Effect of Introducing Digital Multimedia Nursing on Improving With COPD

Effect of Introducing Transtheory-based Digital Multimedia Nursing and Health Education Model on Improving the Self-Care of Older Adult Patients With Chronic Obstructive Pulmonary Disease

COPD is a progressive and irreversible lung disease characterized by persistent airflow limitation, dyspnea, chronic cough, and impaired daily functioning, often accompanied by comorbidities that reduce quality of life. Despite its high prevalence in Taiwan, COPD remains underdiagnosed and undertreated. This study aims to evaluate a transtheoretical model-based digital multimedia nursing education intervention for elderly patients with COPD. The intervention is designed to enhance disease knowledge, promote self-care behaviors, and improve self-management abilities, ultimately supporting better quality of life and daily functioning in this population.

COPD is a chronic and progressive respiratory disease characterized by persistent airflow limitation and symptoms such as dyspnea, chronic cough, and sputum production. The disease significantly impairs daily functioning and quality of life, particularly among older adults. Despite its high prevalence, COPD remains underdiagnosed and inadequately managed in Taiwan.

To improve disease management, digital health education strategies may enhance patients' knowledge and self-care abilities. This study aims to evaluate the effectiveness of a transtheoretical model-based digital multimedia nursing education intervention in improving disease knowledge, self-management behaviors, and quality of life among elderly patients with COPD.

Inclusion Criteria:

1. Patients diagnosed with pulmonary obstruction after evaluation by a physician.
2. Elderly people aged 60 years or above.
3. Those who are literate, have clear consciousness and can communicate in Chinese and Taiwanese.
4. Those who agree to participate in this research and sign the consent form.

Exclusion Criteria:

1. Patients with respiratory distress syndrome.
2. Those who use respirators.
3. Those who are unable to communicate due to cognitive impairment due to major mental illness or dementia.
4. Color blindness and visual impairment.
5. Those who do not have mobile phones or tablet computers at home and cannot obtain electronic equipment.