The impact of cognitive impairment on patient activation and their value in self-management among COPD patients.

Autor: Chen X; Department of Nursing, Chengdu Wenjiang District People's Hospital, Chengdu, PR China; School of Nursing, Army Medical University, PR China., Song H; Nursing department, Medical Center Hospital of Qionglai City, Chengdu, PR China., Liu J; School of Nursing, Army Medical University, PR China., He Y; School of Nursing, Army Medical University, PR China., Wei L; School of Nursing, Army Medical University, PR China., Deng M; School of Nursing, Army Medical University, PR China., Zhang R; Department of Chest Surgery, Medical Center Hospital of Qionglai, PR China., Huang Y; Department of neurology, Medical Center Hospital of Qionglai, PR China., Yang Y; School of Nursing, Army Medical University, PR China. Electronic address: yangyanni@tmmu.edu.cn.
Jazyk: angličtina
Zdroj: Patient education and counseling [Patient Educ Couns] 2024 Dec; Vol. 129, pp. 108397. Date of Electronic Publication: 2024 Aug 14.
DOI: 10.1016/j.pec.2024.108397
Abstrakt: Objectives: To examine the impact of the interaction between cognitive function and patient activation on self-management behaviors among COPD patients.
Methods: We conducted a study of 331 COPD patients. Cognitive function and patient activation were evaluated at baseline, relevant information on social demography and diseases was collected simultaneously. The primary outcome was self-management behaviors. We performed a multiple logistic regression analysis to evaluate the interaction between cognitive function and patient activation.
Results: We found the interaction between mild cognitive impairment (MCI) and low patient activation on poor self-management behaviors was multiplicative. The proportion of participants with high patient activation was lower than those with low patient activation among patients with MCI. The incidence of poor self-management behaviors in patients with normal cognition differed significantly between participants with different activation levels (90.2 % vs.31.3 % vs.9.7 %). However, the difference was small in those with MCI (94 % vs. 73.5 % vs. 84.5). Notably, poor self-management behaviors were high among patients with MCI, regardless of their activation level.
Conclusions: Patients with COPD are more likely to have poor self-management behaviors when MCI and low patient activation coexist, and it was difficult to be activated for patients with MCI.
Practice Implications: The assessment of cognitive function is crucial for patients with COPD, especially those with low activation.
Competing Interests: Declaration of Competing Interest The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: Yanni Yang reports financial support was provided by National Social Science Funding Project.
(Copyright © 2024 Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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