Patients with Bronchial Asthma: Effect of Self Management Program on Knowledge, Practice, and Self Efficacy

Abstract

Bronchial asthma is a serious health problem worldwide، it is a major cause of patients' disability and in rare cases causes sudden death; asthma morbidity and mortality are largely preventable when patients and their families are adequately educated about the disease and have access to high quality of care. Promoting self management behavior is effective and recommended as an integral part of asthma management. Aim: This study aimed to develop، implement and evaluate the effect of self management program on knowledge، practice and self efficacy for patients' with bronchial asthma. The research hypotheses were that implementation of self management program will improve the knowledge، practice and self efficacy. Design: A quasi-experimental research design was used with pre-post and follow up assessment of outcome، It involve four steps; pre self management program assessment، self management implementation، post، and follow up assessment. The study was conducted at Chest Outpatient Clinic at El Kaser Al-Eini Hospital، started April 2013 and was completed by October، 2013. Sample: The study was carried on (130) A purposive sample of asthmatic adult patients with bronchial asthma based on selected criteria. Tools: Four tools were used for data collection، 1) Patients' Sociodemographic Characteristics and Clinical Data Sheet، 2) Arabic questionnaire for patient' knowledge، 3) Checklist to assess patients practices، 4) Self Efficacy Scale، Result: The study revealed that there were a statistically positive significant difference between total knowledge، total practice، and total self efficacy pre/post and follow up self management program. The study recommended further studies have to be carried out in order to assess the effectiveness self management program on patients' adherence to the prescribed therapeutic management.