College of Nursing, Jeonbuk National University, Jeonju, Republic of Korea.
College of Nursing, Institute of Nursing Research, Korea University, Seoul, Republic of Korea.
J Adv Nurs. 2022 Dec;78(12):4092-4103. doi: 10.1111/jan.15371. Epub 2022 Jul 19.
To develop and test a predictive model of self-management based on the theory of the information-motivation-behavioural skills model and previous literature on self-management for patients with chronic obstructive pulmonary disease (COPD).
A descriptive, correlational, cross-sectional design was used.
A convenience sample recruited 248 patients with COPD from the pulmonary medicine clinic in South Korea between July 2020 and June 2021. We used self-administrated, structured questionnaires for dyspnoea, health status, knowledge, attitude, social support, self-efficacy and self-management. Data were analysed using path analysis to test a self-management model for patients with COPD.
Gender, COPD self-management knowledge, social support and COPD self-efficacy had a direct effect on COPD self-management. Dyspnoea, Global Initiative for Chronic Obstructive Lung Disease stage, health status, COPD self-management attitude and social support had an indirect effect on self-management in patients with COPD. These variables explained 43.2% of the total variance for self-management in patients with COPD.
When assessing self-management of COPD; demographic and clinical factors, knowledge, attitudes, social support and self-efficacy included in the information-motivation-behavioural skills model should be considered together.
基于信息动机行为技能模型理论和慢性阻塞性肺疾病（COPD）自我管理的文献，开发和检验基于理论的 COPD 患者自我管理预测模型。
采用描述性、相关性、横断面设计。
于 2020 年 7 月至 2021 年 6 月期间，在韩国的肺部医学诊所，采用便利抽样法招募了 248 名 COPD 患者。我们使用自我管理的、结构化问卷评估呼吸困难、健康状况、知识、态度、社会支持、自我效能和自我管理。采用路径分析对 COPD 患者的自我管理模型进行测试，以分析数据。
性别、COPD 自我管理知识、社会支持和 COPD 自我效能对 COPD 自我管理有直接影响。呼吸困难、慢性阻塞性肺疾病全球倡议分期、健康状况、COPD 自我管理态度和社会支持对 COPD 患者的自我管理有间接影响。这些变量解释了 COPD 患者自我管理总方差的 43.2%。
在评估 COPD 的自我管理时；应综合考虑信息动机行为技能模型中包含的人口统计学和临床因素、知识、态度、社会支持和自我效能。
