ผลของโปรแกรมส่งเสริมการจัดการอาการหายใจลำบากตามวิถีอิสลามต่อความสามารถในการจัดการอาการหายใจลำบากและภาวะอาการหายใจลำบากในผู้ป่วยสูงอายุมุสลิมที่เป็นโรคปอดอุดกั้นเรื้อรัง

Abstract

This quasi-experimental research aimed to examine the effects an Islamic Based Dyspnea Management Program on the dyspnea management ability and dyspnea status in Muslim elderly Patients with chronic obstructive pulmonary disease. The recruited sample comprised 50 Muslim elderly patients with chronic obstructive pulmonary disease. Purposive sampling was used to select according to the inclusion criteria. Patients were divided into two groups: 25 patients in the experimental group the program for eight weeks and 25 patients in the control group received normal nursing care. The experimental instrument was developed based on the symptom management concept and Islamic doctrines. The instruments for data collection included: (1) the dyspnea management ability questionnaire, and (2) the dyspnea status assessment tool. All instruments were assessed for content validity by three experts. The reliability was tested using Cronbach's alpha coefficient, yielding a value of 0.95. The dyspnea (Sarai' 2016) was used to assess the dyspnea status for this study. Cronbach' Alpha for this assessment was 0.85. Demographic data were analyzed using descriptive differences of general data compaired using chi square statistics and independent statistics, and the hypothesis tested using paired t-test and independent t-test. The results revealed that the mean score of the dyspnea management ability of the experimental group after participating in Islamic Based Dyspnea Management Program was - higher than the mean score of the control group with statistical significance (t =26.75, p < .001). The mean score of the dyspnea management ability of the experimental group after participating in Islamic Based Dyspnea Management Program was higher than the mean score before participating in the program with statistical significance (t = -3.21, p < .05). The mean score of the dyspnea status of the experimental group after participating in Islamic Based Dyspnea Management Program was lower than the mean score of the control group with statistical significance (t = 26.75, p < .001). The mean score of the dyspnea status of the experimental group after participating in Islamic Based Dyspnea Management Program was lower than the mean score before participating in the program with statistical significance (t = 6.58, p < 001). The results of this study indicated that the Islamic Based Dyspnea Management was effective in improving the dyspnea management ability and decrease the dyspnea status in Muslim elderly patients with chronic obstructive pulmonary disease.