Factors Predicting Acute Exacerbation in Patients with Chronic Obstructive Pulmonary Disease
Keywords:
Exacerbation, COPD, Severity of disease, Self-care behaviorsAbstract
Acute exacerbation is a seriously emergent and frequent event found in COPD patients. Frequent exacerbations affect patients to have urgent treatments for dyspnea and to be readmitted into the hospital. This not only makes the patients’ symptom status get worse and a decreased of patients’ quality of life, but also increases in the health expenditure. This is a cross-sectional study which aimed to examine the predicting factors of acute exacerbation in patients with COPD. Sample were 304 patients, who were registered to be patients with COPD and attended at emergency and out-patient department of Uttaradit Hospital and Phichai Hospital in Uttaradit province. The research instruments were questionnaires consisted of 2 parts: 1) the patients’ profile and illness data 2) the self-care behaviors questionnaire. Content validity was evaluated by five experts. The reliability of self-care behaviors questionnaire was 0.71, tested by Alpha Cronbach’s. Data were analyzed using frequency, percentage, mean, standard deviation and predicting factors of acute exacerbation were tested with logistic regression.
The study results revealed that the factors predicting the occurrence of the acute exacerbation of patients with COPD, were levels of disease severity (OR = 2.72, p<.001) and patients’ self-care behaviors (OR = .888, p <.001).
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