Effect of Introducing Transtheory-based Digital Multimedia Nursing and Health Education Model on Improving the Self-Care of Older Adult Patients With Chronic Obstructive Pulmonary Disease
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 51
- 试验地点
- 1
- 主要终点
- COPD assessment test; CAT
研究概览
简要总结
COPD is a progressive and irreversible lung disease characterized by persistent airflow limitation, dyspnea, chronic cough, and impaired daily functioning, often accompanied by comorbidities that reduce quality of life. Despite its high prevalence in Taiwan, COPD remains underdiagnosed and undertreated. This study aims to evaluate a transtheoretical model-based digital multimedia nursing education intervention for elderly patients with COPD. The intervention is designed to enhance disease knowledge, promote self-care behaviors, and improve self-management abilities, ultimately supporting better quality of life and daily functioning in this population.
详细描述
COPD is a chronic and progressive respiratory disease characterized by persistent airflow limitation and symptoms such as dyspnea, chronic cough, and sputum production. The disease significantly impairs daily functioning and quality of life, particularly among older adults. Despite its high prevalence, COPD remains underdiagnosed and inadequately managed in Taiwan.
To improve disease management, digital health education strategies may enhance patients' knowledge and self-care abilities. This study aims to evaluate the effectiveness of a transtheoretical model-based digital multimedia nursing education intervention in improving disease knowledge, self-management behaviors, and quality of life among elderly patients with COPD.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Single (Participant)
盲法说明
Single Blind Studies
入排标准
- 年龄范围
- 60 Years 至 99 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients diagnosed with pulmonary obstruction after evaluation by a physician.
- •Elderly people aged 60 years or above.
- •Those who are literate, have clear consciousness and can communicate in Chinese and Taiwanese.
- •Those who agree to participate in this research and sign the consent form.
排除标准
- •Patients with respiratory distress syndrome.
- •Those who use respirators.
- •Those who are unable to communicate due to cognitive impairment due to major mental illness or dementia.
- •Color blindness and visual impairment.
- •Those who do not have mobile phones or tablet computers at home and cannot obtain electronic equipment.
研究组 & 干预措施
E-book on Pulmonary Obstruction
A experimental design was adopted. Simple random sampling was performed to divide the subjects into the traditional teaching material-based intervention group and digital teaching material-based intervention group. A total of 51 patients with COPD and aged ≥60 years were recruited from the outpatient department of a hospital in northern Taiwan. The two groups respectively received health education through traditional paper teaching materials and digital multimedia teaching materials; 50-minute interventions were conducted once per week for 8 weeks, and measurements were taken before the interventio, 8 and 12 weeks after the intervention. Regarding the performance indicators, a paired t test and generalized estimating equation (GEE) were used to analyse differences in the COPD Assessment Test (CAT)、self-care efficiency scale for COPD and COPD knowledge scale.
干预措施: E-book on Pulmonary Obstruction (Behavioral)
The traditional teaching material-based group
The traditional teaching intervention group used the same health education content of the "E-book on Pulmonary Obstruction" printed into a paper manual for one-on-one teaching, and the same instructor provided health education guidance.
结局指标
主要结局
COPD assessment test; CAT
时间窗: Baseline (Week 1), Week 8, and Week 12
The CAT is an 8-item questionnaire assessing the impact of COPD on health status and daily functioning. Higher scores indicate greater disease burden. This study evaluates the effectiveness of a digital multimedia nursing education intervention in improving disease knowledge, self-care, and self-management.
次要结局
- Knowledge of COPD Score(Baseline (Week 1), Week 8, and Week 12)
- Self-Care Behavior Score(Baseline (Week 1), Week 8, and Week 12)
研究者
CHANG CHIA JUNG
Nurse
Fu Jen Catholic University Hospital