Logan, Jo,Bissonnette, Janice.2009-03-232009-03-2320002000Source: Masters Abstracts International, Volume: 41-05, page: 1416.9780612765139http://hdl.handle.net/10393/8669http://dx.doi.org/10.20381/ruor-15932Objective. Development and reinforcement of self-management skills for patients with Chronic Obstructive Pulmonary Disease (COPD) is an ongoing challenge. As the disease advances, hospitalizations increase, managing respiratory infections and medication administration become more difficult for patients. Pulmonary rehabilitation programs assist patients with mastery of self-management skills but access is limited. In 1996 less than two percent of Canadian COPD patients participated in rehabilitation programs. Hospitalization provides opportunity for interventions aimed at reinforcing self-management strategies. The following study sought to determine the feasibility of providing and evaluating an education intervention tailored to hospitalized COPD patients. Design. Feasibility pre-test post-test method. Setting. Three medical wards of a tertiary care teaching hospital. Participants. Convenience sample of 20 patients admitted with COPD/COPD exacerbation. Intervention. Participants received a maximum of three, 40 minute sessions during hospitalization. Content delivery was tailored to participants' learning needs and low self-efficacy areas. Based on Self-Efficacy Theory, teaching strategies included performance accomplishment, role modeling, and positive reinforcement. Outcome measures. Learning needs, descriptive and clinical data, program evaluation, COPD Self-Efficacy Scale (CSES) and Dartmouth Functional Health Status (FHS) Charts. Results. Key learning needs included: inappropriate medication inhalation technique (n = 19), lack of disease acknowledgement (n = 16), no previous self-management education (n = 10). Health care providers identified the need for better access to educational materials for patients and family members. FHS, in five of the nine domains, and CSES scores (z = 3.51, p = .004) improved. Participants evaluated the experience as positive and recommended the intervention for other patients (n = 20). Conclusions. An educational intervention for hospitalized COPD patients can feasibly be developed, implemented and evaluated.113 p.Health Sciences, Nursing.Thesis