Symptom burden and self-management in persons with chronic obstructive pulmonary disease

• DOI: 10.2147/copd.s151428
• Publication Date: 2018-01-23T23:08:42Z
• Authors: Heidi B Bringsvor; Knut Skaug; Eva Langeland; Bjorg Frøysland O...; Jörg Assmus; Doris Gundersen; Richard H Osborne; Signe Berit Bentsen
• Keywords: Self-Management

Purpose: Self-management is crucial for effective COPD management. This study aimed at identifying associations between self-management and sociodemographic characteristics, clinical symptom burden in people with COPD. Patients methods: In this cross-sectional 225 participants diagnosed grades II–IV, multiple linear regression analysis was conducted, using characteristics (COPD Assessment Test) as the independent variables eight domains of Health Education Impact Questionnaire (heiQ) outcome variables. Results: Higher significantly associated worse scores all ( p <0.003), except self-monitoring insight =0.012). disease severity =0.004) numbers comorbidities <0.001) were more emotional distress, women scored higher than men on positive active engagement life =0.001). score pack-years smoking lower health-directed activities =0.006) <0.001), participation organized physical training <0.001). The final models explained 3.7%–31.7% variance (adjusted R 2 ) across heiQ scales. Conclusion: A notable finding that domains, insight. addition, sex, severity, comorbidity, smoking, one or two domains. contributes to improved understanding However, levels indicate research needs be done uncover what else explains Keywords: COPD, Questionnaire, Test, self-management, symptoms, chronic