Self‐management model based on information–motivation–behavioral skills model in patients with chronic obstructive pulmonary disease

慢性阻塞性肺病 医学 自我管理 肺病 自我效能感 社会支持 物理疗法 路径分析(统计学) 考试(生物学) 临床心理学 心理学 内科学 生物 统计 机器学习 古生物学 心理治疗师 计算机科学 数学
作者
Kyeung Eun Lim,Sung Reul Kim,Hye Young Kim,So Ri Kim,Yong Chul Lee
出处
期刊:Journal of Advanced Nursing [Wiley]
卷期号:78 (12): 4092-4103 被引量:9
标识
DOI:10.1111/jan.15371
摘要

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.

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