Simpson Edwina, Jones Martyn C
COPD Specialist Nurse, Primary Care, NHS Tayside, Dundee.
Br J Nurs. 2013;22(19):1105-9. doi: 10.12968/bjon.2013.22.19.1105.
This study examined if self-efficacy in managing chronic obstructive pulmonary disease is associated with better mood, less breathlessness and fewer exacerbations; what helps or hinders patients in managing their chronic obstructive pulmonary disease (COPD); and patients' suggestions to improve the self-management support they receive.
COPD is the fifth leading cause of death in the UK, and it has been suggested that supporting self-efficacy and self-management could improve patient outcomes and reduce demands for NHS resources.
An exploratory, descriptive survey involving the collection of both quantitative and semistructured qualitative data was chosen. Participants were randomly selected from four GP practices across the north east of Scotland.
Higher levels of self-efficacy were associated with lower levels of breathlessness, lower levels of anxiety and lower levels of depression in COPD patients. There was no association between high self-efficacy and exacerbation rates.
Increasing self-efficacy and reducing anxiety and depression in patients living with COPD are important focus points for self-management support.
本研究旨在探讨慢性阻塞性肺疾病自我管理效能是否与更好的情绪、更少的呼吸急促和更少的病情加重相关；哪些因素有助于或阻碍患者管理慢性阻塞性肺疾病（COPD）；以及患者对改善所接受的自我管理支持的建议。
COPD是英国第五大死因，有人认为支持自我效能和自我管理可以改善患者预后并减少对国民保健制度资源的需求。
选择一项探索性描述性调查，收集定量和半结构化定性数据。参与者从苏格兰东北部的四个全科医疗诊所中随机选取。
COPD患者中，较高的自我管理效能水平与较低的呼吸急促水平、较低的焦虑水平和较低的抑郁水平相关。高自我效能与病情加重率之间没有关联。
提高COPD患者的自我效能以及减轻焦虑和抑郁是自我管理支持的重要重点。
