The effects of education alone and in combination with pulmonary rehabilitation on self-efficacy in patients with COPD.
This study compared the effects on self-efficacy of participation by patients with chronic obstructive pulmonary disease (COPD) in a pulmonary rehabilitation program that combined education and supervised exercise training with the results demonstrated by participation in a program that provided education alone. Thirty-seven patients participated in the pulmonary rehabilitation program, and 22 patients participated in the education-only program. Self-efficacy, as it effects managing or avoiding breathing difficulty, was measured before and after the programs. Patients' self-efficacy scores significantly improved after the pulmonary rehabilitation program and remained significantly improved 6 months later. Education alone was also effective in significantly improving self-efficacy scores, but patients' scores 6 months later were not significantly better than preprogram scores. This study indicates that a rehabilitation program that combines education and exercise training is more effective in improving long-term self-efficacy in patients with COPD.
State University of New York at Buffalo, School of Nursing 14214, USA.
Y K
YK
Scherer
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LE
Schmieder
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S
Shimmel
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001945:Breathing Exercises; D005260:Female; D006801:Humans; D008173:Lung Diseases, Obstructive / Q000451:nursing / Q000523:psychology* / Q000534:rehabilitation*; D008297:Male; D008875:Middle Aged; D009720:Nurse Clinicians; D015403:Nursing Evaluation Research; D010353:Patient Education as Topic; D015397:Program Evaluation; D019145:Rehabilitation Nursing; D020377:Self Efficacy