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

Authors
Lim, Kyeung EunKim, Sung ReulKim, Hye YoungKim, So RiLee, Yong Chul
Issue Date
12월-2022
Publisher
WILEY
Keywords
attitude; chronic obstructive pulmonary disease; dyspnoea; knowledge; motivation; nursing; path analysis; self-efficacy; self-management; social support
Citation
JOURNAL OF ADVANCED NURSING, v.78, no.12, pp.4092 - 4103
Indexed
SCIE
SSCI
SCOPUS
Journal Title
JOURNAL OF ADVANCED NURSING
Volume
78
Number
12
Start Page
4092
End Page
4103
URI
https://scholar.korea.ac.kr/handle/2021.sw.korea/147102
DOI
10.1111/jan.15371
ISSN
0309-2402
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.
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