Oregon Research Institute, USA.
J Health Psychol. 1997 Apr;2(2):245-53. doi: 10.1177/135910539700200220.
Little attention has been paid to the many behavioral issues involved in the management of chronic obstructive pulmonary disease (COPD). Using a patient- centered approach and drawing upon similar work in the area of diabetes self-management, this study evaluates factors related to the self-management behaviors of 65 patients with COPD. The primary focus was on patients' perceptions of the importance of COPD self-care activities, their recall of provider advice regarding COPD self-care, and the relationship of these factors to patient participation in self- care activities during the past month. The self-management behaviors assessed included smoking cessation, medication- taking, physical activity, diet, relaxation, breathing techniques, controlled coughing and bronchial drainage. Both patient- importance ratings and recall of provider advice showed moderate to strong correlations (r = 0.43-0.79) with the frequency of self-care in the past month, indicating that both the patient's perception (i.e. perceived-importance ratings) and the receipt of health-care provider advice may be important influences on the extent to which patients engage in the various COPD self-management behaviors. Implications for behaviorally-focused interventions are discussed.
人们对慢性阻塞性肺疾病（COPD）管理中涉及的许多行为问题关注甚少。本研究采用以患者为中心的方法，并借鉴糖尿病自我管理领域的类似工作，评估了与 65 名 COPD 患者自我管理行为相关的因素。主要重点是患者对 COPD 自我护理活动重要性的看法、他们对 COPD 自我护理提供者建议的记忆，以及这些因素与患者在过去一个月参与自我护理活动的关系。评估的自我管理行为包括戒烟、服药、体育活动、饮食、放松、呼吸技巧、有控制的咳嗽和支气管引流。患者重要性评分和提供者建议回忆与过去一个月自我护理的频率均呈中度至高度相关性（r = 0.43-0.79），这表明患者的感知（即感知重要性评分）和医疗保健提供者建议的接受程度可能是影响患者参与各种 COPD 自我管理行为程度的重要因素。讨论了以行为为重点的干预措施的意义。
