Effect of Self Learning Module on Self Efficacy and Adherence to Therapeutic Regimen for Patients with Bronchial Asthma

Abstract

Bronchial Asthma is one of the most frequent chronic and recurrent diseases. Adherence is an essential component in the success of preventive and the therapeutic. Self efficacy in asthma management is a persons' belief that can actually perform the behaviors' and skills. Self-learning module is a method of self learning education. It is a way of creating a situation where learning is owned by the individual and aligned with organizational needs. Aim of the study: the study was aimed to evaluate the effect of self learning module on self efficacy and adherence to therapeutic regimen for patients with bronchial asthma through: 1-to assessment patient's self efficacy and adherence to therapeutic regimen for bronchial asthma pre self learning module intervention. 2-Planning and implementing of self learning module regarding therapeutic regimen for patients with bronchial asthma based on needs assessment. 3- Evaluation of the effect of self learning module on patients' self efficacy and adherence to therapeutic regimen. Study design: a quasi-experimental study was utilized in this study. Setting: the study was conducted at the out patient chest clinics at Ain Shams University Hospital. Subjects: a purposive sample of 70 Adult patients divided into two groups diagnosed with bronchial asthma and with different educational levels. Data collection: data were collected by five tools as follows: Socio-demographic and clinical data sheet, Asthma interview questionnaire sheet, Observational checklists, Perceived control asthma questionnaire and Adherence questionnaire sheet for patients with bronchial asthma. Results: there were statistically significant differences regarding patients' knowledge, practice, self-efficacy, and adherence to therapeutic regimen between study and control group post self learning module implementation. The study concluded that: the self learning module affects positively on the patients' knowledge, practice, self-efficacy & adherence to therapeutic regimen. The study recommended that: Education programs for patients with bronchial asthma for improving the patients’ adherence with therapeutic regimen should be started from the first day of their admission to the hospital or follow at out-patient chest clinic by a community health nurse should be done periodically.