The Effects of Respiratory Rehabilitation Program on Perceived Self-Efficacy and Dyspnea in Patients with Lung Cancer

Abstract Purpose This study aims to examine the effects of respiratory rehabilitation program on perceived self-efficacy and dyspnea in lung cancer patients. Method This is a quasi-experimental with a two-group repeated measure design with pre-test and post-test at week 4th and week 8th. The theory of self-efficacy’s Bandura was used as the conceptual framework. The sample were patients with non-small cell lung cancer (NSCLC) stage four who visited Oncology clinic in a university hospital. Twenty-eight patients were enrolled and equally allocated to control group and experimental group. The control group received routine nursing care only while the experimental group received the respiratory rehabilitation program. The program comprised of dyspnea educating, breathing exercise, using hand-held fan, effective cough, respiratory strengthening muscle training and follow up by phone in third and sixth week. Data for perceived self-efficacy and dyspnea were collected before program start and reassessment in fourth and eighth week. Instrumentation were composed of the respiratory rehabilitation program, demographic data, perceived self-efficacy assessment for respiratory rehabilitation and the cancer dyspnea scale. Data were analyzed using descriptive statistics, One-factor repeated measure ANOVA and compare mean between groups. Result The result revealed that almost all of the sample were men and the mean age of experimental group was 65. 80 years (SD = 8.80) and control group was 73.00 years (SD = 7.60). There was significant different in mean score of perceived self-efficacy and dyspnea between the experimental group and the control group (p Conclusion Based on finding of the study, the respiratory rehabilitation program should be used in order to promote self-efficacy and relieve dyspnea in lung cancer patients.