Elizabeth Peacock-Chambers, Pilar Del Canto, Douglas Ahlers, Mario Valdivia Peralta, Judith Palfrey
School-Based Disaster Recovery: Promotion of Children's Mental Health Over the Long Haul
Disaster medicine and public health preparedness
selfmanagement skills important patients chronic obstructive pulmonary disease copd responsible day day care poor selfmanagement behaviours significant influence symptoms functional impairments quality life evidence shown selfmanagement interventions support patients respond changing symptoms thereby make appropriate decisions regarding selfmanagement study aimed find effect selfmanagement interventions patients copd terms selfmanagement practice inhaler practice copd symptoms burden functional ability selfperceived dyspnoea emotional symptoms quasiexperimental pretest posttest design carried among patients copd attending respiratory units chitwan medical college teaching hospital cmcth nepal convenience sampling technique used select 70 patients copd study baseline data collected participants using semistructured interview schedule sociodemographic clinical variables ii copd selfmanagement practice questionnaire iii borg dyspnoea scale iv six minute walking distance 6mwd test v pulmonary function test pft vi observation checklist selfmanagement intervention given 2 hour sessions per week 6 weeks along information booklets distribution participants reevaluated 3 months intervention using tools data analysis performed using ibmspss version 200 window wilcoxon signedrank test performed find effectiveness selfmanagement interventions outcome parameters selfmanagement interventions 2 hour session per week 6 weeks elicited statistically significant change selfmanagement practice z 7215 p0001 inhaler practice dpi practice z 6731 p0001 mdi practice z 1816 p 0005 functional ability z 4243 p0001 selfperceived dyspnoea z 4443 p0001 copd symptom burden z 7009 p0001 emotional symptoms depression z 6856 p0001 anxiety z 6675 p0001 patients copd selfmanagement intervention acts powerful equipment improve selfmanagement practice copd symptoms burden functional ability selfperceived dyspnoea emotional symptoms patients copd hence clinician policy maker need plan intervene rehabilitation program patients copd enhance effectiveness therapy selfmanagement practice general longevity