A Study to assess the effectiveness of Planned Teaching program on knowledge regarding self management Technique among COPD patients in selected Hospitals of Mehsana City.

 

Dr. Dayalal Patidar¹, Mr. Kaushal Patidar¹, Ms. Palak Goswami²

¹Associate Professor, Joitiba College of Nursing, Bhandu, Dist: Mehsana.

²Final Year M.Sc. Nursing Student, Joitiba College of Nursing, Bhandu, Dist: Mehsana.

 

ABSTRACT:

Background: self-management is the management by oneself of oneself. Self-management is about finding the self-control and mastery needed to take control of one's work (e.g., to manage one's time, workflow, and communication). Objectives: To assess the knowledge regarding self management technique among COPD patients, To evaluate the effectiveness of planned teaching programme on knowledge regarding self management technique among COPD patient, To find out the association between knowledge regarding self management technique with their selected demographic variable. Material and Method: A pre- experimental study one group pre testpost test design within approach under taken in Mehsana city. Data collection was there 100 patients of COPD. Result: overall pre test mean score is 9.78 and standard deviation is 3.56. Post test mean score is 17.2 and standard deviation is 1.78. “t” value is 25.78. There is no significant association between the knowledge and selected demographic variables except one demographic variable (Marital status). Conclusion: Study indicates that the planned teaching programme is effective in increasing the knowledge regarding self management technique among COPD patients.

 

 

INTRODUCTION:

Patient education techniques to support patient participation in disease managementhavebeenproposed as an important strategy in limiting the growing burden of chronic disease. These techniques have been studied more recently for COPD (Chronic obstructive pulmonary Disease) (Monninkhof) ef al 2003). Reported success varies between conditions. (warsi et al 2004) so it is important to assess the effectiveness of techniques specifically in COPD.

 

Chronic Obstructive Pulmonary Disease(COPD) or Chronic Obstructive Lung Disease refers to several disorder that affect the movement of air in and out of the lungs although the most important of these obstructive, bronchitis and emphysema may occur in pure form, they most commonly coexit,with overlapping clinical manifestation.

 

COPD mainly occurs due to environmental pollution, industrialization, smoking tobacco, miningand mill dust exposure, overcrowding. Chronic pulmonary disease poses enormous burdens tosociety both in terms of direct cost of health care services and indirect cost to society through loss of productivity. COPD is a leading cause of morbidity and mortalitySelf-management, which is also referred to as “self-control” or “self-regulation,” is the ability to regulate one’s emotions, thoughts, and behaviors effectively in different situations.

 

This includes managing stress, delaying gratification, motivating oneself, and setting and working toward personal and academic goals. Self-control in children as young as age 5 can predict important life outcomes such as high school completion, physical health, income, single parenthood, substance dependence, and criminal involvement. Self management is the non-pharmacological intervention which aims to reduce disabilityin people with lung disease, return them to their highest level of independent functioning, and improve their qality of life. The aim of this study therefore was to explore how self management techniques affect the experience of activity of people with COPD.

 

Self-management is not a time-limited intervention but on-going support to help a person live with their condition. Respiratory specialists familiar with the success of supported self-management in asthma may be excused forfeeling disappointed by the evolution of evidence in chronic obstructive pulmonary disease (COPD).

 

The promise of early studies was seemingly dashed by a series of negative trials and a trial was even terminated early for fearof a detrimental effect.

 

PROBLEM STATEMENT:

“A study to assess the effectiveness of planned teaching program on knowledge regarding self management technique among COPD patients in selected hospitals of Mehsana city.”

 

OBJECTIVES:

1.     To assess the knowledge regarding self management technique among COPD patients.

2.     To evaluate the effectiveness of planned teaching programme on knowledge regarding self management technique among COPD patient.

3.     To find out the association between knowledge regarding self management technique with their selected demographic variable.

HYPOTHESIS:

Ho: There will be no significant difference between the pre test and post test knowledge regarding self management technique at 0.05 level of significance.

H1: There will be significant difference between the pre test and post test knowledge regarding self management technique at 0.05 level of significance.

 

METHODOLOGY:

Research Approach:

Quantitative research approach

 

Research Design:

Pre experimental one group pre testpost test research design

 

Setting:

General hospital and Lions hospital, Mehsana

 

Sample:

100 COPD patients

 

Sampling technique:

Non probability convenience sampling technique

 

Tool:

Self structured questionnaire for knowledge assessment.

 

Validity:

Tool was validated by different experts.

 

RESULTS:

Demographic data was analyzed using frequency and percentage. Frequencies, percentage, mean, mean percentage and SD was used to determine the knowledge score. The “t” value was computed to show the effectiveness of planned teaching program and chi square test was done to determine the association between the pre test knowledge of COPD patients with selected demographic variables.

 

 

 

Knowledge scale	Mean	Mean Difference	SD	“T” test value
				Calculated “T” value	Table “T” value
Pre Test	9.78		3.56
Post Test	17.2	7.42	1.78	25.78	1.98

 

Findings related to association between pre test knowledge score of copd patients with selecetd demographic variables.

Demographic variables:

The findings demonstrated that there was no significant association between pre test knowledge Scorewith selected demographic variables.

 

CONCLUSION:

The “T” test is done to find the effect of planned teaching programme. It revealed that there is highly significant gain of knowledge after the administration of intervention. The 'T' value is 25.78 and research hypothesis is accepted and null hypothesis is rejected. The pre test and post test mean % is 39.09% and 68.5% and different is 29.33% so knowledge is increase after intervention. This indicates that the planned teaching programme is effective in increasing the knowledge regarding self management technique among COPD patients.

 

REFERENCE:

1.      Siafakas NM, Vermeire P, Pride NB, et al. Optimal assessment and management of chronic obstructive pulmonary disease (COPD). The European Respiratory Society Task Force. EurRespir J. 1995 Aug;8(8):1398-420.

2.      Global Initiative for Chronic Obstructive Lung Disease (GOLD). Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease. 2018 [Celli BR, MacNee W, Agusti A, et al; ATS/ERS Task Force. Standards for the diagnosis and treatment of patients with COPD: a summary of the ATS/ERS position paper. EurRespir J. 2004 Jun;23(6):932-46.

3.      Badgett RG, Tanaka DJ, Hunt DK, et al. Can moderate chronic obstructive pulmonary disease be diagnosed by historical and physical findings alone? Am J Med. 1993 Feb;94(2):188-96

4.      Garcia-Pachon E. Paradoxical movement of the lateral rib margin (Hoover sign) for detecting obstructive airway disease. Chest. 2002 Aug;122(2):651-5.

5.      Morgan AD, Rothnie KJ, Bhaskaran K, et al. Chronic obstructive pulmonary disease and the risk of 12 cardiovascular diseases: a population-based study using UK primary care data. Thorax. 2018 Sep;73(9):877-9

 

 

 

Received on 10.10.2020          Modified on 09.11.2020

Accepted on 05.12.2020        © AandV Publications all right reserved