Effect of an Educational Nursing Program on Patients’ Adherence to Drugs, Nicotine Dependency and Degree of Asthma Control among Asthmatic Patients

Wafaa Ramadan Ahmed^1, , Ghada Thabet Mohammed² and Esmat Sayed Abd Elmageed¹

¹Medical-Surgical Nursing, Faculty of Nursing, Assiut University, Egypt

²Medical-Surgical Nursing, Assiut University Hospitals, Assiut University, Egypt

Cite this paper:
Wafaa Ramadan Ahmed, Ghada Thabet Mohammed and Esmat Sayed Abd Elmageed. Effect of an Educational Nursing Program on Patients’ Adherence to Drugs, Nicotine Dependency and Degree of Asthma Control among Asthmatic Patients. American Journal of Nursing Research. 2020; 8(1):82-90. doi: 10.12691/ajnr-8-1-9

Abstract

Background: To effectively control chronic diseases such as asthma, it is important to provide patients with education and skills. Aim of the study: To evaluate the effect of an educational nursing program on patients' adherence to drugs, nicotine dependency and degree of asthma control among asthmatic patients. Patients and Methods: A quazi experimental (pre/ post-test) research design, the study was conducted in Chest diseases department and its outpatient clinic at Assiut university hospital, a purposive sample of sixty adult male asthmatic patients, their age ranged from 18 – 65 years were selected. Unconscious or comatose patients and patients with co-morbid diseases as COPD or sleep apnea were excluded from the study. Five tools were used, Tool I: patients interview questionnaire sheet that included, demographic patient variables, medical assessment, and patient’s knowledge about asthma, Tool II: Fagerstrom Tolerance Questionnaire, Tool III: Morisky Medication Adherence Scale, Tool IV: Asthma Control Test (ACT) for people 12 yrs and older, and Tool V: Educational Nursing program. Results: Ther were statistically significant differences pre & post the educational nursing program regarding Patients’ knowledge about asthma, adherence to medications and degree of asthma control with (p < 0.001), (p < 0.001) and (p < 0.01) respectively. Also, there was a decrease in the number of patients regarding nicotine dependency post-implementation of the educational nursing program than before but unfortunately not reached a statistically significant difference. Conclusions: An improvement in patients’ adherence to drugs, and their control over asthma disease were observed among the patients after applying the educational nursing program. Recommendation: Asthmatic patients should be provided by continuous education and nursing instructions to help them control their chronic disease.

Keywords:
adherence asthma nicotine dependency educational nursing program

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