Effect of Inhaler Training on Self-Care Agency and Self-Efficacy of COPD Patients: A Randomized Controlled Trial
1Department of Nursing, Ömer Halisdemir University Training and Research Hospital, Niğde, Türkiye
2Department of Internal Nursing, Nevşehir Hacı Bektaş Veli University, Nevşehir, Türkiye
3Department of Internal Nursing, Ömer Halisdemir University, Niğde, Türkiye
J Clin Pract Res 2022; 44(4): 367-374 DOI: 10.14744/etd.2021.64160
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Abstract

Objective: The aim of this randomized controlled trial was to investigate the effect of inhaler technique training on the self-care agency and self-efficacy level of patients with chronic obstructive pulmonary disease (COPD).
Materials and Methods: Sixty-seven patients were randomized and recruited. Thirty-four patients were allocated to an intervention group and 33 to a control group. The study data were collected using a questionnaire form, the COPD Self-Efficacy Scale (CSES), the Exercise of Self-Care Agency Scale (ESCAS), the Medical Research Council Dyspnea Scale, and the modified Borg Dyspnea Scale. Interim and final follow-up was conducted with both groups 1 month and 3 months after the initial visit.
Results: In the final follow-up, it was observed that the majority of the patients (91.2%) in the intervention group used their inhaler drugs correctly. The intervention group dyspnea scores were better than those of the control group (p<0.05). In addition, the mean score of all subdimensions of the CSES and the total ESCAS score showed increased in the intervention group (p<0.05).
Conclusion: The findings indicated that inhaler training reduced the incorrect use of inhaler medication and the dyspnea experienced patients with COPD, and also improved self-care agency and self-efficacy.