Application of protection motivation theory in epidemic prevention in patients with respiratory diseases under the COVID‐19 pandemic: A cross‐sectional study

Abstract Objective This study aimed to investigate the effects of nursing intervention based on protection motivation theory (PMT) on patients with respiratory diseases in the context of the Coronavirus Disease 2019 (COVID‐19) pandemic. Methods A total of 74 patients with respiratory diseases who we...

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Main Authors: Jian Guan, Yingying Zhang, Shan You, Yujing Li, Hongxing Zhao, Weiqin Bu, Yanping Xie
Format: Article
Language:English
Published: Wiley 2023-10-01
Series:The Clinical Respiratory Journal
Subjects:
Online Access:https://doi.org/10.1111/crj.13693
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author Jian Guan
Yingying Zhang
Shan You
Yujing Li
Hongxing Zhao
Weiqin Bu
Yanping Xie
author_facet Jian Guan
Yingying Zhang
Shan You
Yujing Li
Hongxing Zhao
Weiqin Bu
Yanping Xie
author_sort Jian Guan
collection DOAJ
description Abstract Objective This study aimed to investigate the effects of nursing intervention based on protection motivation theory (PMT) on patients with respiratory diseases in the context of the Coronavirus Disease 2019 (COVID‐19) pandemic. Methods A total of 74 patients with respiratory diseases who were hospitalized from June 2020 to February 2021 were enrolled and stratified into a control group (n = 37) and an experimental group (n = 37) according to a stratified random sampling method. The control group adopted a routine nursing intervention program of the respiratory department, whereas the experimental group received a PMT‐based nursing intervention program on the basis of the control group. Chronic Disease Self‐Management Study Measures (CDSMS) and Self‐Efficacy for Managing Chronic Diseases 6‐item Scale (SECD6) were used to evaluate the effect of PMT intervention before intervention, after 1 week, and after 4 weeks of intervention. The levels of forced vital capacity (FVC), forced expiratory volume in 1 second (FEV1), FEV1/FVC and peak expiratory flow (PEF) were measured to evaluate pulmonary function. Results Before the intervention, there were no significant differences in the scores of CDSMS and SECD6 scales and liver function indexes between the two groups (p > 0.05). After 1 and 4 weeks of intervention, the scores of CDSMS and SECD6 scales of the experimental group were significantly higher than those of the control group (p < 0.0001). The indexes of pulmonary function of the experimental group were improved, but there was no significant difference compared with the control group (p > 0.05). Conclusion Nursing intervention based on PMT contributes to the improvement of self‐management behaviors and self‐efficacy, which is conducive to the prognoses of patients.
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spelling doaj.art-aae401ec64c349f8ab48e72023df7e422023-10-02T06:33:21ZengWileyThe Clinical Respiratory Journal1752-69811752-699X2023-10-0117101058106610.1111/crj.13693Application of protection motivation theory in epidemic prevention in patients with respiratory diseases under the COVID‐19 pandemic: A cross‐sectional studyJian Guan0Yingying Zhang1Shan You2Yujing Li3Hongxing Zhao4Weiqin Bu5Yanping Xie6Department of Respiration, the First People's Hospital of Huzhou the First Affiliated Hospital of Huzhou University Huzhou ChinaXuanCheng Vocational & Technical College Xuancheng ChinaSchool of Nursing Huzhou University Huzhou ChinaDepartment of Nursing, the First People's Hospital of Huzhou the First Affiliated Hospital of Huzhou University Huzhou ChinaDepartment of Radiology, the First People's Hospital of Huzhou the First Affiliated Hospital of Huzhou University Huzhou ChinaDepartment of Endoscopy Center, the First People's Hospital of Huzhou the First Affiliated Hospital of Huzhou University Huzhou ChinaDepartment of Respiration, the First People's Hospital of Huzhou the First Affiliated Hospital of Huzhou University Huzhou ChinaAbstract Objective This study aimed to investigate the effects of nursing intervention based on protection motivation theory (PMT) on patients with respiratory diseases in the context of the Coronavirus Disease 2019 (COVID‐19) pandemic. Methods A total of 74 patients with respiratory diseases who were hospitalized from June 2020 to February 2021 were enrolled and stratified into a control group (n = 37) and an experimental group (n = 37) according to a stratified random sampling method. The control group adopted a routine nursing intervention program of the respiratory department, whereas the experimental group received a PMT‐based nursing intervention program on the basis of the control group. Chronic Disease Self‐Management Study Measures (CDSMS) and Self‐Efficacy for Managing Chronic Diseases 6‐item Scale (SECD6) were used to evaluate the effect of PMT intervention before intervention, after 1 week, and after 4 weeks of intervention. The levels of forced vital capacity (FVC), forced expiratory volume in 1 second (FEV1), FEV1/FVC and peak expiratory flow (PEF) were measured to evaluate pulmonary function. Results Before the intervention, there were no significant differences in the scores of CDSMS and SECD6 scales and liver function indexes between the two groups (p > 0.05). After 1 and 4 weeks of intervention, the scores of CDSMS and SECD6 scales of the experimental group were significantly higher than those of the control group (p < 0.0001). The indexes of pulmonary function of the experimental group were improved, but there was no significant difference compared with the control group (p > 0.05). Conclusion Nursing intervention based on PMT contributes to the improvement of self‐management behaviors and self‐efficacy, which is conducive to the prognoses of patients.https://doi.org/10.1111/crj.13693COVID‐19protection motivation theoryrespiratory diseasesself‐efficacyself‐management behavior
spellingShingle Jian Guan
Yingying Zhang
Shan You
Yujing Li
Hongxing Zhao
Weiqin Bu
Yanping Xie
Application of protection motivation theory in epidemic prevention in patients with respiratory diseases under the COVID‐19 pandemic: A cross‐sectional study
The Clinical Respiratory Journal
COVID‐19
protection motivation theory
respiratory diseases
self‐efficacy
self‐management behavior
title Application of protection motivation theory in epidemic prevention in patients with respiratory diseases under the COVID‐19 pandemic: A cross‐sectional study
title_full Application of protection motivation theory in epidemic prevention in patients with respiratory diseases under the COVID‐19 pandemic: A cross‐sectional study
title_fullStr Application of protection motivation theory in epidemic prevention in patients with respiratory diseases under the COVID‐19 pandemic: A cross‐sectional study
title_full_unstemmed Application of protection motivation theory in epidemic prevention in patients with respiratory diseases under the COVID‐19 pandemic: A cross‐sectional study
title_short Application of protection motivation theory in epidemic prevention in patients with respiratory diseases under the COVID‐19 pandemic: A cross‐sectional study
title_sort application of protection motivation theory in epidemic prevention in patients with respiratory diseases under the covid 19 pandemic a cross sectional study
topic COVID‐19
protection motivation theory
respiratory diseases
self‐efficacy
self‐management behavior
url https://doi.org/10.1111/crj.13693
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