TY - JOUR
T1 - Factors affecting self-care behavior in Koreans with COPD
AU - Park, Soo Kyung
N1 - Funding Information:
This research study was funded by National Research Foundation of Korea ( NRF-2014R1A1A1037712 ).
PY - 2017/12
Y1 - 2017/12
N2 - Background Despite the importance of self-care in people with COPD, little is known about the effect of symptoms and symptom clusters on self-care behavior in people with exacerbated COPD. This study was designed to describe their level of self-care and to examine factors associated with self-care behavior, including symptoms and symptom clusters. Methods For this cross-sectional descriptive study, the researcher recruited Koreans with exacerbated COPD (N = 71) from three tertiary care hospitals. Self-care behavior was measured with Alberto Chronic Obstructive Pulmonary Disease Self-care Behavior Inventory. Descriptive and inferential statistics were used to analyze the data from structured interviews, questionnaires, and clinical measures. Results Mean score of self-care behavior was 119.30. Level of education, comorbidities, emergency department visits during past year, general health perception, and education about exacerbation and symptom management explained 43.9% of total variance in self-care behavior. When individual symptoms were added to the regression model, anxiety accounted for the largest change in total variance in self-care behavior. When a symptom cluster group variable was added to the regression model, change in total variance in self-care behavior was significantly greater than change in variance from individual symptoms. Conclusion Study results indicate that nurses should assess level of self-care in people with COPD and provide them with appropriate education to improve their self-care behavior. Further, it will remind nurses to heed symptom levels and other variables that affect self-care behavior. COPD patients with a lower level of multiple symptoms should be targeted for intervention to improve self-care.
AB - Background Despite the importance of self-care in people with COPD, little is known about the effect of symptoms and symptom clusters on self-care behavior in people with exacerbated COPD. This study was designed to describe their level of self-care and to examine factors associated with self-care behavior, including symptoms and symptom clusters. Methods For this cross-sectional descriptive study, the researcher recruited Koreans with exacerbated COPD (N = 71) from three tertiary care hospitals. Self-care behavior was measured with Alberto Chronic Obstructive Pulmonary Disease Self-care Behavior Inventory. Descriptive and inferential statistics were used to analyze the data from structured interviews, questionnaires, and clinical measures. Results Mean score of self-care behavior was 119.30. Level of education, comorbidities, emergency department visits during past year, general health perception, and education about exacerbation and symptom management explained 43.9% of total variance in self-care behavior. When individual symptoms were added to the regression model, anxiety accounted for the largest change in total variance in self-care behavior. When a symptom cluster group variable was added to the regression model, change in total variance in self-care behavior was significantly greater than change in variance from individual symptoms. Conclusion Study results indicate that nurses should assess level of self-care in people with COPD and provide them with appropriate education to improve their self-care behavior. Further, it will remind nurses to heed symptom levels and other variables that affect self-care behavior. COPD patients with a lower level of multiple symptoms should be targeted for intervention to improve self-care.
KW - Chronic obstructive pulmonary disease
KW - Exacerbation
KW - Self-care
KW - Symptoms
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U2 - 10.1016/j.apnr.2017.09.003
DO - 10.1016/j.apnr.2017.09.003
M3 - Article
C2 - 29241516
AN - SCOPUS:85028995131
VL - 38
SP - 29
EP - 37
JO - Applied Nursing Research
JF - Applied Nursing Research
SN - 0897-1897
ER -