Kronik Obstrüktif Akciğer Hastalığı Olan Bireylere Öz-Bakım Modeline Göre Verilen Hemşirelik Bakımının Öz-Etkililik Üzerine Etkisi

Abstract

Study was carried out as an intervention study to determine the effect of nursing care provided at home with self-care model on self-efficacy of people with chronic obstructive pulmonary disease (COPD). Study sample included totally 106 COPD patients within 53 patients in each intervention and control group. In data collection; Patient Data Sheet, Orem Self-Care Model Based Data Collection Form, Symptom Evaluation Form, Medical Research Council (MRC) Dyspnea Scale, COPD Self Efficacy Scale (CSES) were used. Nursing care were applied for the intervention group consisting totally four visits, two for the first month and two for the next two months. Educational guide book was catered to the intervention group during first visits and for all visits education, care and supervision was provided according to care plan. For the control group there was no intervention but two home visits were maintained in the beginning and at the end of the study and educational guide book was given in the last visit. All data were analyzed with number, percentage, Chi Square Test, Kruskal Wallis H Test, Wilcoxon Sign Test, Mann-Whitney U test. Dyspnea level in the last visit of control group was found out as high compared to intervention group (p<0.05) The CSES scores belonging to subscale dimensions in the last visit and the general score of intervention group were found out high statistically compared to first visit scores (p<0.05). In the end of the study, nursing care given to individuals with COPD via home visits was identified to contribute to the increase of self efficacy significantly. According to the study results, Orem's self-care model was offered to identify issues that COPD patients have and provide nursing care for these issues.