Factors affecting self-care behavior in Koreans with COPD
- Authors
- Park, Soo Kyung
- Issue Date
- 12월-2017
- Publisher
- W B SAUNDERS CO-ELSEVIER INC
- Keywords
- Chronic obstructive pulmonary disease; Self-care; Symptoms; Exacerbation
- Citation
- APPLIED NURSING RESEARCH, v.38, pp.29 - 37
- Indexed
- SCIE
SSCI
SCOPUS
- Journal Title
- APPLIED NURSING RESEARCH
- Volume
- 38
- Start Page
- 29
- End Page
- 37
- URI
- https://scholar.korea.ac.kr/handle/2021.sw.korea/81269
- DOI
- 10.1016/j.apnr.2017.09.003
- ISSN
- 0897-1897
- Abstract
- 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.
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Collections - College of Nursing > Department of Nursing > 1. Journal Articles
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