Self-care styles of patients with chronic obstructive pulmonary disease: A mixed methods case study.

Autor: Clari M; Department of Public Health and Pediatrics, University of Torino, via Santena 5bis, 10126 Turin, Italy. Electronic address: marco.clari@unito.it., Riva-Rovedda F; Department of Public Health and Pediatrics, University of Torino, via Santena 5bis, 10126 Turin, Italy., Dimonte V; Department of Public Health and Pediatrics, University of Torino, via Santena 5bis, 10126 Turin, Italy., Matarese M; Department of Medicine and Surgery, Campus Bio-Medico University of Rome, 00128 Rome, Italy.
Jazyk: angličtina
Zdroj: Heart & lung : the journal of critical care [Heart Lung] 2024 Nov-Dec; Vol. 68, pp. 231-241. Date of Electronic Publication: 2024 Jul 31.
DOI: 10.1016/j.hrtlng.2024.07.011
Abstrakt: Background: In people affected by chronic obstructive pulmonary disease (COPD), self-care is crucial for improving quality of life, decreasing symptom burden, and reducing health care-related costs. Unlike other chronic conditions, little is known about the factors that influence different self-care styles in COPD patients.
Objectives: To explore the factors that could influence the self-care styles of patients with COPD.
Methods: A mixed methods case study design was used. Quantitative and qualitative data were collected at the same stage in a purposive sample of patients with COPD through questionnaires, interviews, and focus groups. Data were analyzed separately and then integrated to compare the cases.
Results: Thirty-seven patients with COPD were recruited from an outpatient clinic, pulmonary rehabilitation unit and online in a patient support group. On average, participants scored below the level of adequacy in all self-care dimensions. Self-care maintenance was influenced by patient age, education level, and economic status. Most participants reported performing self-care behaviors, while some did not because they found it difficult or because they did not recognize their importance. When the quantitative and qualitative data of patients with higher and lower levels of self-care were integrated, four different styles of self-care were identified according to COPD severity, psychological distress and level of self-efficacy: proactive, inactive, reactive, and hypoactive.
Conclusions: Personal, clinical, psychological, and social factors not only influence the level of self-care performed by COPD patients but also contribute to the understanding of different self-care styles. This knowledge could support health care professionals in tailoring educational interventions.
Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2024 The Author(s). Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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