A quasi-experimental study of the effect of a comprehensive blended health educational program on self-management practices among patients with chronic obstructive pulmonary disease

Eman Rashed ALHarbi; Dhuha Youssef Wazqar; Samah Mahmoud Sofar

doi:10.1016/j.hrtlng.2022.07.005

A quasi-experimental study of the effect of a comprehensive blended health educational program on self-management practices among patients with chronic obstructive pulmonary disease

Heart Lung. 2022 Nov-Dec:56:133-141. doi: 10.1016/j.hrtlng.2022.07.005. Epub 2022 Jul 25.

Authors

Eman Rashed ALHarbi¹, Dhuha Youssef Wazqar², Samah Mahmoud Sofar³

Affiliations

¹ Graduate Student, Department of Medical Surgical Nursing, Faculty of Nursing, King Abdulaziz University, P. O. Box 24828, Jeddah 21551, Saudi Arabia.
² Consultant, Associate Professor of Oncology Nursing and Palliative Care, Department of Medical Surgical Nursing, Faculty of Nursing, King Abdulaziz University, Jeddah, Saudi Arabia. Electronic address: dwazger@kau.edu.sa.
³ Assistant Professor of Medical Surgical Nursing Department, Faculty of Nursing, Alexandria University, Egypt. Electronic address: ssofar@kau.edu.sa.

PMID: 35901603
DOI: 10.1016/j.hrtlng.2022.07.005

Abstract

Background: The prevalence and illness burden of chronic obstructive pulmonary disease (COPD) are both high. Currently, limited guidance is available to support the establishment of effective health programs to increase self-management practices in patients with COPD.

Objectives: To explore the effect of a comprehensive blended health education program on self-management practices in patients with mild-to-moderate COPD in Jeddah City, Saudi Arabia.

Methods: A quasi-experimental research study was carried out with a convenience sample of 60 discharged or stable patients with COPD following treatment. Participants were divided into an intervention group (n = 30) that received usual hospital care and blended health education program, and a control group (n = 30) that obtained the usual hospital care without involvement in the health education program from May 2021- to August 2021. Data were collected before and three months after the intervention using the COPD Self-Management Scale and patient socio-demographic and clinical information surveys.

Results: Statistically significant differences were found between the control and intervention groups after three months of the intervention based on total COPD Self-Management Scale scores. There were no statistically significant relationships between the participants' mean COPD Self-Management Scale scores in both groups with their socio-demographic and clinical characteristics before and after the intervention.

Conclusions: A nurse-led, comprehensive blended health education program was found to be an effective method for improving COPD patients' self-management practices. COPD nurses and nurse researchers must collaborate to identify the most common interventions with the best cost/benefit ratios and greater positive effects on early COPD patients' self-management practices and general well-being.

Keywords: Blended program; Chronic obstructive pulmonary disease; Health education; Quasi-experimental; Saudi Arabia; Self-management practices.

MeSH terms

Hospitalization
Humans
Pulmonary Disease, Chronic Obstructive* / epidemiology
Pulmonary Disease, Chronic Obstructive* / therapy
Quality of Life
Self Care / methods
Self-Management*