The Effect of Breathing Exercise on Self-Care Management in Chronic Obstructive Pulmonary Patients
Yıl 2024,
Cilt: 14 Sayı: 3, 719 - 726, 30.09.2024
Mehtap Tan
,
Derya Şimşekli
,
Gönül Gökçay
Öz
Objectives: The aim of this study is to investigate the effect of breathing exercise on self-care management in chronic obstructive pulmonary patients.
Methods: The study was conducted in a cross-sectional descriptive type with 415 COPD patients between 04.01-04.02.2023. COPD patient identification form and self-care management scale in chronic diseases were used to collect research data. The research data were evaluated with the statistical package program.
Results: The rate of application of breathing exercises by the participants was found to be 47.7%. The mean self-care management of patients with COPD was found to be 93.53±35.32. It was determined that the mean of self-care management of the COPD patients who participated in the study who applied breathing exercise was 100.97±29.86, the mean of self-care management of the participants who did not apply respiratory exercise was 86.73±38.48, and the difference between the averages was statistically significant (p < .001).
Conclusion: As a result of this study, it was determined that the level of application of breathing exercises in COPD patients was below fifty percent, and the level of self-care management was below the middle. It was determined that the practice of breathing exercise was effective on self-care management.
Teşekkür
The authors thank the COPD patients who voluntarily participated in the study.
Kaynakça
- Global Initiative for Chronic Obstructive Lung Disease. GOLD 2023 Report. Accessed [04 January 2023]. https://goldcopd.org/2023-gold-report-2/
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- Türkiye İstatistik Kurumu: 2009-2018 ölüm nedeni istatistikleri. Accessed [04 January 2023] https://data.tuik.gov.tr/Bulten/Index?p=Olum-ve-Olum-Nedeni-Istatistikleri-2019-33710. (Turkish)
- Hurst JR, Skolnik N, Hansen GJ, Anzueto A, Donaldson GC, Dransfield MT, Varghese P. Understanding the impact of chronic obstructive pulmonary disease exacerbations on patient health and quality of life. Eur J Intern Med. 2020;73:1–6. DOI: 10.1016/j.ejim.2019.12.014
- Alharbi MG, Kalra HS, Suri M, Soni N, Okpaleke N, Yadav S, Shah S, Iqbal Z, Hamid P. Pulmonary rehabilitation in management of chronic obstructive pulmonary disease. Cureus. 2021;13(10):e18414. DOI: 10.7759/cureus.18414
- Ubolnuar N, Tantisuwat A, Thaveeratitham P, Lertmaharit S, Kruapanich C, Mathiyakom W. Effects of breathing exercises in patients with chronic obstructive pulmonary disease: Systematic review and meta-analysis. Ann Rehabil Med. 2019;43(4):509–523.
- Özdemir A, Yıldız Gülhan P, Arabacı Z, Hasgül E. The effect of respiratory exercise and inhaler usage training on some symptoms and psychosocial parameters in COPD individuals. Sağlık Akademisi Kastamonu. 2022;7(3):469–480. DOI:1010.25279/sak.873358
- Uslu A, Canbolat O. Nursing care of the chronic obstructive pulmonary disease patient according to Orem’s theory of self-care deficiency: A case report. J Educ Res Nurs. 2022;19(2):269–274. DOI: 10.5152/jern.2022.73659
- Demir Gökmen B, Fırat M. KOAH hastalarında hastalık algısı, ölüm kaygısı ve öz bakım gücü ilişkisinin incelenmesi. Adıyaman Üniversitesi Sağlık Bilim Derg. 2022;8(1):57–66. (Turkish)
- Kennedy A, Rogers A, Bower P. Support for self care for patients with chronic disease. Br Med J. 2007;335(7627):968–970. DOI: 10.1136/bmj.39372.540903.94
- Clari M, Matarese M, Ivziku D, De Marinis MG. Self-care of people with chronic obstructive pulmonary disease: A meta-synthesis. Patient. 2017;10(4):407–427. DOI: 10.1007/s40271-017-0218-z
- https://www.openepi.com/SampleSize/SSCohort.htm. 2023. Accessed [04 January 2023].
- Gunen H, Yilmaz M, Aktas O, Ergun P, Ortakoylu MG, Demir A, Çetinkaya P, Gurgun A, Otlu M, Cilli A, Yilmaz U, Kokturk N, Candemir I, Yakar HI, Ar I, Konya A. Categorization of COPD patients in Turkey via GOLD 2013 strategy document: ALPHABET study. Int J COPD. 2015;10(1):2485–2494. DOI: 10.2147/COPD.S87464
- Leighton K, Kardong-Edgren S, Schneidereith T, Foisy-Doll C. Using social media and snowball sampling as an alternative recruitment strategy for research. Clin Simul Nurs. 2021;55:37–42. DOI: 10.1016/j.ecns.2021.03.006
- Marcus B, Weigelt O, Hergert J, Gurt J, Gelléri P. The use of snowball sampling for multi-source organizational research: Some cause for concern. Pers Psychol. 2017;70(3):635–673. DOI: 10.1111/peps.12169
- Naderifar M, Goli H, Ghaljaie F. Snowball sampling: A purposeful method of sampling in qualitative research. Strides Dev Med Educ. 2017;14(3). DOI: 10.5812/sdme.67670
- Parker C, Scott S, Geddes A. Snowball sampling. SAGE Res Methods Found. 2019;1–13. DOI: 10.41135/
- Hancerlioğlu S, Şenuzun Aykar F. Kronik hastalıklarda öz bakım yönetimi ölçeği’nin Türkçe’ye uyarlanması, geçerlik ve güvenirliği. Gümüşhane Üniversitesi Sağlık Bilim Derg. 2018;7(1):175–83. (Turkish)
- George D, Mallery M. SPSS for Windows step by step: A simple guide and reference. Boston: Pearson; 2010.
- Yun R, Bai Y, Lu Y, Wu X, Lee S Da. How breathing exercises influence on respiratory muscles and quality of life among patients with COPD? A systematic review and meta-analysis. Can Respir J. 2021;1-11. DOI: 10.1155/2021/1904231
- Lu Y, Li P, Li N, Wang Z, Li J, Liu X, Wu Y. Effects of home-based breathing exercises in subjects with COPD. Respir Care. 2020;65(3):377–387. DOI: 10.4187/respcare.07121
- Marotta N, Demeco A, Moggio L, Marinaro C, Pino I, Barletta M, Petraroli A, Pepe D, Lavano F, Ammendolia A. Comparative effectiveness of breathing exercises in patients with chronic obstructive pulmonary disease. Complement Ther Clin Pract [Internet]. 2020;41(May):101260. DOI: 10.1016/j.ctcp.2020.101260
- Wibrata DA, Putri RNA, Annisa F, Kholifah SN. International Conference of Kerta Cendekia Nursing Academy the effect of breathing exercises: Pursed-lips breathing and diaphragm breathing in COPD patients. 2019;8–11.
- Subba HK, Subba R. Knowledge on self care among COPD patients attending at Chitwan Medical College Teaching Hospital, Bharatpur. J Chitwan Med Coll. 2014;4(8):34–37. DOI: 10.3126/jcmc.v4i3.11938
- Thorpe O, Johnston K, Kumar S. Barriers and enablers to physical activity participation in patients with COPD: A systematic review. J Cardiopulm Rehabil Prev. 2012;32(6):359–369. DOI: 10.1097/HCR.0b013e318262d7df
- Hayton C, Clark A, Olive S, Browne P, Galey P, Knights E, Staunton L, Jones A, Coombes E, Wilson AM. Barriers to pulmonary rehabilitation: Characteristics that predict patient attendance and adherence. Respir Med . 2013;107(3):401–407. DOI: 10.1016/j.rmed.2012.11.016
- Kılıç Z, Göriş S. Self-care agency and affecting factors in patients with chronic obstructive pulmonary disease. East J Med. 2020;25(4):484–490. DOI: 10.5505/ejm.2020.55822
- Özdelikara A, Taştan Gürkan A, Şen Atasayar B. Kronik hastalıklarda öz bakım yönetimi ve uyumun değerlendirilmesi. Samsun Sağ Bil Der. 2020;5(1):42–49. (Turkish)
- Bayülgen MY, Gün M, Erdoğan S. Kronik obstrüktif akciğer hastalığı olan hastaların öz bakım yönetimleri ve bunları etkileyen faktörlerin değerlendirilmesi. Eurasian J Heal Sci. 2021;4(2):106–112. (Turkish)
- Yu S, Guo AM, Zhang XJ. Effects of self-management education on quality of life of patients with chronic obstructive pulmonary disease. Int J Nurs Sci. 2014;1(1):53–57. DOI: 10.1016/j.ijnss.2014.02.014
- Yıldırım A, Hacıhasanoğlu R, Bakar N, Demir N. Effect of anxiety and depression on self-care agency and quality of life in hospitalized patients with chronic obstructive pulmonary disease: A questionnaire survey. Int J Nurs Pract. 2013;19(1):14–22. DOI: 10.1111/ijn.12031
- Yang H, Wang H, Du L, Wang Y, Wang X, Zhang R. Disease knowledge and self-management behavior of COPD patients in China. Med (United States). 2019;98(8):10–14. DOI: 10.1097/MD.0000000000014460
- Lenferink A, van der Palen J, Effing T. The role of social support in improving chronic obstructive pulmonary disease self-management. Expert Rev Respir Med. 2018;12(8):623–626. DOI: 10.1080/17476348.2018.1489723
- Park SK. Factors affecting self-care behavior in Koreans with COPD. Appl Nurs Res. 2017;38(2):29–37. DOI: 10.1016/j.apnr.2017.09.003
- Chen Z, Fan VS, Belza B, Pike K, Nguyen HQ. Association between social support and self-care behaviors in adults with chronic obstructive pulmonary disease. Ann Am Thorac Soc. 2017;14(9):1419–1427. DOI: 10.1513/AnnalsATS.201701-026OC
Yıl 2024,
Cilt: 14 Sayı: 3, 719 - 726, 30.09.2024
Mehtap Tan
,
Derya Şimşekli
,
Gönül Gökçay
Kaynakça
- Global Initiative for Chronic Obstructive Lung Disease. GOLD 2023 Report. Accessed [04 January 2023]. https://goldcopd.org/2023-gold-report-2/
- Singh D, Agusti A, Anzueto A, Barnes PJ, Bourbeau J, Celli BR, Criner GJ, Frith P, Halpin DMG, Han M, López Varela MV, Martinez F, De Oca MM, Papi, A, Pavord LD, Roche N, Sin DD, Stockley, R, Vestbo J, Wedzincha JA, Vogelmeier C. Global strategy for the diagnosis, management, and prevention of chronic obstructive lung disease: The GOLD science committee report 2019. Eur Respir J. 2019;53(5):1–12. DOI: 10.1183/13993003.00164-2019
- Türkiye İstatistik Kurumu: 2009-2018 ölüm nedeni istatistikleri. Accessed [04 January 2023] https://data.tuik.gov.tr/Bulten/Index?p=Olum-ve-Olum-Nedeni-Istatistikleri-2019-33710. (Turkish)
- Hurst JR, Skolnik N, Hansen GJ, Anzueto A, Donaldson GC, Dransfield MT, Varghese P. Understanding the impact of chronic obstructive pulmonary disease exacerbations on patient health and quality of life. Eur J Intern Med. 2020;73:1–6. DOI: 10.1016/j.ejim.2019.12.014
- Alharbi MG, Kalra HS, Suri M, Soni N, Okpaleke N, Yadav S, Shah S, Iqbal Z, Hamid P. Pulmonary rehabilitation in management of chronic obstructive pulmonary disease. Cureus. 2021;13(10):e18414. DOI: 10.7759/cureus.18414
- Ubolnuar N, Tantisuwat A, Thaveeratitham P, Lertmaharit S, Kruapanich C, Mathiyakom W. Effects of breathing exercises in patients with chronic obstructive pulmonary disease: Systematic review and meta-analysis. Ann Rehabil Med. 2019;43(4):509–523.
- Özdemir A, Yıldız Gülhan P, Arabacı Z, Hasgül E. The effect of respiratory exercise and inhaler usage training on some symptoms and psychosocial parameters in COPD individuals. Sağlık Akademisi Kastamonu. 2022;7(3):469–480. DOI:1010.25279/sak.873358
- Uslu A, Canbolat O. Nursing care of the chronic obstructive pulmonary disease patient according to Orem’s theory of self-care deficiency: A case report. J Educ Res Nurs. 2022;19(2):269–274. DOI: 10.5152/jern.2022.73659
- Demir Gökmen B, Fırat M. KOAH hastalarında hastalık algısı, ölüm kaygısı ve öz bakım gücü ilişkisinin incelenmesi. Adıyaman Üniversitesi Sağlık Bilim Derg. 2022;8(1):57–66. (Turkish)
- Kennedy A, Rogers A, Bower P. Support for self care for patients with chronic disease. Br Med J. 2007;335(7627):968–970. DOI: 10.1136/bmj.39372.540903.94
- Clari M, Matarese M, Ivziku D, De Marinis MG. Self-care of people with chronic obstructive pulmonary disease: A meta-synthesis. Patient. 2017;10(4):407–427. DOI: 10.1007/s40271-017-0218-z
- https://www.openepi.com/SampleSize/SSCohort.htm. 2023. Accessed [04 January 2023].
- Gunen H, Yilmaz M, Aktas O, Ergun P, Ortakoylu MG, Demir A, Çetinkaya P, Gurgun A, Otlu M, Cilli A, Yilmaz U, Kokturk N, Candemir I, Yakar HI, Ar I, Konya A. Categorization of COPD patients in Turkey via GOLD 2013 strategy document: ALPHABET study. Int J COPD. 2015;10(1):2485–2494. DOI: 10.2147/COPD.S87464
- Leighton K, Kardong-Edgren S, Schneidereith T, Foisy-Doll C. Using social media and snowball sampling as an alternative recruitment strategy for research. Clin Simul Nurs. 2021;55:37–42. DOI: 10.1016/j.ecns.2021.03.006
- Marcus B, Weigelt O, Hergert J, Gurt J, Gelléri P. The use of snowball sampling for multi-source organizational research: Some cause for concern. Pers Psychol. 2017;70(3):635–673. DOI: 10.1111/peps.12169
- Naderifar M, Goli H, Ghaljaie F. Snowball sampling: A purposeful method of sampling in qualitative research. Strides Dev Med Educ. 2017;14(3). DOI: 10.5812/sdme.67670
- Parker C, Scott S, Geddes A. Snowball sampling. SAGE Res Methods Found. 2019;1–13. DOI: 10.41135/
- Hancerlioğlu S, Şenuzun Aykar F. Kronik hastalıklarda öz bakım yönetimi ölçeği’nin Türkçe’ye uyarlanması, geçerlik ve güvenirliği. Gümüşhane Üniversitesi Sağlık Bilim Derg. 2018;7(1):175–83. (Turkish)
- George D, Mallery M. SPSS for Windows step by step: A simple guide and reference. Boston: Pearson; 2010.
- Yun R, Bai Y, Lu Y, Wu X, Lee S Da. How breathing exercises influence on respiratory muscles and quality of life among patients with COPD? A systematic review and meta-analysis. Can Respir J. 2021;1-11. DOI: 10.1155/2021/1904231
- Lu Y, Li P, Li N, Wang Z, Li J, Liu X, Wu Y. Effects of home-based breathing exercises in subjects with COPD. Respir Care. 2020;65(3):377–387. DOI: 10.4187/respcare.07121
- Marotta N, Demeco A, Moggio L, Marinaro C, Pino I, Barletta M, Petraroli A, Pepe D, Lavano F, Ammendolia A. Comparative effectiveness of breathing exercises in patients with chronic obstructive pulmonary disease. Complement Ther Clin Pract [Internet]. 2020;41(May):101260. DOI: 10.1016/j.ctcp.2020.101260
- Wibrata DA, Putri RNA, Annisa F, Kholifah SN. International Conference of Kerta Cendekia Nursing Academy the effect of breathing exercises: Pursed-lips breathing and diaphragm breathing in COPD patients. 2019;8–11.
- Subba HK, Subba R. Knowledge on self care among COPD patients attending at Chitwan Medical College Teaching Hospital, Bharatpur. J Chitwan Med Coll. 2014;4(8):34–37. DOI: 10.3126/jcmc.v4i3.11938
- Thorpe O, Johnston K, Kumar S. Barriers and enablers to physical activity participation in patients with COPD: A systematic review. J Cardiopulm Rehabil Prev. 2012;32(6):359–369. DOI: 10.1097/HCR.0b013e318262d7df
- Hayton C, Clark A, Olive S, Browne P, Galey P, Knights E, Staunton L, Jones A, Coombes E, Wilson AM. Barriers to pulmonary rehabilitation: Characteristics that predict patient attendance and adherence. Respir Med . 2013;107(3):401–407. DOI: 10.1016/j.rmed.2012.11.016
- Kılıç Z, Göriş S. Self-care agency and affecting factors in patients with chronic obstructive pulmonary disease. East J Med. 2020;25(4):484–490. DOI: 10.5505/ejm.2020.55822
- Özdelikara A, Taştan Gürkan A, Şen Atasayar B. Kronik hastalıklarda öz bakım yönetimi ve uyumun değerlendirilmesi. Samsun Sağ Bil Der. 2020;5(1):42–49. (Turkish)
- Bayülgen MY, Gün M, Erdoğan S. Kronik obstrüktif akciğer hastalığı olan hastaların öz bakım yönetimleri ve bunları etkileyen faktörlerin değerlendirilmesi. Eurasian J Heal Sci. 2021;4(2):106–112. (Turkish)
- Yu S, Guo AM, Zhang XJ. Effects of self-management education on quality of life of patients with chronic obstructive pulmonary disease. Int J Nurs Sci. 2014;1(1):53–57. DOI: 10.1016/j.ijnss.2014.02.014
- Yıldırım A, Hacıhasanoğlu R, Bakar N, Demir N. Effect of anxiety and depression on self-care agency and quality of life in hospitalized patients with chronic obstructive pulmonary disease: A questionnaire survey. Int J Nurs Pract. 2013;19(1):14–22. DOI: 10.1111/ijn.12031
- Yang H, Wang H, Du L, Wang Y, Wang X, Zhang R. Disease knowledge and self-management behavior of COPD patients in China. Med (United States). 2019;98(8):10–14. DOI: 10.1097/MD.0000000000014460
- Lenferink A, van der Palen J, Effing T. The role of social support in improving chronic obstructive pulmonary disease self-management. Expert Rev Respir Med. 2018;12(8):623–626. DOI: 10.1080/17476348.2018.1489723
- Park SK. Factors affecting self-care behavior in Koreans with COPD. Appl Nurs Res. 2017;38(2):29–37. DOI: 10.1016/j.apnr.2017.09.003
- Chen Z, Fan VS, Belza B, Pike K, Nguyen HQ. Association between social support and self-care behaviors in adults with chronic obstructive pulmonary disease. Ann Am Thorac Soc. 2017;14(9):1419–1427. DOI: 10.1513/AnnalsATS.201701-026OC