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.
Nursing Services Department, University of California, Davis Medical Center, Sacramento 95817.
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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