퇴원교육이 만성 폐쇄성 폐질환자의 증상경험 및 자가간호 수행에 미치는 효과

Abstract

ABSTRACT

Effects of a Discharge Education on Symptom Experience and Compliance with Self-Care Among Patients with Chronic Obstructive Pulmonary Disease

Jo Eun Hye Advisor : Seon Young Hwang, Ph.D. RN Department of Nursing Graduate School of Chosun University

Purpose: The purpose of this study was to examine the effects of a discharge education on the degrees of symptom experience and compliance with self-care among patients with chronic obstructive pulmonary disease(COPD).

Methods: This study adopted a quasi-experimental control group pre-and post-test design. A total of 67 patients who were hospitalized for COPD management were recruited from in-patient units of a hospital from August to November, 2010. Approval for research proposal was obtained from the institutional review board of the hospital. Thirty five patients each were assigned to experimental and control group. A 40-minute length one-to-one education using an education chart and a booklet was administered to experimental group and included the managements of COPD symptoms and daily self-care. Self-administered questionnaire was used and data from control group were obtained in advance to the data of experimental group. Data for post-test was collected at the time of visiting outpatient clinic after 1 month among experimental group. Data were analyzed by using SPSS PC version 17.0.

Results: Average age of the subjects was 67.43(±10.24) and 90% of the subjects had a middle school graduation or lower. The degree of symptom experience after 1 month among experimental group was significantly higher than the one of control(t=3.39, p=.001). In addition, the degree of self-care compliance among experimental group was significantly higher than the one of control group(t=-38.13, p<.001). All subcategories of a self-care compliance were also significantly different except oxygen use.

Conclusion: One-to-one discharge education was effective in decreasing a symptom experience and increasing a compliance with self-care, and should be continuously provided to the patients with COPD.