Factors associated with self-care behavior of patients with chronic obstructive pulmonary disease
Date Issued
2010
Date
2010
Author(s)
Yao, Bi-Lin
Abstract
The purpose of this study is to apply Becker’s health belief model to explore the self-care behavior of clients with chronic obstructive pulmonary disease (COPD).The researcher recruited 135 outpatients in a northern medical center. Data was collected through on by one interview according a structured questionnaire included demographic data；health belief scale；depression scale；COPD self care behavior scale and numbers of self care advice suggested by medical staff.
The results indicate that: (1) the highest score of COPD self care behavior was medication behavior, and the lowest score was pulmonary exercise. (2)Pearson correlation found that the longer duration of illness,the even worse depression,the lower perceived barrier to action,the higher perceived benefits to action,the higher numbers of self care advice suggested by medical staff，the self care behavior of COPD is better；using Stepwise Multiple Regression found that subjects'' self-care behaviors can be predicted by perceived benefits to action,smoking history, duration of illness, numbers of self care advice being suggested by medical staff, and depression. The model explains 67.6% of the total variances of self-care behaviors and perceived benefits to action was the most impotant precdictor.
Recommendations:(1)Nurses should emphasize perceived benefits to action for pulmonary exercise；(2)Nurses should design education program according to smoking history and duration of illness；(3)To strenghern pulmonary rehabilitation continuing education for medical staff ；(4)Nurses should be aware of psychological adjustment of COPD patients.
Subjects
self-care behavior
chronic obstructive pulmonary disease
health beliefs
depression
Type
thesis
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