@article{7f3826667768461da2242855b49cac37,
title = "Self-management model based on information–motivation–behavioral skills model in patients with chronic obstructive pulmonary disease",
abstract = "Aim: 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). Design: A descriptive, correlational, cross-sectional design was used. Methods: 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. Results: 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. Conclusions: 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.",
keywords = "attitude, chronic obstructive pulmonary disease, dyspnoea, knowledge, motivation, nursing, path analysis, self-efficacy, self-management, social support",
author = "Lim, {Kyeung Eun} and Kim, {Sung Reul} and Kim, {Hye Young} and Kim, {So Ri} and Lee, {Yong Chul}",
note = "Funding Information: The standardized direct, indirect and total effects of the independent variables on COPD self‐management behaviour and SMC values are presented in Table 3 and Figure 2 . Gender (women) was directly associated with COPD self‐management; thus, H was supported. Dyspnoea was not directly associated with COPD self‐management and indirectly influenced COPD self‐management through COPD self‐efficacy; thus, H was partially supported. The GOLD stage was not directly associated with COPD self‐management and indirectly influenced COPD self‐management through COPD self‐efficacy; thus, H was partially supported. Health status was not directly associated with COPD self‐management and indirectly influenced COPD self‐management through COPD self‐efficacy; thus, H was partially supported. COPD self‐management knowledge was directly associated with COPD self‐management and did not indirectly influence COPD self‐management through COPD self‐efficacy; thus, H was partially supported. COPD self‐management attitude was not directly associated with COPD self‐management and indirectly influenced COPD self‐management through COPD self‐efficacy; thus, H was partially supported. Social support was directly associated with COPD self‐management and indirectly influenced COPD self‐management through COPD self‐efficacy; thus, H was supported. COPD self‐efficacy was directly associated with COPD self‐management; thus, H was supported. 1 2 3 4 5 6 7 8 Publisher Copyright: {\textcopyright} 2022 John Wiley & Sons Ltd.",
year = "2022",
month = dec,
doi = "10.1111/jan.15371",
language = "English",
volume = "78",
pages = "4092--4103",
journal = "Journal of Advanced Nursing",
issn = "0309-2402",
publisher = "Wiley-Blackwell",
number = "12",
}