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Effects of Particulate Matter Education on Self-Care Knowledge Regarding Air Pollution, Symptom Changes, and Indoor Air Quality among Patients with Chronic Obstructive Pulmonary Disease

Author

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  • Su-Er Guo

    (Department of Nursing and Graduate Institute of Nursing, College of Nursing, Chang Gung University of Science and Technology (CGUST), Chiayi County 613016, Taiwan
    Division of Pulmonary and Critical Care Medicine, Chang Gung Memorial Hospital, Chiayi County 613016, Taiwan
    Chronic Diseases and Health Promotion Research Center, Chang Gung University of Science and Technology (CGUST), Chiayi County 613016, Taiwan
    Department of Safety Health and Environmental Engineering, Ming Chi University of Technology, New Taipei City 243303, Taiwan)

  • Miao-Ching Chi

    (Division of Pulmonary and Critical Care Medicine, Chang Gung Memorial Hospital, Chiayi County 613016, Taiwan
    Chronic Diseases and Health Promotion Research Center, Chang Gung University of Science and Technology (CGUST), Chiayi County 613016, Taiwan
    Department of Safety Health and Environmental Engineering, Ming Chi University of Technology, New Taipei City 243303, Taiwan
    Department of Respiratory Care, Chang Gung University of Science and Technology, Chiayi County 613016, Taiwan)

  • Su-Lun Hwang

    (Department of Nursing and Graduate Institute of Nursing, College of Nursing, Chang Gung University of Science and Technology (CGUST), Chiayi County 613016, Taiwan
    Division of Pulmonary and Critical Care Medicine, Chang Gung Memorial Hospital, Chiayi County 613016, Taiwan
    Chronic Diseases and Health Promotion Research Center, Chang Gung University of Science and Technology (CGUST), Chiayi County 613016, Taiwan)

  • Chieh-Mo Lin

    (Division of Pulmonary and Critical Care Medicine, Chang Gung Memorial Hospital, Chiayi County 613016, Taiwan
    Department of Respiratory Care, Chang Gung University of Science and Technology, Chiayi County 613016, Taiwan
    Graduate Institute of Clinical Medical Sciences, College of Medicine, Chang Gung University, Taoyuan City 333324, Taiwan)

  • Yu-Ching Lin

    (Division of Pulmonary and Critical Care Medicine, Chang Gung Memorial Hospital, Chiayi County 613016, Taiwan
    Department of Respiratory Care, Chang Gung University of Science and Technology, Chiayi County 613016, Taiwan
    School of Medicine, Colledge of Medicine, Chang Gung University, Taoyuan City 333324, Taiwan)

Abstract

The burden of illness resulting from adverse environmental exposure is significant. Numerous studies have examined self-care behaviors among patients with chronic obstructive pulmonary disease (COPD), but seldom assess these behaviors in relation to air pollution. The study aims to examine the effects of particulate matter (PM) education on prevention and self-care knowledge regarding air pollution, symptom changes, and indoor PM concentration levels among patients with COPD. A longitudinal, quasi-experimental design using a generalized estimating equation examined the effectiveness of the education intervention. Participants were 63 patients with COPD, of whom only 25 received intervention. Levels of PM 2.5 and PM 10 decreased in the first-month follow-up in the experimental group. Improvement of knowledge and prevention regarding PM in the first and third months were also greater in the experimental group compared to the control. Regarding the COPD assessment test and physical domain scores, the experimental group exhibited a greater improvement in the first-month follow-up. Scores on the psychological domain significantly changed in the sixth-month follow-up. The PM education coordinated by nurses improved the health of participants, maintaining six-month effects. Further studies should evaluate the practice barriers and effects of health education on preventive self-care behaviors regarding indoor PM among patients with COPD.

Suggested Citation

  • Su-Er Guo & Miao-Ching Chi & Su-Lun Hwang & Chieh-Mo Lin & Yu-Ching Lin, 2020. "Effects of Particulate Matter Education on Self-Care Knowledge Regarding Air Pollution, Symptom Changes, and Indoor Air Quality among Patients with Chronic Obstructive Pulmonary Disease," IJERPH, MDPI, vol. 17(11), pages 1-15, June.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:11:p:4103-:d:368963
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    References listed on IDEAS

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    1. Kim, K. & Choi, J.S. & Choi, E. & Nieman, C.L. & Joo, J.H. & Lin, F.R. & Gitlin, L.N. & Han, H.-R., 2016. "Effects of community-based health worker interventions to improve chronic disease management and care among vulnerable populations: A systematic review," American Journal of Public Health, American Public Health Association, vol. 106(4), pages 3-28.
    2. Su-Lun Hwang & Su-Er Guo & Miao-Ching Chi & Chiang-Ting Chou & Yu-Ching Lin & Chieh-Mo Lin & Yen-Li Chou, 2016. "Association between Atmospheric Fine Particulate Matter and Hospital Admissions for Chronic Obstructive Pulmonary Disease in Southwestern Taiwan: A Population-Based Study," IJERPH, MDPI, vol. 13(4), pages 1-9, March.
    3. Marco Clari & Maria Matarese & Dhurata Ivziku & Maria Grazia Marinis, 2017. "Self-Care of People with Chronic Obstructive Pulmonary Disease: A Meta-Synthesis," The Patient: Patient-Centered Outcomes Research, Springer;International Academy of Health Preference Research, vol. 10(4), pages 407-427, August.
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