Self-Management Educational Program for Improving Asthmatic Older Adults' Behaviors
American Journal of Nursing Science
Volume 4, Issue 6, December 2015, Pages: 308-316
Received: Nov. 10, 2015;
Accepted: Nov. 22, 2015;
Published: Dec. 14, 2015
Views 3610 Downloads 91
Hanaa Abd El Gawad Abd El Megeed Yossif, Community Health Nursing, Faculty of Nursing, Benha University, Benha, Egypt
Mahboba Sobhy Abd El Aziz, Community Health Nursing, Faculty of Nursing, Benha University, Benha, Egypt
Manal Mansour Mostfa, Community Health Nursing, Faculty of Nursing, Fayom University, Fayom, Egypt
Self-management can be used to live a more effective and efficient daily life. This study was designed to evaluate the effect of self-management educational program on improving the asthmatic older adults' behaviors. Design: A quasi experimental design was used. Setting: This study was conducted at chest outpatient clinics in Benha University Hospital and Benha Health Insurance Hospital. Sample: A purposive sample of 53 asthmatic older adults was chosen from total 229. Tool: A structured interviewing questionnaire to assess asthmatic older adults' socio-demographic characteristics, history of asthma, characteristics of asthma, and their knowledge related to asthma, also their self- management behaviors to manage asthma. Results: Findings of this study revealed that less than three quarters of the studied subjects were females and had asthma duration more than 10 years, their knowledge and self- management behaviors regarding asthma were improved post program with highly statistically significant differences between total knowledge and total self- management behaviors pre and post program implementation (p<0.001). Conclusions: This study concluded that the asthma self- management program is effective for improving older adults' self- management behaviors regarding asthma. Recommendation: Continues of self-management program for asthmatic older adults focusing on management behaviors especially asthmatic triggers prevention, and asthma attack management. Also, the study recommended that, periodic refreshing course and training for nurses in chest outpatient clinics about chest diseases especially asthma is needed to take active role in educating asthmatic older adults how to manage and control asthma.
Hanaa Abd El Gawad Abd El Megeed Yossif,
Mahboba Sobhy Abd El Aziz,
Manal Mansour Mostfa,
Self-Management Educational Program for Improving Asthmatic Older Adults' Behaviors, American Journal of Nursing Science.
Vol. 4, No. 6,
2015, pp. 308-316.
Mansour, A., Yasein, Y., Ghandour, A., Zaidan, O., and Abo El-Abaas, M. ( 2014): Prevalence of bronchial asthma and its impact on the cognitive functions and academic achievement among preparatory school children in Damietta Governorate, Egypt, Journal of American Science; 10(7): 119-127.
AIHW (2008): Asthma in Australia. AIHW Asthma Series no. 3. Canberra, Australian Institute of Health and Welfare.
Al-Ghazawy, O. (2013): The rising danger of asthma, Nature Middle East Emerging science in the Arab World, Available at: http://www.natureasia.com/en/nmiddleeast/article/10.1038/nmiddleeast.2013.79
Farres, M. (2014): Asthma Prevalence in Egypt, Available at: http://www.ginasthma.org/local/uploads/files/GINA_Report_March13.pdf.
Tageldin, M., a, Wagih, K., and Maher, O. (2015): Study the pattern of bronchial asthma among outpatients clinic at Sohag and Akhmeem Chest Hospitals, The Egyptian Society of Chest Diseases and Tuberculosis, 64(1): 313–323.
Federman, A., Wolf, M., Sofianou, A., Martynenko, M., O’Connor, R., Halm, E., Leventhal, H., and Wisnivesky, J. (2014): Self-management behaviors among older adults with asthma: Associations with Health Literacy, J Am Geriatr Soc.; 62(5): 872–879.
Pearson (2010): Self-management, Summary and Objectives, Pearson Prentice Hall, Available at: http://wps.prenhall.com/chet_cooper_appliedbeh_2/73/18708/4789260.cw/index.html accessed at: 30-6-2015.
Jackson A., and Rees B., (2006): Pediatrics nursing care, Optimal asthma care, Philadelphia: FA. Davis comp, pp.175-80.
Adeloye, D., Chan, K., Rudan, I., and Campbell, H. (2013): An estimate of asthma prevalence in Africa: a systematic analysis, Croat Med J., 54(6): 519–531. doi: 10.3325/cmj.2013.54.519.
Ozturk, A., Ozyigit, L., Kostek, O., and Keskin, H. (2015): Association between asthma self- management knowledge and asthma control, American College & Immunology, Elsevier Inc, 1(1): 1-5.
Jones, M. (2008): Asthma self-management patient education respiratory care, June 53 (6): 10-20.
National Heart Lung and Blood Institute, (NHLBI) (2007): Summary- (NHLBI) National Asthma Education and Prevention Program. Expert Panel Report 3: Summary Report. Guidelines for the diagnosis and management of asthma. Rockville MD: U.S. Department of Health and Human Services, National Institutes.
Braido, B., Majani, G., & Rogaku, C.(2006): Adherence to treatment: Assessment of an Unmet Need in Asthma, J Investig Allergol Clin Immunol. 16(4): 218-223.
Global Initiative for Asthma, GINA, (2007): Global strategy for asthma management and prevention. National Institute of Health (NIH) publication (95); pp.3659-1-48 updated 2007, Available at: www.ginasthma.com.
Yanez, A., Cho, S., Soriano, J., Rosenwasser, L., Rodrigo5, Klaus F Rabe, G., Peters,S., Niimi, A., Ledford9, D., Katial10, R., Fabbri, L., Celedón, J., Canonica, G., Busse, P., Boulet, L., Cagnani, C., Hamid, Q., Bachert, C., Pawankar, R., Holgate, S. and the WAO Special Committee on Asthma (2014): Asthma in the elderly: what we know and what we have yet to know, WAO Journal,1(1): 7-16.
Taha, N and Ali, Z. (2011): Effect of Therapeutic Guidelines for Bronchial Asthma on Adult Patients' Knowledge, Practice, Compliance, and Disease Severity, Life Science Journal, 8(3): 199- 208.
Qureshi, A. (2006): Caregivers' knowledge regarding childhood asthma and its association with stage of asthma severity among their children in Pakistan, Thesis submitted to school of graduate studies in partial fulfillment of the requirement for the degree of master of public health, Southern Connection State University New Haven, Connecticut, pp. 11-28.
Salem, A. (2005): A 10 year's retrospective study of pediatric asthma in pediatric chest clinic, Ain Shams University, Essay submitted for partial fulfillment of Master Degree in pediatrics, Ain Shams University, pp. 125-137.
Mendoza, M. (2010): Prevalence of late-onset asthma among elderly patients: Community-Based Study, CHEST Journal, 138(4): 1378. Available at: http://journal.publications.chestnet.org/
Shoeib, M. (2008): Study of prevalence of asthma and other atopic diseases among school-children in Dakahlia Governorate, Thesis submitted in partial fulfillment of Master Degree in pediatrics, Faculty of Medicine, Ain Shams University.
Liu, T., Valdez, R., Yoon, P., Crocker, D., Moonesinghe, R., and Khoury, M. (2009): The association between family history of asthma and the prevalence of asthma among US adults: National Health and Nutrition Examination Survey, 1999–2004, Genetics in Medicine, 11(1): 323–328.
Refaat, C. and Aref, H. (2014): Acute asthma in emergency department, prevalence of respiratory and non-respiratory symptoms, Egyptian Journal of Chest Diseases and Tuberculosis 63(1): 771–776.
Williams, Z. (2005): Assessment of the knowledge of asthma among adult asthmatics and their quality of life, Master Thesis, University of South Africa, Free on line.
Pinnock, H. (2015): Supported self-management for asthma, Breathe, 11(2): 99-108.
Yoo, Y., Cho, O., Kim, E., and Jeong, H. (2005): Effect of Asthma Management Education Program on Stress and Compliance of Patients with Allergic Asthma to House Dust Mite, Journal of Korean Academy of Nursing, 35(4): 686- 693.
Mohammed, N. (2013):Assessment of quality of life for patient with bronchial asthma at Benha University Hospital, Unpublished Master's thesis, In nursing science, Faculty of Nursing, Benha University, Egypt, pp. 91-93.
Temple, J. (2006): Nursing Guide to Clinical Procedures. 5th ed., USA: Lippincott Williams &Wilkins co., pp. 169-344.
Burns, D. (2013): Managing acute asthma in primary care, Nursing Times Journal, 109(42): 17- 19.
Rifaat, N., Abdel-Hady, E., and, Hasan, A. (2013): The golden factor in adherence to inhaled corticosteroid in asthma patients, Egyptian Journal of Chest Diseases and Tuberculosis 62(1): 371–376.
Janson, S., Fahy, J., Covington, J., Paul, S., Gold,W., Boushey, H.(2003): Effects of Individual Self-Management Education on Clinical, Biological, and Adherence Outcomes in Asthma, Am J Med. 115 (1): 620–626.
Abd El- Rahman, B. (2015): Quality of life among elderly people with bronchial asthma in Benha city, Unpublished Master's thesis, In nursing science, Faculty of Nursing, Benha University, Egypt, pp. 85-88.