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The impact of an Education-Based Intervention Program (EBIP) on dyspnea and chronic self-care management among chronic obstructive pulmonary disease patients. A randomized controlled study

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Institution
Kafkas University Hospital, Internal Medicine Clinic, Turkey
Institution Typology
Hospital
Country
Turkey
Description
Comparing an Education-Based Intervention Program (EBIP) to standard care, in order to assess the effects of dyspnea and chronic self-care management outcomes.
Only the intervention group received the education-based intervention program, which was delivered in three stages: a) education in hospital, b) home visits with education, and c) telephone monitoring and counseling. A manual was used for the EBIP that was consistent with the relevant literature1 and the advice of two specialists. The four sections of the manual focused on improving medication adherence, nutrition, self-care behavior during illness, and breathing exercises. PowerPoint presentations were used during the training sessions, which took place in a seminar room at the hospital. Patients were then asked to show what they had learned and any unclear aspects were clarified again. Once the first home visit date had been set, the training ended. For those who were unable to use the guide successfully, close relatives were provided. In a randomized, single-blind study, a total of 51 patients were divided into an experimental and a control group. The intervention group received training, home visits and telephone follow-ups during a three-month period of the instruction-based intervention program (EBIP). At the end of the study, there were a total of forty COPD patients.
Disease
COPD
Activity level
Medium
Activity Typology
Rehabilitation section-based activities, Home-based activities
Motivation Tools
Not available
Innovation
For the Education-Based Intervention Program (EBIP), a manual was used based on the relevant literature and on the advice of two medical specialists. The four sections of the manual focused on improving medication adherence, nutrition, self-care behavior during illness, and breathing exercises. The training sessions, which took place in a hospital, used PowerPoint presentations. Patients were then asked to show what they had learned and any unclear aspects were clarified again.
Evaluation System
This study has shown that the intervention group has short-term (3 months) benefits in chronic disease self-management, dyspnea and EBIP compared to usual care. Results at three months provide significant support for H2 (EBIP improves chronic self-care management) and limited support for H1 (EBIP improves dyspnea). Studies show that physical and breathing exercises improve respiratory function, body weight and quality of life in patients with moderate-severe COPD (50%≤FEV1<80% predicted). However, these benefits require the maintenance of structured programs that include self-care education in addition to routine care.
Assessment
The management of chronic care in COPD patients has improved significantly and dyspnea has improved somewhat after patients received disease-related education through EBIP.
References
Cevirme, A., & Gokcay, G. (2020). The impact of an Education-Based Intervention Program (EBIP) on dyspnea and chronic self-care management among chronic obstructive pulmonary disease patients. A randomized controlled study. Saudi medical journal, 41(12), 1350–1358. doi.org/10.15537/smj.2020.12.25570" target="_blank">doi.org/10.15537/smj.2020.12.25570" target="_blank">doi.org/10.15537/smj.2020.12.25570
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