Factors Related to Self – Management Behaviors of Highlanders with Chronic Obstructive Pulmonary Disease
Keywords:
Self-Management Behaviors, Related Factors, Highlanders, Chronic Obstructive Pulmonary DiseaseAbstract
Self-management behavior is of vital importance in persons with chronic obstructive pulmonary disease for controlling symptoms by themselves. The purpose of this descriptive research study was to examine factors related to the self-management behaviors of highlanders with chronic obstructive pulmonary disease. The sample consisted of 110 highlanders receiving care at the COPD clinic of Maesuai Hospital in Chiang Rai province. The subjects were selected based on the inclusion criteria. Research instruments were interviewed forms including a personal data form, a self-management behavior scale, a knowledge scale, and a social support scale. The content validity showed values of 0.95, 0.91, and 0.94 for each scale, respectively. The reliability of all questionnaires demonstrated values of 0.78, 0.82, and 0.96, respectively. Data were analyzed using descriptive statistics and Pearson’s product moment correlation coefficient.
The results of the study were as follows.
The average score for overall self-management behaviors was high at 4.31 (S.D. = 0.40), with sub-dimensions including medical self-management, role management, and emotional management behaviors also high at 3.71 (S.D. = 0.70), 4.70 (S.D. = 0.40), and 4.53 (S.D. = 0.46), respectively. The average score for overall knowledge on disease and self–management practices was at a high level, 0.82 (S.D. = 0.12), with sub-dimensions including medical self-management and emotional management also high at 0.85 (S.D. = 0.15) and 0.89 (S.D. = 0.15). The mean for the dimension of knowledge on disease and role were at a moderate level, 0.65 (S.D. = 0.18) and 0.67 (S.D. = 0.21), and the average social support scores were high at 3.48 (S.D. = 0.38). Knowledge on disease and self-management practices had a low positive correlation with self-management behaviors, while social support had a moderate positive correlation with self-management behaviors (r = .292 and .315, p < .01, respectively).
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