Effect of Pulmonary Rehabilitation Program with
Meditation on Perceived Self-Efficacy, Pulmonary
Rehabilitation Behavior, Exercise Tolerance, and Dyspnea
in Patients with Chronic Obstructive Pulmonary Disease
Somsong Seetee RN*, Sangthong Terathongkum APN, PhD*,
Wantana Maneesriwongul RN, DNSc*, Sakda Arj-Ong Vallipakorn MD, PhD**
Affiliation :
* Ramathibodi School of Nursing, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
** Section for Clinical Epidemiology and Biostatistics, Faculty of Medicine, Ramathibodi Hospital,
Mahidol University, Bangkok, Thailand
Objective : This quasi-experimental research using a single-group repeated measure design was conducted to assess the
effect of a pulmonary rehabilitation program with meditation on perceived self-efficacy, pulmonary rehabilitation behavior,
exercise tolerance, and dyspnea in patients with chronic obstructive pulmonary disease (COPD).
Material and Method: Thirty-three COPD patients followed-up at the Outpatient Department at Wangpong District Hospital,
Petchaboon Province were included into this study. All participants received the Pulmonary Rehabilitation Program (PRP)
adjunct with meditation for eight weeks. The data were collected by using a Perceived Self-efficacy for Pulmonary
Rehabilitation Questionnaire, a Pulmonary Rehabilitation Behaviors Questionnaire, an Exercise Tolerance Test, and a
Perceived Dyspnea Questionnaire and other cardio-pulmonary parameters (PR, BP, RR, and oxygen saturation) at the
baseline, at the fourth week, and at the eighth week of visits. The data were analyzed by using descriptive statistics, a
repeated measure ANOVA, and Bonferroni’s correction.
Results : At the eighth week, the participants had a significant higher average of perceived self-efficacy, pulmonary
rehabilitation behaviors and exercise tolerance (p-value <0.001), and lower average perceived of dyspnea than at the
baseline and at the fourth week (p-value <0.05). The PR, BP, RR, and oxygen saturation were significantly improved between
pre and post pulmonary rehabilitation with adjuncts meditation in baseline, 4 and 8 weeks of visits (p-value <0.001). The
most effective improvement was most related to respiratory domain (RR and oxygen saturation). These effects established
early in 4 weeks and strongly improved after 8 weeks and showed statistically significant when compared of 8 weeks of visit
with baseline (pre-measurement of RR; p-value <0.001, 0.0326, and <0.001, and post-measurement after adjuncts meditation
program; p-value = 0.206, 0.0139, and <0.001, respectively). For cardiovascular domain, PR, and SBP were seemed to
improve and compensate well when comparing 8-week visit to baseline (p-value = 0.005 and 0.0032, respectively). PR was
decreased after continuing adjuncts meditation compared to baseline state (p-value = 0.0004).
Conclusion : The mediation adjuncts with routine pulmonary rehabilitation program demonstrated improving of average
of perceived self-efficacy meditation, behaviors, exercise tolerance, and cardio-pulmonary parameters (RR and oxygen
saturation). It was promising and should be recommended and applied to COPD patients to restore the pulmonary function,
reducing perceived of dyspnea symptom, increasing exercise endurance, activity daily life, and quality of life of patients.
Keywords : COPD, Pulmonary rehabilitation, Meditation, Perceived self-efficacy, Perceived Dyspnea Questionnaire
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