@article{Chantaro_Khupantawee_Chinnawong_2018, title={Effect of Self-Management Support Program on Ability to Manage Symptom and Dyspnea Among Patients with Chronic Obstructive Pulmonary Disease}, volume={38}, url={https://he02.tci-thaijo.org/index.php/nur-psu/article/view/148286}, abstractNote={<p>Chronic Obstructive Pulmonary Disease non-chronic disease can not be cured. Dyspnea is a common<br>symptom in all patients. When symptoms are severe and begin to effect the diary routine. Cause suffering with<br>this symptom throughout life. This quasi-experimental study aimed to evaluate the effect of a self-management<br>support program on ability to manage symptom and dyspnea among patients with Chronic Obstructive Pulmonary<br>Disease. The sample group of 52 subjects was purposively selected and assigned to experimental group<br>(n=26) and control group (n=26) using simple random method and matched pair sample group following<br>properties (1) sex (2) age difference does not exceed 5 year and (3) GOLD stages or grades 1 and 2. The<br>control group received regular nursing care and the intervention group received the self-management support<br>program, support program on ability to manage symptom and dyspnea by self-management concept combined<br>with 5 A,s Behavior Change Model adapted for Self-management support of Glasgow, et al. The researcher<br>created 5 steps: 1) assess 2) advise 3) agree 4) assist and 5) arrange. Data were collected from control<br>group and experimental group at the first week and eighth week. The instrument for data collection was a<br>self-management ability to manage symptom and dyspnea questionnaire and instrument for measurement of<br>Dyspnea was Modified Medical Research Council Dyspnea Scale: mMRC DS. The data were analyzed using<br>descriptive statistics and the hypotheses were tested using Paired t-test and Independent t-test.<br> The results revealed that the intervention program was able to increase the self-management ability<br>to manage symptom scores significantly (p< .001) and after using intervention program the self-management<br>ability to manage symptom had significantly higher mean score than before (p< .001). Within for experimental<br>group was able to decrease dyspnea but did not differ significally (p> .05) and between control group and<br>experimental group dyspnea had significantly higher mean score than before (p< .05). Should be prepared<br>in nursing unit, Nurse and training or developing skills to support self-management in chronic disease. The<br>further study should focus on sustainability of program implementation.</p>}, number={3}, journal={Journal of Research in Nursing-Midwifery and Health Sciences }, author={Chantaro, Nootcharat and Khupantawee, Natenapha and Chinnawong, Tippamas}, year={2018}, month={Sep.}, pages={25–37} }