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The Effects of Education Alone and in Combination with Pulmonary Rehabilitation on Self-Efficacy in Patients with COPD

Authors

  • Yvonne K. Scherer EdD RN,

    Corresponding author
      State University of New York at Buffalo, School of Nursing, 924 Stockton Kimball Tower, Buffalo, NY 14214
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    • Yvonne Scherer is an associate professor at State University of New York at Buffalo School of Nursing.

  • Linda E. Schmieder MS R,

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    • Linda Schmieder is a respiratory clinical nurse specialist at Kenmore Mercy Hospital in Buffalo, NY.

  • Sally Shimmel MS RN

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    • Sally Shimmel is a respiratory clinical nurse specialist al the Department of Veterans Affairs Medical Center in Buffalo, NY.


State University of New York at Buffalo, School of Nursing, 924 Stockton Kimball Tower, Buffalo, NY 14214

Abstract

This study compared the effects on self-efficacy of participation by patients with chronic obstructive pulmonary disease (COPD) in a pulmonary rehabilitation program that combined education and supervised exercise training with the results demonstrated by participation in a program that provided education alone. Thirty-seven patients participated in the pulmonary rehabilitation program, and 22 patients participated in the education-only program. Self-efficacy, as it effects managing or avoiding breathing difficulty, was measured before and after the programs. Patients' self-efficacy scores significantly improved after the pulmonary rehabilitation program and remained significantly improved 6 months later. Education alone was also effective in significantly improving self-efficacy scores, but patients' scores 6 months later were not significantly better than preprogram scores. This study indicates that a rehabilitation program that combines education and exercise training is more effective in improving long-term self-efficacy in patients with COPD.

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