The Effect of The Patient Coaching on The Dispnea, Cough and Sputum Symptoms of The Monitored Patients with Chronic Obstructive Pulmonary Disease (Copd): A Pilot Study

Yıl 2016, Cilt: 5 Sayı: 2, 32 - 41, 01.04.2016

Derya Tülüce Sevinç Kutlutürkan Nurhayat Çetin Nurdan Köktürk

Öz

Chronic obstructive pulmonary disease (COPD) is a lung disease characterized by dispnea, cough and sputum, associated with the progressive airway obstruction and the abnormal inflammatory response. This study is a quasi-experimental pilot study, conducted at a pulmonary diseases department of a university hospital between March- May 2015 in order to evaluate the effect of the patient coaching on the dispnea, cough and sputum symptoms of the monitored patients with COPD. The data were obtained via the “Patient Identification Form”, created by the researchers, and the COPD Assessment Test (CAT). The patients in the intervention group were educated via the patient coaching approach. The frequency test, the Mann-Whitney U test, the Kruskal-Wallis test and the Wilcoxon test were used in order to evaluate the data. The mean age of the patients in the intervention group was 64±8.3 and the mean age of the patients in the control group was 61.6±2.5. While CAT pre-test average score of the intervention group was 27.8±16.05; the post-test average score was found as 20.6±5.85 (p<0.05). Moreover, CAT pre-test average score of the control group was found as 21.2±8.8 and the post-test average score was 18.4±8.4 (p<0.05).While that there have been determined a sharp decrease in CAT average scores of the CAT question 1 (Cough) and the CAT questions 3-8 (Dispnea) symptoms of the patients in the intervention group after the patient coaching approach, it has been stated that the CAT question 1 (Sputum) average scores of them have diminished slightly. When it comes to the patient in the control group, whereas there have been found a conspicuous decrease in the CAT average scores of the CAT question 1 (Cough) symptom of the patient after the patient coaching approach, it has been identified that the CAT question 2  (Sputum) and the CAT question 3-8 (Dispnea) average scores of the patients have diminished slightly.The difference between the total CAT pre-test and post-test scores of the patients were statistically significant among the two groups. To sum up, the patient coaching approach is found as an effective method to control the symptoms of the patients who have COPD and it has been suggested that the patient coaching approach should be administered for the symptom control of the COPD patients.

Anahtar Kelimeler

Chronic Obstructive Pulmonary Disease, Patient Coaching, Nursing

Hasta Koçluğunun Kronik Obstrüktif Akciğer Hastalığı (Koah) ile İzlenen Hastaların Dispne, Öksürük ve Balgam Semptomları Üzerine Etkisi: Pilot Bir Çalışma

Öz

Kronik Obstrüktif Akciğer Hastalığı (KOAH) hava yollarındaki ilerleyici tıkanma ve anormal inflamatuar yanıt ile ilişkili olarak gelişen dispne, öksürük ve balgam ile karakterize bir akciğer hastalığıdır. Bu araştırma hasta koçluğunun KOAH tanısı ile izlenen hastaların dispne, öksürük ve balgam semptomlarının şiddeti üzerine etkisini değerlendirmek amacıyla Mart- Mayıs 2015 tarihleri arasında bir üniversite hastanesinin göğüs hastalıkları servisinde yarı-deneysel olarak yürütülen bir pilot çalışmadır. Veriler araştırmacılar tarafından hazırlanan “Hasta Tanıtım Formu” ve “KOAH Değerlendirme Testi (CAT)” kullanılarak toplanmıştır. Müdahale grubundaki hastalara, hasta koçluğu yaklaşımı ile eğitim verilmiştir. Verilerin değerlendirilmesinde frekans testi, Mann-Whitney U testi, Kruskal Wallis testi ve Wilcoxon testi kullanılmıştır. Müdahale grubundaki hastaların yaş ortalaması 64±8.3, kontrol grubundaki hastaların yaş ortalaması 61,6±2.5’tir.  Müdahale grubundaki hastaların CAT pretest puan ortalaması 27.8±16.05 ve posttest puan ortalaması 20.6±5.85 olarak bulunmuştur (p

Anahtar Kelimeler

Kronik Obstrüktif Akciğer Hastalığı, Hasta Koçluğu, Hemşirelik

Kaynakça

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