Self-Efficacy Level Among Patients with Chronic Obstructive Pulmonary Disease

Document Type : Original Article

Authors

1 B.Sc. In Nursing

2 Professor of Medical Surgical Nursing

3 Assistant prof. of Medical Surgical Nursing-Cairo-Egypt.

4 Assistant prof.of Medical Surgical Nursing Faculty of Nursing - Ain Shams University-Cairo-Egypt.

Abstract

Background: Chronic obstructive pulmonary disease (COPD) is an important cause of morbidity and mortality worldwide. Accurate prediction of outcomes such as rate of lung function decline, exacerbations, healthcare utilization of resources and risk of death are important because it helps to identify patients whom the implementation of therapeutic measures could improve their outcomes. Aim: This study aims to assess level of self efficacy among patients with COPD. Study design: A descriptive exploratory design. Setting: This study will be conducted in the chest department and outpatient clinic at chest hospital at Zagazig.  Subjects: A convenient study sample included 108 patients in chest department from the previously mentioned setting. Tools: Tools were used for data collection; patient interview questionnaire (demographic characteristics and patient knowledge about COPD), COPD self efficacy scale (CSES), factors that affect the level of self efficacy among patients with COPD (demographic characteristics, patient knowledge about COPD, BORG scale, depression and social support survey). Results: The current study showed that about slightly half of them had unsatisfactory level of total knowledge regarding chronic obstructive pulmonary disease and that more than half of the studied patients had low level of self-efficacy regarding chronic obstructive pulmonary disease, more than one third of the patients under the study had slight difficulty of breathing and sever difficulty of breathing regarding to BORG scale, about half of the studied patients had a mild level of depression regarding COPD, the study revealed that about half of the studied patients had a mild level of depression regarding COPD and about two third of the studied patients had moderate social support dysfunction. Conclusion: Based on the findings of the current study, it could be concluded that half of studied patients had unsatisfactory level of knowledge regarding COPD, more than half of the studied patients had low level of self-efficacy regarding COPD. It could be concluded that the physical, psychological and social factors affecting self efficacy level among the studied patients with COPD Recommendation: Providing health education and update information about COPD to the patients and their families from health care givers .Establishing organization for patients with COPD to improve their self efficacy and quality of life.

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