| Peer-Reviewed

Empowerment of the Family Primary Caregiver of Patients with Chronic Obstructive Pulmonary Disease

Received: 3 March 2022     Accepted: 18 March 2022     Published: 29 March 2022
Views:       Downloads:
Abstract

Objective: To evaluate the effectiveness of a family caregiver empowerment intervention for improving the quality of life and anxiety of patients with chronic obstructive pulmonary disease (COPD). Methods: A total of 92 COPD patients hospitalized in the Department of Respiratory Medicine of a hospital in Dongguan from November 2018 to August 2019 were enrolled in this study. They were divided into observation and control group (both n = 46). The control group was provided with routine nursing treatment and health education; the observation group was empowered via routine nursing treatment and health education for the main caregivers of COPD patients. The two groups were followed up by telephone, or door-to-door, and data were collected before the intervention and 1, 3 and 6 months after discharge. The data included the COPD Assessment Test (CAT) score, modified Medical Research Council (mMRC) dyspnea scale score and Self-rating Anxiety Scale (SAS) score of the patients, and knowledge level of the main caregivers. Results: There was no significant difference in the general characteristics of the two groups of patients or their main family caregivers (P > 0.05). After the intervention, there was a significant difference in the quality of life of the two groups, according to the CAT, mMRC dyspnea scale and SAS scores, and in the knowledge levels of the main caregivers (P < 0.05). Conclusions: In the COPD population, the intervention to empower family caregivers was effective. The knowledge level of the main caregivers was improved, as well as the dyspnea and quality of life of the patients. The anxiety and negative emotions of the patients were also reduced to some extent.

Published in American Journal of Nursing Science (Volume 11, Issue 2)
DOI 10.11648/j.ajns.20221102.12
Page(s) 55-61
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2022. Published by Science Publishing Group

Keywords

Chronic Obstructive Pulmonary Disease, Family Empowerment, Main Caregiver, Quality of Life, Anxiety State

References
[1] Chinese Medical Association, Journal of Chinese Medical Association, general medicine branch of Chinese Medical Association, et al. Guidelines for primary diagnosis and treatment of chronic obstructive pulmonary disease (2018) [J] Chinese Journal of general practitioners, 2018, 17 (11): 856-870.
[2] Adeloye D, Chua S, Lee C, et al. Global and regional estimates of COPD prevalence: Systematic review and meta-analysis [J]. Journal of Global Health, 2015, 5 (2): 020415.
[3] Dobler C C, Farah M H, Morrow A S, et al. Treatment of stable chronic obstructive pulmonary disease: Protocol for a systematic review and evidence map [J]. BMJ Open, 2019, 9 (5): e027935.
[4] Wang C, Xu J, Yang L, et al. Prevalence and risk factors of chronic obstructive pulmonary disease in China (the China Pulmonary Health [CPH] study): a national cross-sectional study [J]. Lancet (London, England), 2018, 391 (10131): 1706-1717.
[5] Chen Qin, Jiang Xiaoying, Fang Xiaohua. Correlation between self-care cognition and self-efficacy in patients with chronic obstructive pulmonary disease [J] Chinese Journal of nursing, 2015, 50 (002): 234-238.
[6] Singh N N. In search of unity: Some thoughts on family-professional relationships in service delivery systems [J]. Journal of Child & Family Studies, 1995, 4 (1): 3-18.
[7] Zhang Xu, Ren Weihong, pan Yanhong. Effect of family empowerment program on main caregivers of first-episode stroke patients [J] Chinese Journal of nursing, 2018, 53 (002): 133-138.
[8] Minooei M S, Ghazavi Z, Abdeyazdan Z, et al. The Effect of the Family Empowerment Model on Quality of Life in Children with Chronic Renal Failure: Children's and Parents' Views [J]. Nephro-urology Monthly, 2016, 8 (4): e36854.
[9] Vahedian-Azimi A, Miller A C, Hajiesmaieli M, et al. Cardiac rehabilitation using the Family-Centered Empowerment Model versus home-based cardiac rehabilitation in patients with myocardial infarction: a randomised controlled trial [J]. Open Heart, 2016, 3 (1): e000349.
[10] Ghazavi Z, Minooei M S, Abdeyazdan Z, et al. Effect of family empowerment model on quality of life in children with chronic kidney diseases [J]. Iranian Journal of Nursing and Midwifery Research, 2014, 19 (4): 371-375.
[11] Chronic obstructive pulmonary disease group, respiratory branch, Chinese Medical Association Guidelines for the diagnosis and treatment of chronic obstructive pulmonary disease (2013 Revision) [J] Chinese Journal of tuberculosis and respiration, 2013, 6 (4): 484-491.
[12] Zhang Jing, Liu ang, Zhang congcongcong. Effects of systematic nursing intervention on cognitive function, anxiety and depression in patients with Parkinson's disease complicated with cognitive impairment [J] Chinese Journal of modern nursing, 2017, 23 (028): 3614-3617.
[13] Deyhoul N, Vasli P, Rohani C, et al. The effect of family-centered empowerment program on the family caregiver burden and the activities of daily living of Iranian patients with stroke: a randomized controlled trial study [J]. Aging Clin Exp Res, 2020, 32 (7): 1343-1352.
[14] Dürr S, Zogg S, Miedinger D, et al. Daily Physical Activity, Functional Capacity and Quality of Life in Patients with COPD [J]. Copd Journal of Chronic Obstructive Pulmonary Disease, 2014, 11 (6): 689-696.
[15] Hong Qing, Wang Yongmei, Yan Junwei, et al. Effect of family empowerment model intervention on negative emotion and discharge readiness of elderly patients with depressive disorder [J] Guangxi Medical Journal, 2021, 43 (15): 1832-1835.
[16] Zhang Nan, Han Yuejiao, Wang Yafei, et al. Analysis on the current situation and influencing factors of care burden of main caregivers of 105 children with enterostomy [J] Journal of nursing, 2019, 26 (18): 51-54.
[17] Xu yinglu, Jiang HONGNA, Gu Yaner. Effect of family empowerment program on comprehensive care ability of main caregivers of patients undergoing radical gastrectomy [J] Journal of nursing education, 2019, 34 (6): 503-508.
[18] Song Zihua, Chen Juan. Effect of family empowerment theory and trans theoretical model on compliance and rehabilitation of patients with breast cancer after operation [J]. Chinese medical science, 2020, 10 (14): 140-142.
Cite This Article
  • APA Style

    Zhe Luo, Yu-e Huang, Ruifen Luo, Yuchang Pan, Weiju Chen. (2022). Empowerment of the Family Primary Caregiver of Patients with Chronic Obstructive Pulmonary Disease. American Journal of Nursing Science, 11(2), 55-61. https://doi.org/10.11648/j.ajns.20221102.12

    Copy | Download

    ACS Style

    Zhe Luo; Yu-e Huang; Ruifen Luo; Yuchang Pan; Weiju Chen. Empowerment of the Family Primary Caregiver of Patients with Chronic Obstructive Pulmonary Disease. Am. J. Nurs. Sci. 2022, 11(2), 55-61. doi: 10.11648/j.ajns.20221102.12

    Copy | Download

    AMA Style

    Zhe Luo, Yu-e Huang, Ruifen Luo, Yuchang Pan, Weiju Chen. Empowerment of the Family Primary Caregiver of Patients with Chronic Obstructive Pulmonary Disease. Am J Nurs Sci. 2022;11(2):55-61. doi: 10.11648/j.ajns.20221102.12

    Copy | Download

  • @article{10.11648/j.ajns.20221102.12,
      author = {Zhe Luo and Yu-e Huang and Ruifen Luo and Yuchang Pan and Weiju Chen},
      title = {Empowerment of the Family Primary Caregiver of Patients with Chronic Obstructive Pulmonary Disease},
      journal = {American Journal of Nursing Science},
      volume = {11},
      number = {2},
      pages = {55-61},
      doi = {10.11648/j.ajns.20221102.12},
      url = {https://doi.org/10.11648/j.ajns.20221102.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20221102.12},
      abstract = {Objective: To evaluate the effectiveness of a family caregiver empowerment intervention for improving the quality of life and anxiety of patients with chronic obstructive pulmonary disease (COPD). Methods: A total of 92 COPD patients hospitalized in the Department of Respiratory Medicine of a hospital in Dongguan from November 2018 to August 2019 were enrolled in this study. They were divided into observation and control group (both n = 46). The control group was provided with routine nursing treatment and health education; the observation group was empowered via routine nursing treatment and health education for the main caregivers of COPD patients. The two groups were followed up by telephone, or door-to-door, and data were collected before the intervention and 1, 3 and 6 months after discharge. The data included the COPD Assessment Test (CAT) score, modified Medical Research Council (mMRC) dyspnea scale score and Self-rating Anxiety Scale (SAS) score of the patients, and knowledge level of the main caregivers. Results: There was no significant difference in the general characteristics of the two groups of patients or their main family caregivers (P > 0.05). After the intervention, there was a significant difference in the quality of life of the two groups, according to the CAT, mMRC dyspnea scale and SAS scores, and in the knowledge levels of the main caregivers (P Conclusions: In the COPD population, the intervention to empower family caregivers was effective. The knowledge level of the main caregivers was improved, as well as the dyspnea and quality of life of the patients. The anxiety and negative emotions of the patients were also reduced to some extent.},
     year = {2022}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - Empowerment of the Family Primary Caregiver of Patients with Chronic Obstructive Pulmonary Disease
    AU  - Zhe Luo
    AU  - Yu-e Huang
    AU  - Ruifen Luo
    AU  - Yuchang Pan
    AU  - Weiju Chen
    Y1  - 2022/03/29
    PY  - 2022
    N1  - https://doi.org/10.11648/j.ajns.20221102.12
    DO  - 10.11648/j.ajns.20221102.12
    T2  - American Journal of Nursing Science
    JF  - American Journal of Nursing Science
    JO  - American Journal of Nursing Science
    SP  - 55
    EP  - 61
    PB  - Science Publishing Group
    SN  - 2328-5753
    UR  - https://doi.org/10.11648/j.ajns.20221102.12
    AB  - Objective: To evaluate the effectiveness of a family caregiver empowerment intervention for improving the quality of life and anxiety of patients with chronic obstructive pulmonary disease (COPD). Methods: A total of 92 COPD patients hospitalized in the Department of Respiratory Medicine of a hospital in Dongguan from November 2018 to August 2019 were enrolled in this study. They were divided into observation and control group (both n = 46). The control group was provided with routine nursing treatment and health education; the observation group was empowered via routine nursing treatment and health education for the main caregivers of COPD patients. The two groups were followed up by telephone, or door-to-door, and data were collected before the intervention and 1, 3 and 6 months after discharge. The data included the COPD Assessment Test (CAT) score, modified Medical Research Council (mMRC) dyspnea scale score and Self-rating Anxiety Scale (SAS) score of the patients, and knowledge level of the main caregivers. Results: There was no significant difference in the general characteristics of the two groups of patients or their main family caregivers (P > 0.05). After the intervention, there was a significant difference in the quality of life of the two groups, according to the CAT, mMRC dyspnea scale and SAS scores, and in the knowledge levels of the main caregivers (P Conclusions: In the COPD population, the intervention to empower family caregivers was effective. The knowledge level of the main caregivers was improved, as well as the dyspnea and quality of life of the patients. The anxiety and negative emotions of the patients were also reduced to some extent.
    VL  - 11
    IS  - 2
    ER  - 

    Copy | Download

Author Information
  • Department of Respiratory and Critical Care Medicine, Songshanhu Central Hospital, Dongguan, China

  • Department of Respiratory and Critical Care Medicine, Songshanhu Central Hospital, Dongguan, China

  • Department of Respiratory and Critical Care Medicine, Songshanhu Central Hospital, Dongguan, China

  • Department of Internal Medicine-Cardiovascular, Songshanhu Central Hospital, Dongguan, China

  • School of Nursing, Jinan University, Guangzhou, China

  • Sections