Hospital-Based Educational Program for Chronic Obstructive Pulmonary Disease: A Strategy for Self-Management

DOI:  https://doi.org/10.12804/revistas.urosario.edu.co/revsalud/a.10283

Article Sidebar

PDF (Español (España)) HTML (Español (España)) Lector Inteligente (Español (España)) ePub (Español (España))

Published: May 7, 2021
Issue: Vol. 19 No. 2 (2021): Ciencias de la Salud
Section Clinical or Experimental Research


Keywords: chronic obstructive pulmonary disease education quality of life self-management

Main Article Content

Authors

  Olga-Cecilia Vargas-Pinilla
Universidad del Rosario
  Carolina Peña-Córdoba
Universidad del Rosario
  Lucía Sandoval
Universidad del Rosario
  Diana Carolina Coronado
Hospital Universitario Mayor – Méderi

Abstract





Introduction: chronic obstructive pulmonary disease is a progressive disease that compromises the physical condition and quality of life. Education has improved adherence to treatment, encouraging self-management, and reducing the number of exacerbations as well as the hospitalization expenditure. The aim of the present study was to establish the effect of a hospital-based education program for patients with the chronic obstructive pulmonary disease based on the level of knowledge of the disease. Materials and Methods: We performed a quasi-experimental before and after study. The Lung Information Need Questionnaire (LINQ) was employed to measure the level of knowledge of the disease, before and after the educational program was developed, in three sessions during the hospitalization. After three months, we investigated the use of health services and the perception of the health status. Results: A total of 33 patients participated, which included 19 women (58%), 14 men (42%). The average age was 73.7 ± 7.6 years; 52% of participants had basic education; and 88.8% belonged to the low socioeconomic level. In LINQ-pre, the average score was 14.55 ± 4.25, whereas LINQ post educational intervention average was 4.94 ± 1.7. The total score of the Saint George’s Respiratory Questionnaire was 77.7 with a greater commitment of the activity limitation domain at 86.37. At three months follow-up, 19 patients (79%) reported improvement in health. Conclusions: Through educational intervention, patients significantly improved their knowledge of the disease. Therefore, it can be concluded that a hospital-based education program benefits patient care and optimizes health resources.





How to Cite
Vargas-Pinilla, O.-C., Peña-Córdoba, C., Sandoval, L., & Coronado, D. C. (2021). Hospital-Based Educational Program for Chronic Obstructive Pulmonary Disease: A Strategy for Self-Management. Revista Ciencias De La Salud, 19(2), 1–16. https://doi.org/10.12804/revistas.urosario.edu.co/revsalud/a.10283
References

Afonso A, Verhamme K, Sturkenboom M, Brusselle G. COPD in the general population: prevalence, incidence and survival. Respir Med. 2011;105:1872-84. https://doi.org/10.1016/j.rmed.2011.06.012

Organización Mundial de la Salud. Enfermedad pulmonar obstructiva crónica (epoc). 2017 [citado 2018 ago 12]. Disponible en: http://www.who.int/mediacentre/factsheets/fs315/es/

Global Initiative for Chronic Obstructive Lung Disease (GOLD). Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease [reporte]. 2018 [citado 2018 ago 12]. Disponible en: https://goldcopd.org/wp-content/ uploads/2017/11/GOLD-2018-v6.0-FINAL-revised-20-Nov_WMS.pdf

Chodosh J, Morton SC, Mojica W, Maglione M, Suttorp MJ, Hilton L, et al. Meta-analysis: chronic disease self-management programs for older adults. Ann Intern Med. 2005;20:427-38.

Lorig KR, Holman H. Self-management education: history, definition, outcomes, and mechanisms. Ann Behav Med. 2003;26:1-7. https://doi.org/10.1207/S15324796ABM2601_01

Centers for Disease Control and Prevention. What is self-management education. 2018 [citado 2018 jul 2]. Disponible en: https://www.cdc.gov/learnmorefeelbetter/sme/index. htm

Franek J. Self-management support interventions for persons with chronic disease: an evidence-based analysis. Ont Health Technol Assess Ser. 2013;13:1-60.

Zwerink M, Brusse-Keizer M, Van der Valk PD, Zielhuis GA, Monninkhof EM, Van der Palen, J, et al. Self-management for patients with chronic obstructive pulmonary disease. Cochrane Database Syst Rev. 2014;19:1-159. https://doi.org/10.1002/14651858

Rice KL, Dewan N, Bloomfield HE, Grill J, Schult TM, Nelson DB, et al. Disease management program for chronic obstructive pulmonary disease: a randomized controlled trial. Am J Respir Crit Care Med. 2010;182(7):890-6. https://doi.org/10.1164/rccm.200910-1579OC

Aresté Alba N, Torres-Puig Gross J. Eficacia de una intervención educativa a pacien- tes con enfermedad pulmonar obstructiva crónica y sus cuidadores. Metas Enferm. 2017;20(1):50-6.

Alshabanat A, Otterstatter MC, Sin DD, Road J, Rempel C, Burns J, et al. Impact of a COPD comprehensive case management program on hospital length of stay and readmission rates. Int J Chron Obstruct Pulmon Dis. 2017;12:961-71. https://doi.org/10.2147/COPD. S124385

Carlson ML, Ivnik M, Dierkhising R, O’Byrne M, Vickers K. Learning needs assessment of patients with COPD. Medsurg Nurs. 2006;15:204-12.

Plymouth University, School of Psychology. Lung information needs questionarie (LINQ). 2011. http://www.linq.org.uk/

Wilches E, Obregón L, Delgado M, Rebolledo D, Terreros A. Adaptación cultural del cuestionario LINQ (Lung Information Needs Questionnaire) en pacientes con enfermedad respiratoria crónica en un programa de rehabilitación pulmonar en Cali, Colombia. Rev Cienc Salud. 2014;12(1):23-34. https://doi.org/dx.doi.org/10.12804/revsalud12.1.2014.02.

Ferrer M, Alonso J, Prieto L, Plaza V, Monso E, Marrades R, et al. Validity and reliability of the St George’s Respiratory Questionnaire after adaptation to a different language and culture: the Spanish example. Eur Respir J. 1996;9(6):1160-6. https://doi.org/10.118 3/09031936.96.09061160

Rivadeneira Guerrero MF. Validación del cuestionario respiratorio St. George para evaluar calidad de vida en pacientes ecuatorianos con epoc. Rev Cuid. 2015;6(1):882-91. https://doi.org/10.15649/cuidarte.v6i1.109

Aguilar E, Sotelo M, Lara R, García F, Sansores M, Ramírez V. Reproducibilidad del cuestionario respiratorio Saint George en la versión al español, en pacientes mexicanos con enfermedad pulmonar obstructiva crónica. Rev Inst Nal Enf Resp Mex. 2000;13:85-95.

Hyland ME, Jones RC, Hanney KE. The Lung information needs questionnaire: development, preliminary validation and findings. Respir Med. 2006;100(10):1807-16. https:// doi.org/10.1016/j.rmed.2006.01.018

Ries A, Bauldoff G, Carlin B, Casaburi R, Emery C, Mahler D, et al. Pulmonary rehabilitation: joint ACCP/AACVPR evidence-based clinical practice guidelines. Chest. 2007;131:4S-42S. https://doi.org/10.1378/chest.06-2418

Bourbeau J, Nault D, Dang-Tan T. Self-management and behaviour modification in COPD. Patient Educ Couns. 2004;52:271-7. https://doi.org/10.1016/S0738-3991(03)00102-2

Güell M, Díaz S, Rodríguez G, Morante F, San Miguel M, Cejudo P. Normativa separ reha- bilitación respiratoria. Arch Bronconeumol. 2014;50:311-72.

Mendoza I, Horta P. Educación en los programas de rehabilitación respiratoria de los pacientes con enfermedad pulmonar obstructiva crónica. Rev Chil Enf Respir. 2011;27:134-8.

Scott AS, Baltzan MA, Dajczman E, Wolkove N. Patient knowledge in chronic obstructive pulmonary disease: back to basics. COPD. 2011;8(5):375-9. https://doi.org/0.3109/154125 55.2011.605402

Vargas O, Martínez M, Ibáñez M, Peña C, Santamaría M. The use of metered-dose inhalers in hospital environments. J Aerosol Med Pulm Drug Deliv. 2013;26(5):287-96. https://doi.org/10.1089/jamp.2011.0940

Jones R, Wang X, Harding S, Bott J, Hyland M. Educational impact of pulmonary rehabilitation: Lung Information Needs Questionnaire. Respir Med. 2008;102:1439-45. https:// doi.org/10.1016/j.rmed.2008.04.015

Bourbeau J, Nault D. Self-management strategies in chronic obstructive pulmonary disease. Clin Chest Med. 2007;28:617-28. https://doi.org/10.1016/j.ccm.2007.06.002

Wakabayashi R, Motegi T, Yamada K, Ishii T, Jones R, Hyland M, et al. Efficient integrated education for older patients with chronic obstructive pulmonary disease using the Lung Information Needs Questionnaire. Geriatr Gerontol Int. 2011;11:422-30. https://doi.org/10.1111/j.1447-0594.2011.00696.x

Stoilkova A, Janssen D, Wouters E. Educational programmes in COPD management interventions: a systematic review. Respir Med. 2013;107:1637-50. https://doi.org/10.1016/j.rmed.2013.08.006

Schäfer J, Lisboa L, Fonseca N, Pommerehn I, Nunes D, Gonçalves L. Use of audiovisual media for education and self-management of patients with chronic obstructive pulmonary disease-COPD. Fisoter Mov. 2015;28:97-106. https://doi.org/10.1590/0103-5150.028.001. AO10

Barrecheguren M, Bourbeau J. Self-management strategies in chronic obstructive pulmonary disease: A first step toward personalized medicine. Curr Opin Pulm Med. 2018;24(2):191-198. https://doi.org/10.1097/MCP.0000000000000460

Lareau S, Hodder R. Teaching inhaler use in chronic obstructive pulmonary disease patients. J Am Acad Nurse Pract. 2012;24:113-20.

Connolly M, Yohannes A. The impact of depression in older patients with chronic obstructive pulmonary disease and asthma. Maturitas. 2016;92:9-14. https://doi.org/10.1016/j. maturitas.2016.07.005

Yohannes A, Alexopoulos G. Depression and anxiety in patients with COPD. Eur Respir Rev. 2014;23:345-9. https://doi.org/10.1183/09059180.00007813

Query Statistics

Downloads

Download data is not yet available.
Publcation metrics

949 165




 

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Published articles are solely the authors’ responsibility and do not commit the Editorial Committee nor the Scientific Committee. The copyrights belong to the Revista Ciencias de la Salud, therefore, total or partial reproduction of the published material is forbidden, unless there is a previous authorization.