Factors Predictors Self-Management Behaviors of Patients with Chronic Obstructive Pulmonary Disease in Next Normal
Keywords:
self-management behaviors, next normal, chronic obstructive pulmonary patientsAbstract
The purpose of this predictive correlational research was to study self-management behaviors of patients with chronic obstructive pulmonary disease: COPD in next normal and factors predicting self-management behaviors of patients with chronic obstructive pulmonary disease in next normal, There were 130 patients with chronic obstructive pulmonary disease participating in the study. The research instruments used self-management behavior questionnaire, knowledge questionnaire, self-efficacy questionnaire, social support questionnaire, and anxiety questionnaire showing the content validity index (CVI) 0.84, 0.96, 1, 0.92 and 1, respectively. They had all been tested for content validity of knowledge questionnaire by using the Kuder-Richardson 20 with a score of 0.82. Self-management behavior questionnaire, self-efficacy questionnaire, social support questionnaire, and anxiety questionnaire tested for content validity by using the Cronbach ‘alpha coefficient with a score of 0.83, 0.89, 0.93, and 0.75, respectively. The data were analyzed by descriptive statistics and regression analysis.
- 1. The results revealed that self-management behaviors were at a moderate level (x̄ = 3.10, S.D. = 0.49)
- 2. Age, knowledge, social support, and self-efficacy were found as good combine predictions of self-management behaviors of patients with chronic obstructive pulmonary disease in next normal, with 51.4% of variance (R2 = .514, p < .001). Age was the most predictive of self-management behaviors of patients with chronic obstructive pulmonary disease in next normal, followed by knowledge (β=.301, p <.001), social support (β=.156, p <.05), and self-efficacy (β=.154, p <.05). These results suggest that health professionals should promote the knowledge of chronic obstructive pulmonary patients, especially medical management, including exercise, relaxation, and stress management. COPD patients should be encouraged to receive good social support from friends, family, the community, and health professionals. In addition, should promote self-efficacy, including diet for illness, exercise frequency and duration, and breathing exercise techniques. To provide patients with good self-management behaviors in the next normal
References
Bandura, A., & Wessels, S. (1994). Self-efficacy (Vol. 4,
pp. 71-81). N.P.:n.p.
Banluesin, S., (2021). Review reports the impact of the
COVID-19 outbreak on non-communicable
diseases and global related factors. Retrieved 7
June 2022, from http://thaincd.com/document/
file/download/knowledge/ Report_Impacts_
of_COVID-19_on_NCDs_at_ global_level_v5_
final_by_editor_03.09.64.pdf. [In Thai].
Boonprasert, C., Panuthai, S. & Chintanawat, R. (2016).
Effect of Hatha Yoga exercise on physical
fitness among older persons. Nursing Journal,
(supplement), 35-47. [In Thai].
Chanaman, P. (2017). A causal model of factors affecting
self-management behavior among old-ฟged
chronic obstructive pulmonary disease.
Academic Journal of Mahasarakham Provincial
Public Health Office, 1(2), 75-86. [In Thai].
Curley, C. (2022). Living with COPD during the
COVID-19 pandemic: A phenomenological study.
Master's thesis, University of Prince Edward
Island, Island:
Danyuthasilpe, C. (2017). Promoting self-management
for patient with chronic obstructive pulmonary
disease. Journal of Nursing and Health Sciences,
(2) (Special Issue), 97-104. [In Thai].
Division of Health Economics and Health Security.
(2019, 28 January). Chronic obstructive
pulmonary disease (COPD) [Presentation].
Meeting to select topics for health problems and/
or technology enter the assessment to develop a
set of benefits under the National Health Security
System, Nonthaburi, Thailand. [In Thai].
Division of Non-Communicable Diseases. (2021).
Review report impact of COVID-19 to the chronic
non-communicable disease service system.
Retrieved 7 June 2022, from http://www.thaincd.
com/2016/media-detail.php?id=14088&tid=
&gid=1-015-005 [In Thai].
House, J. S. (1981). Work stress and social support.
Philippines: Addison-Wesley.
Jaikum, P. (2019). Factors related to self-management
behaviors of highlanders with chronic obstructive
pulmonary disease. Master's thesis, Chiang Mai
University. Chiangmai. [In Thai].
Kor-issaranuphab, N., Samrannet, W., & Arsa, P. (2022).
Factors related to self-protective behaviors for
Coronavirus Disease 2019 infection among
type 2 diabetic patients. Journal of Sakon Nakhon
Hospital, 25(1), 43-55. [In Thai].
Korpershoek, Y., Vervoort, S., Nijssen, L., Trappenburg,
J., & Schuurmans, M. J. (2016). Factors
influencing exacerbation-related self-management
in patients with COPD: a qualitative study.
International journal of chronic obstructive
pulmonary disease, 11, 2977-2990.
Lorig, K. R., & Holman, H. R. (2003). Self-management
education: history, definition, outcomes, and
mechanisms. Annals of behavioral medicine,
(1), 1-7.
Mcauley, H., Hadley, K., Elneima, O., Brightling, C. E.,
Evans, R. A., Steiner, M. C., … Greening, N. J.
(2021). COPD in the time of COVID-19: an
analysis of acute exacerbations and reported
behavioural changes in patients with COPD. ERJ
Open Research, 7(1), 1-8.
Park, S., & Kang, Y. (2017). Symptom experience,
self-efficacy, depression, and medication
adherence in patients with chronic obstructive
pulmonary disease. Journal of Korean Clinical
Nursing Research, 23(2), 170-178.
Posai, V., Suksatan, W., Choompunuch, B., Koontalay,
A., Ounprasertsuk, J., & Sadang, J. M. (2021).
Assessment of the health-promoting behaviors
of hospitalized patients with non-communicable
diseases during the second wave of COVID-19.
Journal of Multidisciplinary Healthcare, 14,
-2194.
Reilly, C. C., Bristowe, K., Roach, A., Maddocks, M., &
Higginson, I. J. (2022). "You can do it yourself
and you can do it at your convenience": internet
accessibility and willingness of people with
chronic breathlessness to use an internet-based
breathlessness self-management intervention
during the COVID-19 pandemic. ERJ Open
Research, 8(1), 1-14.
Royal Institute. (2020). New normal. Retrieved 31
January 2021, from https://royalsociety.go.th
[In Thai].
Teeoutid, W., Kunsongkeit, W. & Dungpaeng, S. (2019).
Factor influencing self-management behaviors
of sodium restriction among congestive heart
failure patients. Journal of Boromarajonani
College of Nursing, Bangkok, 35(1), 120-129.
[In Thai].
Thanaboonpuang, P. (2022). Health care and quality of
life for the older adults in next normal. Journal
of Research for Health Improvement and Quality
of Life, 2(1). 86-96. [In Thai].
Thato, R. (2018). Nursing research concepts to
application (4th ed.). Bangkok: CU Press. [In Thai].
Thongsalab, J. (2017). Generalized anxiety disorder
better yet with cognitive behavioral therapy.
Journal of Boromarajonani College of Nursing,
Surin, 7(1), 40-51. [In Thai].
Thoracic Society of Thailand under Royal Patronage.
(2017). Clinical practice guideline for Chronic
obstructive pulmonary disease 2017. Bangkok:
Enterprise group company limited. [In Thai].
Thorndike, R. L. (1987). Stability of factor loadings.
Personality and Individual Differences, 8(4),
-586.
Ting, T. A. N. G., Bei, D. O. U., Hui-Xian, Z. H. A.,
Lian-Shan, T. A. O., Ze-Juan, G. U., Kou-Ying,
L. I. U., & Wei-Ping, X. I. E. (2022). Factors
related to activation in Chinese patients with
chronic obstructive pulmonary disease: A crosssectional survey study. Journal of Nursing
Research, 30(3), 209.
World Health Organization. (2022). Chronic obstructive
pulmonary disease (COPD). Retrieved May 20,
, from https://www.who.int/news-room/
fact-sheets/detail/chronic-obstructive-pulmonarydisease-(copd).
Yadav, U. N., Lloyd, J., Hosseinzadeh, H., Baral,
K. P., Bhatta, N., & Harris, M. F. (2020).
Self-management practice, associated factors
and its relationship with health literacy and
patient activation among multi-morbid COPD
patients from rural Nepal. BMC Public Health,
(1), 1-7.
Yang, H., Wang, H., Du, L., Wang, Y., Wang, X.,
& Zhang, R. (2019). Disease knowledge and
self-management behavior of COPD patients
in China. Medicine, 98(8), 1-5.
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