The Effect of Inhaler Training on Self-Efficacy among Patients with COPD
Abstrak
Patients with Chronic Obstructive Pulmonary Disease (COPD) can have low self-efficacy due to symptoms of shortness of breath and cough. Proper use of an inhaler is able to overcome these symptoms. The majority of COPD patients are still using inhalers incorrectly. Inhaler use training can improve the technique of inhaler use and is expected to improve self-efficacy in COPD patients. The purpose of this study was to determine the effect of inhaler training on self-efficacy in COPD patients. The research design used a quasi-experiment with a nonequivalent control group pretest-postest. Thirty-six patients with COPD were selected using consecutive sampling and were divided into groups that followed the inhaler training and those who did not follow the inhaler training. The results showed that there was a significant improvement in self-efficacy in COPD patients by 9.33 score after the inhaler training (p=0.001; p<0.05) and there was a significant difference in self-efficacy change of 6 scores compared to COPD patients who did not follow the inhaler training (p=0.000; p<0.05). In conclusion, there was an influence of inhaler training on self-efficacy in COPD patients so inhaler training is recommended to that nurses to be given to COPD patients.
Referensi
Al-kalaldeh, M., El-rahman, M. A., & El-ata, A. (2016). Effectiveness of Nurse-Driven Inhaler Education on Inhaler Proficiency and Compliance Among Obstructive Lung Disease Patients: A Quasi-Experimental Study, 48(2), 48–55. http://doi.org/10.1177/0844562116676119
Balitbangkes Kemenkes RI. (2013). Riset Kesehatan Dasar 2013. Jakarta.
Bandura, A. (1997). Self-Efficacy: The Exercise of Control. New York: W. H. Freeman and Company.
Francis, C. (2011). Perawatan Respirasi. (A. Safitri, Ed., S. T. Hasianna, Trans.). Jakarta: Penerbit Erlangga.
GOLD. (2017). Global Strategy for The Diagnosis, Management, and Prevention of Chronic Obstructive Pulmonary Disease. Retrieved from www.goldcopd.org
Göriş, S., Taşci, S., & Elmali, F. (2013). The effects of training on inhaler technique and quality of life in patients with COPD. Journal of Aerosol Medicine and Pulmonary Drug Delivery, 26(6), 336–44. http://doi.org/10.1089/jamp.2012.1017
Han, J.-M., Jung, I.-C., Kang, W., Kim, S.-S., Yeo, Y., & Park, Y.-C. (2014). Reliability and validity of Leicester Cough Questionnaire Korean version. Chronic Respiratory Disease, 11(3), 147–152. http://doi.org/10.1177/1479972314536206
Ilic, A. D., Zugic, V., Zvezdin, B., Kopitovic, I., Cekerevac, I., Cupurdija, V., … Barac, A. (2016). Influence of inhaler technique on asthma and COPD control: A multicenter experience. International Journal of COPD, 11(1), 2509–2517. http://doi.org/10.2147/COPD.S114576
Kara, M., & Aşti, T. (2004). Effect of education on self-efficacy of Turkish patients with chronic obstructive pulmonary disease. Patient Education and Counseling, 55(1), 114–120. http://doi.org/10.1016/j.pec.2003.08.006
Kim, V., Crapo, J., Zhao, H., Jones, P. W., Silverman, E. K., Comellas, A., … Criner, G. J. (2015). Comparison between an alternative and the classic definition of chronic bronchitis in COPDGene. Annals of the American Thoracic Society, 12(3), 332–339. http://doi.org/10.1513/AnnalsATS.201411-518OC
Lee, H., Boo, S., Lim, Y., Kim, S., & Kim, I.-A. (2014). Accuracy of Inhaler Use in Patients With Chronic Obstructive Pulmonary Disease. Clinical Nursing Research, 23(5), 560–574. http://doi.org/10.1177/1054773813498269
Lenney, J., Innes, J. A., & Crompton, G. K. (2000). Inappropriate inhaler use: assessment of use and patient preference of seven inhalation devices. Respir Med, 94(5), 496–500. http://doi.org/10.1053/rmed.1999.0767
Mac Hale, E., Costello, R. W., & Cowman, S. (2014). A nurse-led intervention study: Promoting compliance with Diskus Inhaler use in asthma patients. Nursing Open, 1(1), 42–52. http://doi.org/10.1002/nop2.10
NICE. (2010). Chronic obstructive pulmonary disease in over 16s: diagnosis and management. London, United Kingdom: National Institute for Health and Care Exellence. Retrieved from nice.org.uk/guidance/cg101
Peterson, S. J., & Bredow, T. S. (2004). Middle Range Theories: Application to Nursing Research. Philadelphia: Lippincott Williams & Wilkins.
Polit, D. F., & Beck, C. T. (2012). Nursing Research: Generating and Assessing Evidence for Nursing Practice (Ninth). Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins.
Poureslami, I., Kwan, S., Lam, S., Khan, N. A., & Fitzgerald, J. M. (2016). Assessing the effect of culturally specific audiovisual educational interventions on attaining self-management skills for chronic obstructive pulmonary disease in mandarin-and cantonese-speaking patients: A randomized controlled trial. International Journal of COPD, 11(1), 1811–1822. http://doi.org/10.2147/COPD.S105408
Ramadan, W. H., & Sarkis, A. T. (2017). Patterns of use of dry powder inhalers versus pressurized metered-dose inhalers devices in adult patients with chronic obstructive pulmonary disease or asthma. Chronic Respiratory Disease, 147997231668720. http://doi.org/10.1177/1479972316687209
Rini, I. S. (2011). Hubungan antara efikasi diri dengan kualitas hidup pasien penyakit paru obstruktif kronis dalam konteks asuhan keperawatan di RS Paru Batu dan RSU Dr. Saiful Anwar Malang Jawa Timur. Universitas Indonesia.
Simpson, E., & Jones, M. C. (2013). An exploration of self-efficacy and self-management in COPD patients. British Journal of Nursing (Mark Allen Publishing), 22(19), 1105–9. http://doi.org/10.12968/bjon.2013.22.19.1105
Thomas, R. M., Locke, E. R., Woo, D. M., Nguyen, E. H. K., Press, V. G., Layouni, T. A., … Fan, V. S. (2017). Inhaler Training Delivered by Internet-Based Home Videoconferencing Improves Technique and Quality of Life. Respiratory Care, 1–11. http://doi.org/10.4187/respcare.05445
Wigal, J. K., Creer, T. L., & Kotses, H. (1991). The COPD self-efficacy scale. Chest, 99(5), 1193–1196. http://doi.org/10.1378/chest.99.5.1193
Wong, K. W., Wong, F. K., & Chan, M. F. (2005). Effects of nurse-initiated telephone follow-up on self-efficacy among patients with chronic obstructive pulmonary disease. J Adv Nurs, 49(2), 210–222. http://doi.org/10.1111/j.1365-2648.2004.03280.x
Balitbangkes Kemenkes RI. (2013). Riset Kesehatan Dasar 2013. Jakarta.
Bandura, A. (1997). Self-Efficacy: The Exercise of Control. New York: W. H. Freeman and Company.
Francis, C. (2011). Perawatan Respirasi. (A. Safitri, Ed., S. T. Hasianna, Trans.). Jakarta: Penerbit Erlangga.
GOLD. (2017). Global Strategy for The Diagnosis, Management, and Prevention of Chronic Obstructive Pulmonary Disease. Retrieved from www.goldcopd.org
Göriş, S., Taşci, S., & Elmali, F. (2013). The effects of training on inhaler technique and quality of life in patients with COPD. Journal of Aerosol Medicine and Pulmonary Drug Delivery, 26(6), 336–44. http://doi.org/10.1089/jamp.2012.1017
Han, J.-M., Jung, I.-C., Kang, W., Kim, S.-S., Yeo, Y., & Park, Y.-C. (2014). Reliability and validity of Leicester Cough Questionnaire Korean version. Chronic Respiratory Disease, 11(3), 147–152. http://doi.org/10.1177/1479972314536206
Ilic, A. D., Zugic, V., Zvezdin, B., Kopitovic, I., Cekerevac, I., Cupurdija, V., … Barac, A. (2016). Influence of inhaler technique on asthma and COPD control: A multicenter experience. International Journal of COPD, 11(1), 2509–2517. http://doi.org/10.2147/COPD.S114576
Kara, M., & Aşti, T. (2004). Effect of education on self-efficacy of Turkish patients with chronic obstructive pulmonary disease. Patient Education and Counseling, 55(1), 114–120. http://doi.org/10.1016/j.pec.2003.08.006
Kim, V., Crapo, J., Zhao, H., Jones, P. W., Silverman, E. K., Comellas, A., … Criner, G. J. (2015). Comparison between an alternative and the classic definition of chronic bronchitis in COPDGene. Annals of the American Thoracic Society, 12(3), 332–339. http://doi.org/10.1513/AnnalsATS.201411-518OC
Lee, H., Boo, S., Lim, Y., Kim, S., & Kim, I.-A. (2014). Accuracy of Inhaler Use in Patients With Chronic Obstructive Pulmonary Disease. Clinical Nursing Research, 23(5), 560–574. http://doi.org/10.1177/1054773813498269
Lenney, J., Innes, J. A., & Crompton, G. K. (2000). Inappropriate inhaler use: assessment of use and patient preference of seven inhalation devices. Respir Med, 94(5), 496–500. http://doi.org/10.1053/rmed.1999.0767
Mac Hale, E., Costello, R. W., & Cowman, S. (2014). A nurse-led intervention study: Promoting compliance with Diskus Inhaler use in asthma patients. Nursing Open, 1(1), 42–52. http://doi.org/10.1002/nop2.10
NICE. (2010). Chronic obstructive pulmonary disease in over 16s: diagnosis and management. London, United Kingdom: National Institute for Health and Care Exellence. Retrieved from nice.org.uk/guidance/cg101
Peterson, S. J., & Bredow, T. S. (2004). Middle Range Theories: Application to Nursing Research. Philadelphia: Lippincott Williams & Wilkins.
Polit, D. F., & Beck, C. T. (2012). Nursing Research: Generating and Assessing Evidence for Nursing Practice (Ninth). Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins.
Poureslami, I., Kwan, S., Lam, S., Khan, N. A., & Fitzgerald, J. M. (2016). Assessing the effect of culturally specific audiovisual educational interventions on attaining self-management skills for chronic obstructive pulmonary disease in mandarin-and cantonese-speaking patients: A randomized controlled trial. International Journal of COPD, 11(1), 1811–1822. http://doi.org/10.2147/COPD.S105408
Ramadan, W. H., & Sarkis, A. T. (2017). Patterns of use of dry powder inhalers versus pressurized metered-dose inhalers devices in adult patients with chronic obstructive pulmonary disease or asthma. Chronic Respiratory Disease, 147997231668720. http://doi.org/10.1177/1479972316687209
Rini, I. S. (2011). Hubungan antara efikasi diri dengan kualitas hidup pasien penyakit paru obstruktif kronis dalam konteks asuhan keperawatan di RS Paru Batu dan RSU Dr. Saiful Anwar Malang Jawa Timur. Universitas Indonesia.
Simpson, E., & Jones, M. C. (2013). An exploration of self-efficacy and self-management in COPD patients. British Journal of Nursing (Mark Allen Publishing), 22(19), 1105–9. http://doi.org/10.12968/bjon.2013.22.19.1105
Thomas, R. M., Locke, E. R., Woo, D. M., Nguyen, E. H. K., Press, V. G., Layouni, T. A., … Fan, V. S. (2017). Inhaler Training Delivered by Internet-Based Home Videoconferencing Improves Technique and Quality of Life. Respiratory Care, 1–11. http://doi.org/10.4187/respcare.05445
Wigal, J. K., Creer, T. L., & Kotses, H. (1991). The COPD self-efficacy scale. Chest, 99(5), 1193–1196. http://doi.org/10.1378/chest.99.5.1193
Wong, K. W., Wong, F. K., & Chan, M. F. (2005). Effects of nurse-initiated telephone follow-up on self-efficacy among patients with chronic obstructive pulmonary disease. J Adv Nurs, 49(2), 210–222. http://doi.org/10.1111/j.1365-2648.2004.03280.x
Diterbitkan
2022-09-30
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Choiruna, H. P., Sitorus, R., & Kariasa, I. M. (2022). The Effect of Inhaler Training on Self-Efficacy among Patients with COPD. Journal of Bionursing, 4(3), 207-215. https://doi.org/10.20884/1.bion.2022.4.3.156
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