Preventive Care in Nursing and Midwifery Journal
Volume 16, Issue 2 (4-2026)
Prev Care Nurs Midwifery J 2026, 16(2): 29-34 |
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Ranjbar Noei F, Yazdi K. Empowering a Patient with COPD for Smoking Behavior Change: A Case Study Based on Barrett's Theory of Power as Knowing Participation in Change. Prev Care Nurs Midwifery J 2026; 16 (2) :29-34
URL: http://nmcjournal.zums.ac.ir/article-1-1022-en.html
URL: http://nmcjournal.zums.ac.ir/article-1-1022-en.html
School of Nursing and Midwifery, Nursing Research Center, Golestan University of Medical Sciences, Gorgan, Iran , yazdi@goums.ac.ir
Abstract: (243 Views)
Background: Effective Chronic Obstructive Pulmonary Disease (COPD) management requires sustained behavioral change, particularly smoking cessation, which remains challenging despite standard counseling approaches. Limited patient engagement and psychological dependence often hinder successful cessation. Barrett’s theory of Power as Knowing Participation in Change emphasizes patient awareness, participation, and autonomy, which may support smoking behavior change in patients with COPD.
Objectives: This case study aimed to explore changes associated with a nursing intervention based on Barrett’s theory in smoking behavior and patient empowerment in a patient with COPD.
Methods: A six‑month theory-based nursing intervention was implemented for a 55-year-old man with COPD in a hospital in northern Iran. The intervention included individualized education regarding the relationship between smoking and COPD progression, collaborative smoking reduction planning, anxiety management, breathing exercises, and weekly follow-up sessions. Outcomes included daily cigarette consumption, dyspnea severity assessed using a 0–10 numeric rating scale, and pulmonary function measured by spirometry (FEV₁).
Results: After six months, daily cigarette consumption decreased from 20 to 10 per day, and dyspnea scores improved from 9/10 to 5/10. The patient also showed greater engagement in care planning and increased confidence in self-management.
Conclusion: This case suggests that a nursing intervention grounded in Barrett’s empowerment-based framework may support smoking reduction and enhance patient engagement in COPD management. Further studies with larger samples are needed to evaluate the effectiveness of this approach.
Objectives: This case study aimed to explore changes associated with a nursing intervention based on Barrett’s theory in smoking behavior and patient empowerment in a patient with COPD.
Methods: A six‑month theory-based nursing intervention was implemented for a 55-year-old man with COPD in a hospital in northern Iran. The intervention included individualized education regarding the relationship between smoking and COPD progression, collaborative smoking reduction planning, anxiety management, breathing exercises, and weekly follow-up sessions. Outcomes included daily cigarette consumption, dyspnea severity assessed using a 0–10 numeric rating scale, and pulmonary function measured by spirometry (FEV₁).
Results: After six months, daily cigarette consumption decreased from 20 to 10 per day, and dyspnea scores improved from 9/10 to 5/10. The patient also showed greater engagement in care planning and increased confidence in self-management.
Conclusion: This case suggests that a nursing intervention grounded in Barrett’s empowerment-based framework may support smoking reduction and enhance patient engagement in COPD management. Further studies with larger samples are needed to evaluate the effectiveness of this approach.
Type of Study: case report |
Subject:
Nursing
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