“Investigation of Self-Care Agency and Exercise Efficacy of Individuals Diagnosed with COPD during the COVID-19 Pandemic Process”

Öz

Purpose: This study was conducted as a descriptive study to "Investigation of Self-Care Agency and Exercise Efficacy of Individuals Diagnosed with COPD during the COVID-19 Pandemic Process." Material and Methods:The study population consisted of individuals diagnosed with COPD in a city in the south of Turkey. The study sample consisted of individuals who voluntarily participated and met the inclusion criteria. No random sampling was used in the study. One hundred seven individuals who agreed to participate and met the study criteria constituted the study sample. The 'Sociodemographic Information Form,' the 'COPD Exercise Self-Regulatory Efficacy Scale (Ex-SRES), and Self-Care Agency Scale' was used for data collection. Number, percentage, mean, and descriptive statistics t-tests were used to analyze the data. Results: In the study results, it was found that there was a positive and significant relationship between self-care power and exercise efficacy in COPD patients. (p < 0.05). A significant difference was found between individuals diagnosed with COVID-19 and those who were not in terms of self-care agency and exercise efficacy. (p < 0.05). It was found that individuals with chronic disease had lower self-care agency and exercise efficacy than those without the disease. It was determined that the self-care agency and exercise efficacy of individuals diagnosed with COPD for more than ten years decreased. Conclusion: It was found that it is essential to monitor the self-care agency and exercise efficacy of COPD patients during COVID-19, and the self-care agency and exercise efficacy of patients decreased during this period. Keywords: COPD, Exercise Self-Regulatory Efficacy, Self-Care Agency, COVID-19

Anahtar Kelimeler

• COPD
• Exercise Self-Regulatory EfficacySelf-Care
• Self care Agency
• Covid-19

Kaynakça

1. Andrianopoulos, V., Gloeckl, R., Schneeberger, T., Jarosch, I., Vogiatzis, I., Hume, E., ... & Kenn, K. (2021). Benefits of pulmonary rehabilitation in COPD patients with mild cognitive impairment–A pilot study. Respiratory Medicine, 185, 106478.
2. Aytaç, S.O., Kiliç, S.P., Ovayolu, N. (2020). Effect of inhaler drug education on fatigue, dyspnea severity, and respiratory function tests in patients with COPD. Patient Educ Couns;103:709– 16.
3. Davis, A. H., Figueredo, A. J., Fahy, B. F., Rawiworrakul, T. (2007). Reliability and validity of the Exercise Self-Regulatory Efficacy Scale for individuals with chronic obstructive pulmonary disease. Heart & lung : the journal of critical care, 36(3), 205–216. https://doi.org/10.1016/j.hrtlng.2006.08.007
4. Di Marco, F., Santus, P., Sotgiu, G., Blasi, F., Centanni, S. (2015). Does improving exercise capacity and daily activity represent the holistic perspective of a new COPD approach? COPD. 12:575–81.
5. Ebrahimi Belil, F., Alhani, F., Ebadi, A., Kazemnejad, A. (2018). Self-efficacy of people with chronic conditions: A qualitative directed content analysis. Journal of clinical medicine, 7(11), 411.
6. Elbeddini, A., Tayefehchamani, Y. (2021). Amid COVID-19 pandemic: challenges with access to care for COPD patients. Research in Social and Administrative Pharmacy, 17(1), 1934-1937.
7. Erol, O., Enc, N. (2011) Hypoglycemia fear and self-efficacy of turkish patients receiving insulin therapy. Asian Nurs Res 5(4):222–228
8. Halbert, R.J., Natoli, J.L., (2006) Gano A, Badamgarav E, Buist AS, Mannino DM. Global burden of COPD: Systematic review and meta-analysis. Eur Respir J, 28: 523-32.

9. Hassani, M., Farahani, B., Zohour, A., Panahi, Azar, S. (2010). Self-care ability based on Orem’s theory in individuals with coronary artery disease (Persian). Journal of Critical Care Nursing. 3(2):15-6. http://jccnursing.com/article-1-155-fa.html
10. Holmes, E.A., O’Connor, R., Perry, V.H., et al. (2020). Multidisciplinary research priorities for the COVID-19 pandemic: a call for action and for mental health science. Lancet Psychiatry,7:547–560. Published online 15th April.
11. Hu, SX., Lei, W.L., Chao, K.K., Hall, B.J., Chung, S.F (2016) Common chronic health problems and life satisfaction among Macau elderly people. Intl J Nurs Sci 3(4):367–370
12. Kant, A., Çomoğlu, Ş., Öztürk, S., Aydın, E., Yılmaz, G. (2020). Kronik Obstrüktif Akciğer Hastalığı Covıd-19 Enfeksiyonunun Şiddetini Etkiliyor Mu? Kırıkkale Üniversitesi Tıp Fakültesi Dergisi, 22(3), 440-444.
13. Kar, S., Zengin, N. (2019) Examining the state of health in patients with COPD according to sociodemographic and disease-related characteristics J Pro Health Res; 1(1):1-7.
14. Kearney, B.Y., Fleischer, BJ. (1979). “Development of an instrument to measure exercise of self care”, Nurs Health, 22, 25-34,
15. Lacwik, P., Szydłowska, D., Kupczyk, M., Pałczyński, C., Kuna, P. (2021). High levels of anxiety during the COVID-19 pandemic as a risk factor of clinical worsening in patients with severe asthma. J Allergy Clin Immunol Pract;9(3):1381-3.
16. McMurray, M., Sisson, M., Schiavon, S. (2020). Anxiety, depression, and using evidence-based techniques and strategies to support engagement and adherence. In Enhancing Patient Engagement in Pulmonary Healthcare (pp. 105-132). Humana, Cham.
17. Nahcıvan, N.O. (2004) “A Turkish Language Equivalence of the Exercise of Self CareAgencyScale”, Western Journal of Nursing Research, 26(7), 813-824. Kearney, B.Y., Fleischer, BJ. (1979). “Development of an instrument to measure exercise of self care”, Nurs Health, 22, 25-34,
18. Pitta, F., Troosters, T., Spruit, M.A., Probst, V.S., (2005). Decramer M, Gosselink R. Characteristics of physical activities in daily life in chronic obstructive pulmonary disease. Am J Respir Crit Care Med;171:972–7.
19. Riegel B, Jaarsma T, Stromberg A. A middle-range theory of self-care of chronic illness. ANS Adv Nurs Sci. 2012;35(3):194–204. doi:10.1097/ANS.0b013e318261b1ba
20. Savaş, E., Tanriverdi, D. (2010). Knowledge, attitudes and anxiety towards influenza A/H1N1 vaccination of healthcare workers in Turkey. BMC Infect Dis;10:281.
21. Selzler, A. M., Rodgers, W. M., Berry, T. R., & Stickland, M. K. (2020). Coping versus mastery modeling intervention to enhance self-efficacy for exercise in patients with COPD. Behavioral Medicine, 46(1), 63-74.
22. Shirvani, N.J, Ghaffari, F., Fotokian, Z., Monadi, M. (2020). Association between perceived family social support and self-care behaviors in elders with chronic obstructive pulmonary disease (COPD): a medical center-based study from Iran. The Open Nursing Journal, 14(1).
23. Tsutsui, M., Gerayeli, F., Sin, D.D. (2021). Pulmonary rehabilitation in a post-COVID-19 world: telerehabilitation as a new standard in patients with COPD. International journal of chronic obstructive pulmonary disease, 16, 379.
24. Turan, O., Arpınar Yigitbas, B., Turan, P. A., Mirici, A. (2021). Clinical characteristics and outcomes of hospitalized COVID-19 patients with COPD. Expert review of respiratory medicine, 15(8), 1069-1076.
25. Ünal Aslan, K.S., Çetinkaya, F. (2020). Validity and reliability of the Turkish version of the COPD exercise self‐regulatory efficacy scale. The Clinical Respiratory Journal, 14(3), 235-241.
26. Ünal, K.S., Tar, E., Kant, E., Çetinkaya, F. (2018). The effect of walking exercise on oxygen saturation, dyspnea and happiness in COPD patients. Journal of Current Researches on Health Sector, 8(1), 95-110.
27. Wang, L., Mårtensson, J., Zhao, Y., & Nygårdh, A. (2018). Experiences of a health coaching self-management program in patients with COPD: a qualitative content analysis. International Journal of Chronic Obstructive Pulmonary Disease, 13, 1527.
28. Waschki, B., Kirsten, A., Holz, O., Muller, K.C., Meyer, T., Watz, H., Magnussen, H. (2011). Physical activity is the strongest predictor of all-cause mortality in patients with COPD: a prospective cohort study. Chest;140:331–42.
29. Zwerink M, Brusse-Keizer M, van der Valk PD, Zielhuis GA, Monninkhof EM, van der Palen J, et al. Self management for patients with chronic obstructive pulmonary disease. Cochrane Database Syst Rev. 2014(3):CD002990. doi:10.1002/14651858.CD002990.pub3.