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.
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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
SINGLE
Enrollment
51
The digital teaching intervention group used a computer-downloaded "E-book on Pulmonary Obstruction" for one-on-one teaching. The subjects were also taught how to use their mobile phones to download the "E-book on Pulmonary Obstruction" and how to read it, so that they could use it on their own after returning home. The intervention time for both groups was once a week for 50 minutes each time for a total of 8 weeks. The teaching content is divided into eight themes: (1) How much do you know about pulmonary obstruction? (2) Inhalation treatment for pulmonary obstruction - Introduction to inhalers? (3) Care for pulmonary obstruction - Breathing exercise techniques? (4) Activities and exercise training? (5) Self-management methods for acute pulmonary obstruction? (6) Lung rehabilitation for pulmonary obstruction? (7) Nutritional care for pulmonary obstruction? (8) Care for pulmonary obstruction - Smoking cessation?
Taiwan
New Taipei City, Taiwan, Taiwan
COPD assessment test; CAT
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.
Time frame: Baseline (Week 1), Week 8, and Week 12
Knowledge of COPD Score
Assessed using a validated COPD knowledge questionnaire to evaluate participants' understanding of disease management and self-care principles.
Time frame: Baseline (Week 1), Week 8, and Week 12
Self-Care Behavior Score
Measured using a self-care behavior scale adapted for COPD, evaluating adherence to recommended lifestyle and symptom management strategies.
Time frame: Baseline (Week 1), Week 8, and Week 12
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