to evaluate the effect of a self-management
support program on ability to manage symptom and dyspnea among patients with Chronic Obstructive Pulmonary
Disease. The sample group of 52 subjects was purposively selected and assigned to experimental group
(n=26) and control group (n=26) using simple random method and matched pair sample group following
properties (1) sex (2) age difference does not exceed 5 year and (3) GOLD stages or grades 1 and 2. The
control group received regular nursing care and the intervention group received the self-management support
program, support program on ability to manage symptom and dyspnea by self-management concept combined
with 5 A,s Behavior Change Model adapted for Self-management support of Glasgow, et al. The researcher
created 5 steps: 1) assess 2) advise 3) agree 4) assist and 5) arrange. Data were collected from control
group and experimental group at the first week and eighth week. The instrument for data collection was a
self-management ability to manage symptom and dyspnea questionnaire and instrument for measurement of
Dyspnea was Modified Medical Research Council Dyspnea Scale: mMRC DS. The data were analyzed using
descriptive statistics and the hypotheses were tested using Paired t-test and Independent t-test.
The results revealed that the intervention program was able to increase the self-management ability
to manage symptom scores significantly (p< .001) and after using intervention program the self-management
ability to manage symptom had significantly higher mean score than before (p< .001). Within for experimental
group was able to decrease dyspnea but did not differ significally (p> .05) and between control group and
experimental group dyspnea had significantly higher mean score than before (p< .05). Should be prepared
in nursing unit, Nurse and training or developing skills to support self-management in chronic disease. The
further study should focus on sustainability of program implementation.


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Chantaro, N., Khupantawee, N., & Chinnawong, T. (2018). Effect of Self-Management Support Program on Ability to Manage Symptom and Dyspnea Among Patients with Chronic Obstructive Pulmonary Disease. Songklanagarind Journal of Nursing, 38(3), 25–37. Retrieved from https://he02.tci-thaijo.org/index.php/nur-psu/article/view/148286
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