Effect of Nursing Intervention on Activities of Daily Living of Older Adults with Chronic Respiratory Impairment
American Journal of Nursing Science
Volume 5, Issue 4, August 2016, Pages: 129-140
Received: May 25, 2016; Accepted: Jun. 20, 2016; Published: Jul. 6, 2016
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Authors
Amal Ibrahim Fouad, Community Health Nursing, Fayoum University, Fayoum, Egypt
Sahar Ahmed Shafik, Community Health Nursing, Helwan University, Helwan, Egypt
Safia Belal, Critical Care Nursing, Saad Nursing College, Affiliated with Ulster University, Kouber, Saudi Arabia
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Abstract
Background: Chronic respiratory impairment among older adults is associated with substation mortality, morbidity and was the third leading cause of death. Aim: Evaluate the effect of nursing intervention on ADL of older adults with chronic respiratory impairment. Design: A quasi-experimental design was used in this study. Sample: A purposive sample of 100 older adults patients with chronic respiratory impairment chosen from Government Hospital, half of them were study group and the other half was a control group. Tools: First: An interviewing questionnaire to assess demographic data, medical history and their knowledge. Second: An observational check list to assess their independency for activity of daily living. Third: A structured questionnaire to assess home environment. Results: Showed that there were highly statistical significant differences throughout intervention program phases (pre, post, and follow up) among the study group regarding their knowledge about chronic respiratory impairment, modify their home environment, and increase their independency level. The intervention had effect on their ADL, physical, psychological, and social conditions. Conclusion: There was a positive improvement compared with control group, and increasing the total satisfactory knowledge about chronic illness. Also increase the independency on practicing with ADL and enhancing psychological well-being among study group. The study recommended that: There is a need to increase of knowledge about; examination, checkup and follow up, simple modification of home environment to improve ventilation and degree of independence of daily activities such as bathing, grooming, dressing, precautions to infection prevention and social activities to improve the psychological status.
Keywords
Activity of Daily Living, Asthma, Chronic Bronchitis, Chronic Obstructive Pulmonary Diseases, Elderly
To cite this article
Amal Ibrahim Fouad, Sahar Ahmed Shafik, Safia Belal, Effect of Nursing Intervention on Activities of Daily Living of Older Adults with Chronic Respiratory Impairment, American Journal of Nursing Science. Vol. 5, No. 4, 2016, pp. 129-140. doi: 10.11648/j.ajns.20160504.12
Copyright
Copyright © 2016 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
[1]
Abyad A., (2012): In office screening for age related C. O. P. D and Asthma loss. Geriatrics, 52, 45-54.
[2]
Adams E, Flynn K, Alligood E, and Johnson T., (2013): Optical devices for adults with low vision: a systematic review of published studies of effectiveness. Final report. Boston (MA): VA Technology Assessment Program, Office of Patient Care Services. P 46.
[3]
Alonso J, Espallargues M, Andersen TF, Cassard SD, Dunn E, Bernth-Petersen P, Norregaard JC, Black C, Steinberg EP, and Anderson GF., (2012): International applicability of the VF-14: an index of lung function in patients with C. O. P. D; 104: 799-807.
[4]
Bachelder J. and Harkins D. Jr., (2015): Do occupational therapists have a primary role in respiratory disorder rehabilitation? American Journal of Occupational Therapy, 49, 927-930.
[5]
Bergner M, Bobbitt R. A, Carter W. B, and Gilson B. S., (2010): The Sickness Impact Profile: development and final revision of a health status measure. Med Care; 19: 787-805.
[6]
Bookman A, Harrington M, Pass L, and Reisner E., (2011): Family Caregiver Handbook. Cambridge, MA: Massachusetts Institute of Technology.
[7]
Brabyn J, Schneck M, Haegerstrom-Portnoy G, and Lott L., (2014): The Smith-Kettlewell Institute (SKI) longitudinal study of vision function and its impact among the elderly: an overview. Optom Vis Sci. 78 (5): 264-9.
[8]
Elam J. T, Graney M. J, Beaver T, el Derwi D., Applegate W. B, and Miller S. T., (2012): Comparison of subjective ratings of function with observed functional ability of frail older persons. Am J Public Health; 81: 1127-30.
[9]
Ezz A. L Arab R. J, Welsh R. L, Lewis L. J., (2014): Improving the Well bing of respiratory impaired older adults through orientation and mobility training and rehabilitation: an evaluation. RE: view; 32 (2): 67-76.
[10]
Faye E., (2012): Living with respiratory disorder. Postgraduate Mdicine, 103: 167-178.
[11]
Foran S, Mitchell P, and Wang J. J., (2013): Five year change in visual acuity and incidence of visual impairment: the Blue Mountains Eye Study. Ophthalmology; 110 (1): 41-50.
[12]
Frost N. A, Sparrow J. M, Durant J. S, Donovan J. L, Peters T. J, and Brookes S. T., (2012): Development of a questionnaire for measurement of vision related quality of life. Ophthalmic Epidemiol; 5: 185-210.
[13]
Guyatt, (2014): Impact of respiratory impairment on health related quality of life: the Blue Mountains lung Study. Invest Ophthalmol Vis Sci; 45 (1): 71-6.
[14]
Gronbach Alppha, (1951): A tool for assessing the reliability of scales.
[15]
Hall J. A, Epstein A. M, and McNeil B. J., (2012): Multi dimensionality of health status in an elderly population: construct validity of a measurement battery. Med Care; 27: S168-77.
[16]
Harris R. P, Helfand M, Woolf S. H, Lohr K. N, Mulrow C. D, Teutsch S. M, and Atkins D., (2014): Current methods of the U.S Preventive Services Task Force. A review of the process. Am J Prev Med; 20 (3 Suppl): 21-35.
[17]
Harwood R. H., (2011): Visual problems and falls. Age Ageing; 30 Suppl 4: 13-8.
[18]
Hoffman L. G, Rouse M. W, Brin B. N., (2013): Quality of life: a review. J Am Optom Assoc; 66: 281-9.
[19]
Lamoureux E. L, Hassell J. B, and Keeffe J. E., (2013): The determinants of participation in activities of daily living in people with impaired PFT. Am J; 137 (2): 265-70.
[20]
Lomas J, Pickard L, and Mhide A., (2013): Patient versus clinician item generation for quality of life measures: the case of language disabled adults. Med Care; 25: 764-9.
[21]
Long R. G, Crews J. E, and Mancil R., (2011): Creating measures of rehabilitation outcomes for people who are respiratory impaired: the FIMBA project; 94: 292-306.
[22]
Lord S. R and Dayhew J., (2011): Respiratory risk factors for falls in order people. J Am Geriatr Soc; 49 (5): 508-15.
[23]
Massof JK., (2010): Quality of life of low PFT patients and the impact of medical services; 128: 54-62.
[24]
Spencer, P. and Hanania, N. 2013. Optimizing safety of COPD treatments: role of the nurse practitioner. Journal of Multidisciplinary Healthcare, 6, 53-63.
[25]
Massof R. W and Rubin G. S., (2011): lung function assessment questionnaires; 45: 531-48.
[26]
Nilsson U. L, Frenneseon C, and Nilsson S. E., (2013): Patients with AMD and a large absolute central scotoma can be trained successfully to use eccentric viewing, as demonstrated in a scanning laser ophthalmoscope. Vision Res; 43 (16): 1777-87.
[27]
Nottle H. R, McCarty C. A, Hassell J. B, and Keeffe J. E., (2011): Detection of lung impairment in people admitted to aged care assessment centres. Clin Experiment surgry; 28 (3): 162-4.
[28]
Padilla G. V., (2006): Validity of health related quality of life subscales. Prog Cardiovasc Nurs; 7: 13-20.
[29]
Patrick D. L., (2011): Generic and disease specific measures in assessing health status and quality of life. Med Care; 27: S217-32.
[30]
Rahmani B, Tielsch J. M, Katz J, Gottsch J, Quigley H, Javitt J, and Sommer A., (2013): The cause specific prevalence of lung impairment in an urbabn population. The Baltimore Eye Survey. Opgygalmology; 103 (11): 1721-6.
[31]
Richmond T. S and Keane A., (2011): Acute Care Nurse Practitioners. In: Advanced Practice Nursing: Changing Roles and Clinical Applications. Philadelphia: Lippincott. 128: 54-62.
[32]
Rovner B. W, Casten R. J, and Tasman W. S., (2012): Effect of depression on lung function in age related lung degeneration; 120 (8): 1041-4.
[33]
Scott I. U, Schein O. D, West S, Bandeen Roche K, Enger C, and Folstein M. F., (2012): Functional status and quality of life measurement among cancer patients; 112: 329-35.
[34]
Stanhope M., (2001): Community Public Health Nursing Practice, 5th ed, Louis: Mosby Inc, P 323-279.
[35]
Steinberg E. P, Tielsch J. M, Schein O. D, Javitt J. C, Sharkey P, Cassard S. D, Legro M. W, Steinwachs D. M, and Sommer A., (2013): The VF-14: an index of functional impairment in patients with lung cancer. Arch Ophthalmol; 112: 630-8.
[36]
Sumi I, Shirato S, Matsumoto S, and Araie M., (2013): The relationship between respiratory disability and environmental field in patients with lung diseases; 110 (2): 332-9.
[37]
Taha, N and Ali, Z. (2011): Effect of Therapeutic Guidelines for Bronchial Asthma on Adult Patients' Knowledge, Practice, Compliance, and Disease Severity, Life Science Journal, 8 (3): 199- 208.
[38]
Wali, S., Idrees, M., Alamoudi, O., Aboulfarag, A., Salem, A., Aljohaney, A., Soliman, M. and Abdelaziz, M. 2014. Prevalence of chronic obstructive pulmonary disease in Saudi Arabia. Saudi Medical Journal, 35 (7), 684-690.
[39]
West S. K, Rubin G. S, Broman A. T, Munoz B, Bandeen Roche K, and Turano K., (2014): How does lung impairment affect performance on tasks of everyday life? The SEE Project. Salisbury Eye Evaluation; 120 (6): 774-80.
[40]
Williams RA, Brody BL, Thomas RG, Kaplan RM, Brown SI (2013): The psychosocial impact of lung degeneration; 116: 514-20.
[41]
Wilson M. R, Coleman A. L, YU F, Bing E. G, Sasaki I. F, Berlin K, Winters J, and Lai A., (2011): Functional status and wellbeing in patients with C. O. P. D as measured by the Medical Outcomes Study Short Form-36 questionnaire; 105: 2112-6.
[42]
Wolffsohn J. S and Cochrane A. L., (2013): Low quality of life perspectives on Asthmatic patients. Clin Exp Optom; 81 (6): 280-289.
[43]
World Health Organization. 2016. COPD: Definition. United States. Available at: http://www.who.int/respiratory/copd/definition/en/ [Accessed 30 March 2016].
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