Changes in self-concept during pulmonary rehabilitation, Part 2.
This two-part study describes changes in self-concept during pulmonary rehabilitation. A 20-item semantic meaning differential scale was administered to 37 patients with severe chronic obstructive pulmonary disease who were participating in a multidisciplinary pulmonary rehabilitation program. Patients were asked to evaluate their past, present, and future self-concepts on program admission, on program discharge, and 2 to 6 months after home discharge. In this part of the study item-level quantitative data as well as qualitative data from the counseling session at program discharge are reported. The quantitative data documented detailed changes in self-concept at various stages of pulmonary rehabilitation. Counseling session results indicated that patient involvement in item-level analysis greatly facilitates psychosocial intervention. Findings from this study establish clinical indications for use of the Self-concept Evaluation tool in adult patients with chronic obstructive pulmonary disease. Use of this tool is recommended early in the rehabilitation process.
Kersten
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Nursing Services Department, University of California, Davis Medical Center, Sacramento 95817.
D000368:Aged; D003376:Counseling; D003863:Depression; D004644:Emotions; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008173:Lung Diseases, Obstructive / Q000523:psychology* / Q000534:rehabilitation; D008297:Male; D008875:Middle Aged; D009042:Motivation; D010351:Patient Discharge; D015397:Program Evaluation; D012649:Self Concept; D012647:Self-Assessment