Current status of self-management knowledge, attitude, behavior and influencing factors in patients with chronic obstructive pulmonary disease_Chinese Journal of Respiratory and Critical Care Medicine

Authors：

LUO Qian , WANG Lianhong , HAN Die ,  ZHANG Li

The Affiliated Hospital of Zunyi Medical College, Zunyi, Guizhou 563003, P. R. China;

Corresponding?author：

ZHANG Li, Email: zhli8523@163.com

Keywords：

Chronic obstructive pulmonary disease; Knowledge; Attitude; Behavior; Self-management

DOI：

10.7507/1671-6205.201707057

Video：

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Objective To investigate the current status of self-management knowledge, attitude and behavior and influencing factors in patients with chronic obstructive pulmonary disease (COPD) in Qianbei area, and to analyze the influencing factors. Methods A total of 329 COPD patients were recruited and investigated with self-compiled questionnaire for self-management knowledge, attitude and behavior of chronic obstructive pulmonary disease, and SPSS 17.0 software was used to analyze the data. Results The mean score of self-management knowledge, attitude and behavior in COPD patients was 132.6±17.0, in which the scores of each dimension from high to low were as follows: smoking, medication treatment, exercise and family oxygen therapy. The analysis of stepwise regression indicated that the main influencing factors of self-management of COPD patients were age, sex, address, degree of education, course of disease and smoking. Conclusions The self-management level of the disease recognition, attitude and behavior in COPD patients should be improved, in which the knowledge is key factor to promote the health behavior of patients. So the healthy workers should pay close attention to the influence factors and apply the new thinking pattern and methods to improve the self-management ability and the quality of life of patients.

Citation： LUO Qian, WANG Lianhong, HAN Die, ZHANG Li. Current status of self-management knowledge, attitude, behavior and influencing factors in patients with chronic obstructive pulmonary disease. Chinese Journal of Respiratory and Critical Care Medicine, 2018, 17(6): 552-556. doi: 10.7507/1671-6205.201707057 Copy

1.	GOLD Executive Committee. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease (Revised 2011).
2.	Littner MR. Chronic obstructive pulmonary disease. Ann Intern Med, 2011, 154(7): ITC4-1.
3.	World Health Organization. World health report 2000. Geneva: World Health organization, 2000, 1.
4.	梁民勇, 蔡珊, 吳秀明, 等. 慢性阻塞性肺疾病患者治療依從性調查. 吉首大學學報(自然科學版), 2013, 34(3): 69-73.
5.	李曉茹, 趙子軍. 吸煙與慢性阻塞性肺疾病相關性的研究進展. 中國慢性病預防與控制, 2014, 22(1): 110-112.
6.	肖建, 杜春玲. 慢性阻塞性肺疾病病因及發病機制研究進展. 中國老年學雜志, 2014, 34(11): 3191-3194.
7.	王少飛, 張慶, 張勃, 等. 戒煙干預對不同性別吸煙慢性阻塞性肺疾病患者臨床癥狀及肺通氣功能的影響研究. 中國全科醫學, 2013, 16(1B): 136-139.
8.	Tonnesen P, Mikkelsen K, Bremann L. Nurse-conducted smoking cessation in patients with COPD using nicotine sublingual tablets and behavioral support. Chest, 2006, 130(2): 334-342.
9.	Tashkin DP, Rennard S, Hays JT, et al. Effects of varenicline on smoking cessation in patients with mild to moderate COPD: a randomized controlled trial. Chest, 2011, 139(3): 591-599.
10.	Tashkin DP, Kanner R, Bailey W, et al. Smoking cessation in patients with chronic obstructive pulmonary disease: a double-blind, placebo-controlled, randomised trial. Lancet, 2001, 357(9268): 1571-1575.
11.	慢性阻塞性肺疾病診治指南(2013 年修訂版). 中國醫學前沿雜志(電子版), 2014, 6(2): 67-80.
12.	Kume H. Role of bronchodilators in therapy for COPD-mechanisms of LABA and LAMA on airway smooth muscle. Nihon Rinsho, 2016, 74(5): 813-819.
13.	Khdour MR, Hawwa AF, Kidney JC, et al. Potential risk factors for medication non-adherence in patients with chronic obstructive pulmonary disease (COPD). Eur J Clin Pharmacol, 2012, 68(10): 1365-1373.
14.	楊慧, 張二明, 郭偉安, 等. 老年重度慢性阻塞性肺疾病的預后研究. 中國呼吸與危重監護雜志, 2012, 11(3): 213-217.
15.	張春蓮, 張亞玲. 影響慢性阻塞性肺疾病患者家庭氧療依從性的因素及護理現狀. 中華護理教育, 2010, 7(7): 333-335.
16.	Ergün P, Kaymaz D, Günay E, et al. Comprehensive out-patient pulmonary rehabilitation: treatment outcomes in early and late stages of chronic obstructive pulmonary disease. Ann Thorac Med, 2011, 6(2): 70-76.
17.	陳貴華, 周向東, 胡曉, 等. 運動療法改善慢性阻塞性肺疾病患者的生活質量和肺功能. 中南大學學報(醫學版), 2011, 36(7): 682-686.
18.	Puhan MA, Gimeno-Santos E, Scharplatz M, et al. Pulmonary rehabilitation following exacerbations of chronic obstructive pulmonary disease. Cochrane Database Syst Rev, 2011, 10(10): 1-39.
19.	Bourbeau J. Making pulmonary rehabilitation a success in COPD. Swiss Med Wkly, 2010, 140(13067): 1-7.
20.	石焜, 嚴謹. 慢性阻塞性肺疾病的運動康復研究進展. 中華護理雜志, 2012, 47(7): 670-672.
21.	陳亞紅, 姚婉貞, 康健, 等. 慢性阻塞性肺疾病患者治療狀況與自我認知的多中心調查研究. 中華結核和呼吸雜志, 2010, 33(10): 750-753.
22.	王亞勤, 鄭彩娥. 應用綜合康復護理措施改善老年慢性阻塞性肺疾病患者肺功能. 中華護理雜志, 2012, 47(1): 25-27.
23.	Warwick M, Gallagher R, Chenoweth L, et al. Self-management and symptom monitoring among older adults with chronic obstructive pulmonary disease. J Adv Nurs, 2010, 66(4): 784-793.
24.	張彩虹, 何國平, 李繼平, 等. 慢性阻塞性肺疾病患者自我管理現狀及其影響因素研究. 中國全科醫學, 2012, 15(4A): 1120-1123.

1. GOLD Executive Committee. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease (Revised 2011).
2. Littner MR. Chronic obstructive pulmonary disease. Ann Intern Med, 2011, 154(7): ITC4-1.
3. World Health Organization. World health report 2000. Geneva: World Health organization, 2000, 1.
4. 梁民勇, 蔡珊, 吳秀明, 等. 慢性阻塞性肺疾病患者治療依從性調查. 吉首大學學報(自然科學版), 2013, 34(3): 69-73.
5. 李曉茹, 趙子軍. 吸煙與慢性阻塞性肺疾病相關性的研究進展. 中國慢性病預防與控制, 2014, 22(1): 110-112.
6. 肖建, 杜春玲. 慢性阻塞性肺疾病病因及發病機制研究進展. 中國老年學雜志, 2014, 34(11): 3191-3194.
7. 王少飛, 張慶, 張勃, 等. 戒煙干預對不同性別吸煙慢性阻塞性肺疾病患者臨床癥狀及肺通氣功能的影響研究. 中國全科醫學, 2013, 16(1B): 136-139.
8. Tonnesen P, Mikkelsen K, Bremann L. Nurse-conducted smoking cessation in patients with COPD using nicotine sublingual tablets and behavioral support. Chest, 2006, 130(2): 334-342.
9. Tashkin DP, Rennard S, Hays JT, et al. Effects of varenicline on smoking cessation in patients with mild to moderate COPD: a randomized controlled trial. Chest, 2011, 139(3): 591-599.
10. Tashkin DP, Kanner R, Bailey W, et al. Smoking cessation in patients with chronic obstructive pulmonary disease: a double-blind, placebo-controlled, randomised trial. Lancet, 2001, 357(9268): 1571-1575.
11. 慢性阻塞性肺疾病診治指南(2013 年修訂版). 中國醫學前沿雜志(電子版), 2014, 6(2): 67-80.
12. Kume H. Role of bronchodilators in therapy for COPD-mechanisms of LABA and LAMA on airway smooth muscle. Nihon Rinsho, 2016, 74(5): 813-819.
13. Khdour MR, Hawwa AF, Kidney JC, et al. Potential risk factors for medication non-adherence in patients with chronic obstructive pulmonary disease (COPD). Eur J Clin Pharmacol, 2012, 68(10): 1365-1373.
14. 楊慧, 張二明, 郭偉安, 等. 老年重度慢性阻塞性肺疾病的預后研究. 中國呼吸與危重監護雜志, 2012, 11(3): 213-217.
15. 張春蓮, 張亞玲. 影響慢性阻塞性肺疾病患者家庭氧療依從性的因素及護理現狀. 中華護理教育, 2010, 7(7): 333-335.
16. Ergün P, Kaymaz D, Günay E, et al. Comprehensive out-patient pulmonary rehabilitation: treatment outcomes in early and late stages of chronic obstructive pulmonary disease. Ann Thorac Med, 2011, 6(2): 70-76.
17. 陳貴華, 周向東, 胡曉, 等. 運動療法改善慢性阻塞性肺疾病患者的生活質量和肺功能. 中南大學學報(醫學版), 2011, 36(7): 682-686.
18. Puhan MA, Gimeno-Santos E, Scharplatz M, et al. Pulmonary rehabilitation following exacerbations of chronic obstructive pulmonary disease. Cochrane Database Syst Rev, 2011, 10(10): 1-39.
19. Bourbeau J. Making pulmonary rehabilitation a success in COPD. Swiss Med Wkly, 2010, 140(13067): 1-7.
20. 石焜, 嚴謹. 慢性阻塞性肺疾病的運動康復研究進展. 中華護理雜志, 2012, 47(7): 670-672.
21. 陳亞紅, 姚婉貞, 康健, 等. 慢性阻塞性肺疾病患者治療狀況與自我認知的多中心調查研究. 中華結核和呼吸雜志, 2010, 33(10): 750-753.
22. 王亞勤, 鄭彩娥. 應用綜合康復護理措施改善老年慢性阻塞性肺疾病患者肺功能. 中華護理雜志, 2012, 47(1): 25-27.
23. Warwick M, Gallagher R, Chenoweth L, et al. Self-management and symptom monitoring among older adults with chronic obstructive pulmonary disease. J Adv Nurs, 2010, 66(4): 784-793.
24. 張彩虹, 何國平, 李繼平, 等. 慢性阻塞性肺疾病患者自我管理現狀及其影響因素研究. 中國全科醫學, 2012, 15(4A): 1120-1123.

Chinese Journal of Respiratory and Critical Care Medicine

Current status of self-management knowledge, attitude, behavior and influencing factors in patients with chronic obstructive pulmonary disease

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