!

# $%!&$''( )(*+$,-.. 

   (RN, APN  
)
 ! " #$ (RN  %&'
( )*+
)
,!% # -/ (RN  
)
%0!0 , 1, (RN  
)
*'
2 & *-%34536%7 *8 8, "%6/& ) *(
9 :6/*; "*88< 
&=<8 (COPD) :&1)882& 8
 A/2&<-*B 2549 &*G/% %!1  66/*;
COPD
2 252  6/*; :H%!"0 )!&I%1J<8 %! 2"H7!I( .01 *+H-(
8 * "!I  "= 8 6/ *;    :H & *G 6/ 6  8   8, 8 6 "&! %2    A%  %7*N   345  36
%7 *8A/8 8&=I8 :/%!8 :
2/8&1/9: -O&O 1-2
"</&=8 -( Re S Admit rate /8 ( 9.60 )!"0 )!8 6:(*7JI2
6/

JA/2&
 JI8 (one group pre and post test design)  %!7*(" &=I8
&*! &! 8 :
2-("0 )!186/*; "*88<&=<8!I%!*+Haa/88-(&1/
%*-%&%/82
-% %8 &*G6/*; COPD !I%!*+Haa/8
2 15  !I
76&=8-&O(&
(

  (&=8 &%9  S b"% 2551  2(
&%/82
-%%-"!I&8  *(8/ 4 1<8A/- "/ 0

 (/8"8 %!
0H0 :
&=8#!*N
%!I&%(% -("A/aJI*N!I%!
*(#  :/%7&I%82
:&8-6/*; %7-/A1*+H""% ( :
218&8
aJI
(&%:/%!"0 )!!I!1J< &"=I8%=8!I:)/"=8-6/8 :
2 -(-)!
"0 )!186/*; "*88<&=<818% :)/&! %, &"( 1/8%68 7! (paired t-test)

 "&O!I "0 )!%8   &1/%*-%&%/82

-% %8&1/%*-%8 %! 2"H7!I( .01 -("&O!I 8 :
28
&1/%*-%&%/82
-% 18%8 8 %! 2"H7!I( .01
,J9"<!<%72A*:)/&*G- &=I8&%34536%7 *8186/*;
"*88<&=<8!I%!*+Haa/8 8=IA/ 6/
 &8-(:/%!,J9%( ( &=I8 = "% I =
18!IA/

2
 "=8 "*88<&=<8 &%/82
"0 )!
/' *

!

ABSTRACT
Evidence S Based pulmonary rehabilitation program in Chronic Pulmonary Obstructive Disease
[COPD] was done in 252 COPD patients in Thawangpha district ,Nan province since 2006 . The results found
quality of life of COPD patients after received this program was significantly higher than before. P < .01 The
barrier was aging and some of them lived lonely. 15 COPD patients reported complex problem . They could not
practice follow this program lead to emergency visited 1-2 time per month , Re-admitted rate 9.60 % and low
Quality of Life [QOL].
This, one group pre and post test design aimed to test the effect of group empowerment process on
dyspnea and quality of life among patients with complex problem COPD. The purposive sample of 15 patients with
complex problem COPD from Thawangpha hospital between April and July 2008. The group empowerment study
conducted by the investigator was comprised of 4 steps ; 1) Discovering reality, 2) Critical reflection, 3) Taking
change and 4) holding on . Dyspnea Visual Analogue Scale [DVAS] and QOL were used for collecting data before and
after the empowerment process. The pair t-test was used to compare the difference between the pre and post test
scores.
The study finding revealed that the group empowerment process could reduced DVAS and
enhance QOL among patients with complex problem COPD. The mean score of DVAS after participation in
group empowerment process was statistical significant lower than before entering the process (p<.01)
The mean score of QOL after participation in group empowerment process was statistical significant higher than
before entering the process (p<.01)
The finding from this study can be used to guide nursing practice in promoting pulmonary rehabilitation
process among patients with complex problem COPD. The longitudinal study was recommended to confirm
sustainability of result.
Keyword : Chronic Pulmonary Obstructive Disease , Quality of Life , Empowerment