Development of a Conceptual Framework for Non-Adherence to Self-Management in Patients with Chronic Obstructive Pulmonary Disease: An Exploratory Study.
| Autor: | Ja Yun Choi, Eui Jeong Ryu, So Young Yun, Sehyun Cho |
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| Předmět: |
OBSTRUCTIVE lung disease treatment
PATIENT compliance MEDICAL information storage & retrieval systems SELF-management (Psychology) RESEARCH funding INTERVIEWING SOCIOECONOMIC factors SURVEYS SYSTEMATIC reviews MEDLINE CONCEPTUAL structures RESEARCH RESEARCH methodology TEST validity MATHEMATICAL models FACTOR analysis THEORY |
| Zdroj: | Korean Journal of Adult Nursing; May2024, Vol. 36 Issue 2, p126-135, 10p |
| Abstrakt: | Purpose: This study was conducted to develop a conceptual framework for understanding non-adherence to self-management among patients with Chronic Obstructive Pulmonary Disease (COPD). This was accomplished through a literature review, in-depth interviews with patients, and a survey of healthcare professionals featuring semi-structured open-ended questions. Methods: First, a systematic literature review was conducted across five databases. Next, 25 patients with COPD participated in detailed interviews that included seven semi-structured questions. Subsequently, 15 healthcare professionals completed a survey about factor categories and specific factors associated with non-adherence to COPD self-management. Categories and factors identified at least once across these three methods were documented. Finally, two researchers conducted preliminary mapping of the relationships between factor categories and individual factors, which was assessed for face validity by a third researcher. All processes were conducted from March 28, 2022, and January 30, 2023. Results: The research revealed eight factor categories and 53 individual factors associated with non-adherence to COPD self-management. The categories encompassed personal, socioeconomic, disease-related, functional, treatment- related, health system-related, and environmental characteristics. The literature review, patient interviews, and survey of healthcare professionals yielded 35, 19, and 44 factors, respectively. Twelve factors were identified using all three sources. All processes were conducted from March 28, 2022, and January 30, 2023. Conclusion: In this study, quantitative and qualitative methods were employed to develop a conceptual framework for non-adherence to COPD self-management. The findings indicate that effective self-management of this condition requires not only patient effort but also adaptations to complex treatment regimens, societal perceptions, and workplace environments. [ABSTRACT FROM AUTHOR] |
| Databáze: | Complementary Index |
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