Department of Internal Medicine Nursing, Kirsehir Ahi Evran University Faculty of Health Sciences, Kırşehir, Turkey.
Department of Chest Diseases, Clinic of Pulmonology, Kirsehir Ahi Evran University Training and Research Hospital, Kırşehir, Turkey.
J Clin Nurs. 2024 Aug;33(9):3615-3623. doi: 10.1111/jocn.17119. Epub 2024 Mar 18.
It is extremely important to determine the relationship between COPD and self-management (SM) in the disease process. However, the impact of symptom management (SpM) on this relationship is still unclear. The study aimed to examine the mediating role of SpM in the effect of the COPD stage on SM.
A predictive correlational study was reported following the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines.
This study was conducted between 15 February 2023 and 15 June 15 2023, with 306 patients. Data were collected using the Symptom Management Scale for Self-Efficacy and the Chronic Disease Self-Management Scale. Descriptive statistics and Process Macro Model 4 in the SPSS program were used for data analysis.
Most of the patients were in the moderate stage of COPD; their SM scores were at low levels; SpM scores were at moderate levels. The model was significant, and the variables explained 65% of the model. The COPD stage was significantly positively correlated with SpM and negatively correlated with SM. There was a significant positive impact between SpM and SM. The positive and significant standardised indirect effect of SpM on SM evidenced a full mediating effect.
Symptom management has a full mediating role in the effect of the COPD stage on SM. It was revealed that the level of SM can be increased by achieving SpM.
IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: Symptoms are vital in COPD. Progression of COPD increases symptom severity. Being successful in SpM greatly contributes to the achievement of self-management. Therefore, nurses should definitely consider symptom control in strengthening self-management in the care of patients with COPD.
Patients' COPD stage was determined by a pulmonologist involved in the study. Voluntary patients with COPD hospitalised in the pulmonology clinic were included in the study.
在疾病进程中，确定 COPD 与自我管理（SM）之间的关系非常重要。然而，症状管理（SpM）对这种关系的影响尚不清楚。本研究旨在检验 SpM 在 COPD 分期对 SM 的影响中的中介作用。
本研究是根据观察性研究的强化报告标准（STROBE）报告的预测相关性研究。
本研究于 2023 年 2 月 15 日至 6 月 15 日进行，共纳入 306 名患者。使用症状管理量表自我效能感和慢性疾病自我管理量表收集数据。使用 SPSS 程序中的描述性统计和 Process Macro Model 4 进行数据分析。
大多数患者处于 COPD 中度阶段；他们的 SM 评分处于低水平；SpM 评分处于中等水平。模型具有统计学意义，变量解释了 65%的模型。COPD 分期与 SpM 呈显著正相关，与 SM 呈显著负相关。SpM 与 SM 之间存在显著正相关。SpM 对 SM 的正向显著标准化间接效应表明存在完全中介作用。
症状管理在 COPD 分期对 SM 的影响中具有完全中介作用。通过实现 SpM，可以提高 SM 水平。
对专业人员和/或患者护理的意义：症状在 COPD 中至关重要。COPD 的进展会增加症状的严重程度。成功进行 SpM 对实现自我管理有很大帮助。因此，护士在 COPD 患者的护理中，必须考虑控制症状以加强自我管理。
参与研究的肺病专家确定了患者的 COPD 分期。本研究纳入了肺病科诊所住院的自愿 COPD 患者。
Zotero 插件