نبذة مختصرة : Purpose: This studied aimed to examine effects of a self-management support program on dyspnea and depression in patients with chronic obstructive pulmonary disease (COPD).Design: A quasi experimental design.Methods: Seventy patients with chronic obstructive pulmonary disease were divided into the experimental and control group with 35 each who had been admitted at a secondary hospital with dyspnea. The experimental group received a self-management support program which comprised self-management education and skills training using a patient-centered approach, family support, home visit and follow up activities. The program was carried out for 8 weeks and evaluated for outcomes at week 4 and week 8. Data were collected through personal data questionnaire, the dyspnea visual analogue scale, and Center for Epidemiologic Studies-Depression Scale (CES-D) questionnaire. Data were analyzed using descriptive statistics, T-test, and Repeated measures ANOVA with between subjects factors.Main findings: Almost all (99.3 percent) of the sample were men and mean age was 68.64 years (SD = 8.99). Experimental and control groups showed no differences in age. Experimental and control groups had no significant difference in dyspnea (F = 3.454, df = 1, p = .067). Mean score of dyspnea in experimental group was significantly decreased when compare with control group only in week 8 (p < .05). Experimental and control groups had significant difference in depression (F = 7.858, df = 1, p = .007). Mean score of depression in experimental group was significantly decreased when compared with control group both in weak 4 and week 8 (p < .05).Conclusion and recommendations: The study findings suggest that the success of a self-management support program for COPD patients depend on patient involvement in self-management planning with supported by family along with effective nurse-patient partnership in patients care. ผลของการใช้โปรแกรมสนับสนุนการจัดการตนเองต่ออาการหายใจลำบาก ...
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