Nurses’ knowledge and attitudes associated with nutrition education for malnutrition prevention in patients with chronic obstructive pulmonary disease
DOI: https://doi.org/10.33024/minh.v9i5.3911
Chronic Obstructive Pulmonary Disease Knowledge Malnutrition Nurses’ Attitudes Nutritional education
Abstract
Background: Malnutrition is one of the major complications among patients with chronic obstructive pulmonary disease (COPD) due to increased energy requirements and chronic systemic inflammation. This condition may worsen respiratory function, increase the risk of exacerbations, and reduce patients’ quality of life. Nutritional education plays an important role in preventing malnutrition; however, its implementation by nurses remains suboptimal.
Purpose: To identify the relationship between nurses’ knowledge and attitudes and the implementation of nutritional education for malnutrition prevention among patients with COPD.
Method: A cross-sectional study was conducted among 65 respondents providing nursing care to patients with COPD at Dr. H. Abdul Moeloek Regional General Hospital, Lampung, using a total sampling technique. Data were analyzed using Spearman’s correlation test and multiple linear regression.
Results: There was a significant relationship between knowledge and the implementation of nutritional education (r=0.443, p<0.001), as well as between attitude and the implementation of nutritional education (r=0.718, p<0.001). No significant relationships were found between age, gender, educational level, length of employment, history of nutrition training, or experience in providing care for patients with COPD and the implementation of nutritional education (p>0.05). Attitude was identified as the variable most strongly associated with the implementation of nutritional education.
Conclusions: Nurses’ knowledge and attitudes were significantly associated with the implementation of nutritional education as an effort to prevent malnutrition among patients with COPD. Attitude was the most dominant factor associated with the implementation of nutritional education.
Downloads
References
Ajzen, I. (1991). The theory of planned behavior. Organizational behavior and human decision processes, 50(2), 179-211.
Al Reza, M. S., Rahim, M. A., Azad, M. A. K., Biswas, V., Rahman, A., Al Amin, M., & Adrita, S. S. (2023). The nutritional knowledge of nurses working at the medical college hospital in the northern district of Bangladesh: A cross-sectional study. Journal of Healthcare Administration, 2(2), 176-190.
Alsalim, S. S. (2023). Knowledge, attitudes, and practice of patient teaching among nurses in primary health care, united arab emirates. Open Journal of Nursing, 13, 890-901.
Bastable, S. B. (2021). Nurse as educator: Principles of teaching and learning for nursing practice. California: Jones & Bartlett Learning.
Bonetti, L., Terzoni, S., Lusignani, M., Negri, M., Froldi, M., & Destrebecq, A. (2021). Nutritional care of older people: investigating nurses’ attitudes in medical and surgical units. Contemporary nurse, 57(3-4), 159-171.
Christensson, L., & Bachrach-Lindström, M. (2009). Adapting the staff attitudes to nutritional nursing care scale‖ to geriatric nursing care. Journal of Nutrition, Health and Aging, 13(2), 102–107.
Christensson, L., Unosson, M., Bachrach-Lindström, M., & Ek, A. C. (2003). Attitudes of nursing staff towards nutritional nursing care. Scandinavian Journal of Caring Sciences, 17(3), 223–231.
Collins, P. F., Nathan, A., Roberts, S., & Wilkinson, T. (2021). Effective nutrition support for patients with chronic obstructive pulmonary disease: managing malnutrition in primary care. The British Journal of General Practice, 71(710), 427.
Deng, M., Lu, Y., Zhang, Q., Bian, Y., Zhou, X., & Hou, G. (2023). Global prevalence of malnutrition in patients with chronic obstructive pulmonary disease: systemic review and meta-analysis. Clinical Nutrition, 42(6), 848-858.
Indonesian Society of Respirology. (2023). Pedoman Diagnosis dan Penatalaksanaan . Jakarta: Perhimpunan Dokter Paru Indonesia.
Linnavuori, E., Inkeroinen, S., Kostylev, A., Seel, M., Virmajoki, M., Virtanen, H., & Leino-Kilpi, H. (2024). Delivering patient education in healthcare organizations: An integrative review of the nursing administrative actions. Journal of Nursing Management, 2024(1), 1296011.
Majid, N. (2020). The practice of patient education among public hospital nurses in Malaysia. Environment-Behaviour Proceedings Journal, 5(15), 131-137.
Mancin, S., Khadhraoui, S., Starace, E., Cosmai, S., Petrelli, F., Sguanci, M., & Mazzoleni, B. (2024). Prevention and Management of Malnutrition in patients with Chronic Obstructive Pulmonary Disease: a scoping review. Advances in Respiratory Medicine, 92(5), 356-369.
Ministry of Health of the Republic of Indonesia. (2019). Keputusan Menteri Kesehatan Republik Indonesia Nomor HK.01.07/MENKES/393/2019 tentang Pedoman Nasional Pelayanan Kedokteran Tata Laksana Malnutrisi pada Dewasa. Accessed from: https://www.kemkes.go.id/app_asset/file_content_download/1701156818656597d2802345.16642589.pdf
Momtazmanesh, S., Moghaddam, S. S., Ghamari, S. H., Rad, E. M., Rezaei, N., Shobeiri, P., & Ibitoye, S. E. (2023). Global burden of chronic respiratory diseases and risk factors, 1990–2019: an update from the Global Burden of Disease Study 2019. EClinicalMedicine, 59(10).
Ozcelyk, A. O., Surucuoglu, M. S., & Akan, L. S. (2007). Nutrition Knowledge Level of Nurses In Turkey: Ankara as an Example. Pakistan Journal of Social Sciences, 20(10).
Potter, P. A., Perry, A. G., Stockert, P. A., & Hall, A. M. (2017). Fundamentals of nursing (9th ed.). Elsevier.
Pueyo-Garrigues, M., Pardavila-Belio, M. I., Canga-Armayor, A., Esandi, N., Alfaro-Díaz, C., & Canga-Armayor, N. (2022). Nurses’ knowledge, skills and personal attributes for providing competent health education practice, and its influencing factors: a cross-sectional study. Nurse Education in Practice, 58, 103277.
Şenyuva, E., Kaya, H., & Can, G. (2020). A valid and reliable tool in assessing patient education: the patient education implementation scale. International Journal of Nursing Practice, 26(1), 1–10.
Septiani, A., Heroza, R. I., Indah, D. R., Cahyani, R. D., & Bernova, N. M. (2020). Application of theory of planned behavior for knowledge sharing system among nurses. Sriwijaya International Conference on Information Technology and Its Applications (SICONIAN 2019), 539-544.
Seriga, S., Hassan, H. C., & Sansuwito, T. (2024). Nurses knowledge of patient safety incidents: literature review. Int J Health Sci, 2(1), 336-347.
Shakhshir, M., & Alkaiyat, A. (2023). Healthcare providers’ knowledge, attitude, and practice on quality of nutrition care in hospitals from a developing country: a multicenter experience. Journal of Health, Population and Nutrition, 42(1), 15.
Sitoayu, L., Utami, L. R., Dewanti, L. P., Ronitawati, P., & Wahyuni, Y. (2022). Perbedaan pengetahuan gizi, status gizi, dan produktivitas kerja pada tenaga kesehatan dan non-kesehatan. ARGIPA (Arsip Gizi Dan Pangan), 7(1), 9–20.
Soenarto, R., & Idealistiana, L. (2023). Relationship of nurse knowledge and attitude about nutrition screening to hypal bumin event. Batavia Journal of Health Sciences, 1(1), 54-61.
Ting, H. Y. T., Chan, S. H. Y., Luk, E. K. H., To, Q. M. Y., Wong, C. Y., & Choo, K. L. (2020). Prevalence of malnutrition in COPD inpatients and its relationship with nutritional intakes and clinical outcomes. J Aging Sci, 8, 219.
Van Noort, H. H., Heinen, M., Van Asseldonk, M., Ettema, R. G., Vermeulen, H., & Huisman-de Waal, G. (2020). Using intervention mapping to develop an outpatient nursing nutritional intervention to improve nutritional status in undernourished patients planned for surgery. BMC Health Services Research, 20(1), 152.
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Erisca Carolina Tesalonike, Agung Waluyo, Denissa Faradita Aryani
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
