Self-management behavior and its influencing factors among adults with chronic obstructive pulmonary disease in Colombo, Sri Lanka: A cross-sectional study
Background: Self-management behaviors are essential to take care of chronic obstructive pulmonary disease (COPD). However, data on COPD self-management practices in Sri Lankan adults is limited. Therefore, identifying the level of COPD self-management and examining its influencing factors are essent...
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| Format: | Article |
| Language: | English |
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Belitung Raya Foundation
2025-01-01
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| Series: | Belitung Nursing Journal |
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| Online Access: | https://www.belitungraya.org/BRP/index.php/bnj/article/view/3660 |
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| author | Kanchana Warnakula Royal Weerasooriya Niphawan Samartkit Khemaradee Masingboon Pachanok Witheethamasak |
| author_facet | Kanchana Warnakula Royal Weerasooriya Niphawan Samartkit Khemaradee Masingboon Pachanok Witheethamasak |
| author_sort | Kanchana Warnakula Royal Weerasooriya |
| collection | DOAJ |
| description | Background: Self-management behaviors are essential to take care of chronic obstructive pulmonary disease (COPD). However, data on COPD self-management practices in Sri Lankan adults is limited. Therefore, identifying the level of COPD self-management and examining its influencing factors are essential for healthcare providers to manage COPD effectively.
Objectives: This research aimed to describe the level of self-management behaviors and determine whether dyspnea, perceived stress, COPD knowledge, and social support can predict self-management in adults with COPD in Colombo, Sri Lanka.
Methods: A predictive correlational study was conducted, and 108 adults with mild to moderate COPD were recruited from the central chest clinic in Colombo, Sri Lanka, from March to April 2024 using a simple random sampling technique. A self-administered questionnaire was used to gather data included demographic characteristics. The other instruments used were the COPD Self-Management Scale, the Perceived Stress Scale, the COPD Knowledge Questionnaire, and the Perceived Social Support Scale. Descriptive statistics and multiple regression were used for data analysis.
Results: The study showed a moderate self-management level with a mean of 3.04 ± 0.35. All variables could explain 41.7% of the variance in self-management among adults with mild to moderate COPD and COPD self-management behaviors significantly predicted by dyspnea (β = 0.212, p = 0.006), perceived stress (β = -0.195, p = 0.018), COPD knowledge (β = 0.263, p = 0.001), and perceived social support (β = 0.366, p <0.001).
Conclusion: The study shows evidence that a program to intervene targeting COPD knowledge and perceived social support, in addition to reducing dyspnea and perceived stress, can be beneficial in promoting better self-management behaviors among adults with mild to moderate COPD.
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| format | Article |
| id | doaj-art-d8a416df349c4c5daa52a8b76a03c728 |
| institution | Kabale University |
| issn | 2477-4073 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Belitung Raya Foundation |
| record_format | Article |
| series | Belitung Nursing Journal |
| spelling | doaj-art-d8a416df349c4c5daa52a8b76a03c7282025-01-26T04:40:08ZengBelitung Raya FoundationBelitung Nursing Journal2477-40732025-01-0111110.33546/bnj.3660Self-management behavior and its influencing factors among adults with chronic obstructive pulmonary disease in Colombo, Sri Lanka: A cross-sectional studyKanchana Warnakula Royal Weerasooriya0Niphawan Samartkit1Khemaradee Masingboon2Pachanok Witheethamasak3Master of Nursing Science (International Program), Faculty of Nursing, Burapha University, Chonburi 20131, ThailandDepartment of Adult Nursing, Faculty of Nursing, Burapha University, Chonburi 20131, ThailandDepartment of Adult Nursing, Faculty of Nursing, Burapha University, Chonburi 20131, ThailandDepartment of Adult Nursing, Faculty of Nursing, Burapha University, Chonburi 20131, ThailandBackground: Self-management behaviors are essential to take care of chronic obstructive pulmonary disease (COPD). However, data on COPD self-management practices in Sri Lankan adults is limited. Therefore, identifying the level of COPD self-management and examining its influencing factors are essential for healthcare providers to manage COPD effectively. Objectives: This research aimed to describe the level of self-management behaviors and determine whether dyspnea, perceived stress, COPD knowledge, and social support can predict self-management in adults with COPD in Colombo, Sri Lanka. Methods: A predictive correlational study was conducted, and 108 adults with mild to moderate COPD were recruited from the central chest clinic in Colombo, Sri Lanka, from March to April 2024 using a simple random sampling technique. A self-administered questionnaire was used to gather data included demographic characteristics. The other instruments used were the COPD Self-Management Scale, the Perceived Stress Scale, the COPD Knowledge Questionnaire, and the Perceived Social Support Scale. Descriptive statistics and multiple regression were used for data analysis. Results: The study showed a moderate self-management level with a mean of 3.04 ± 0.35. All variables could explain 41.7% of the variance in self-management among adults with mild to moderate COPD and COPD self-management behaviors significantly predicted by dyspnea (β = 0.212, p = 0.006), perceived stress (β = -0.195, p = 0.018), COPD knowledge (β = 0.263, p = 0.001), and perceived social support (β = 0.366, p <0.001). Conclusion: The study shows evidence that a program to intervene targeting COPD knowledge and perceived social support, in addition to reducing dyspnea and perceived stress, can be beneficial in promoting better self-management behaviors among adults with mild to moderate COPD. https://www.belitungraya.org/BRP/index.php/bnj/article/view/3660COPD knowledgechronic obstructive pulmonary diseaseself-managementdyspneaperceived stresssocial support |
| spellingShingle | Kanchana Warnakula Royal Weerasooriya Niphawan Samartkit Khemaradee Masingboon Pachanok Witheethamasak Self-management behavior and its influencing factors among adults with chronic obstructive pulmonary disease in Colombo, Sri Lanka: A cross-sectional study Belitung Nursing Journal COPD knowledge chronic obstructive pulmonary disease self-management dyspnea perceived stress social support |
| title | Self-management behavior and its influencing factors among adults with chronic obstructive pulmonary disease in Colombo, Sri Lanka: A cross-sectional study |
| title_full | Self-management behavior and its influencing factors among adults with chronic obstructive pulmonary disease in Colombo, Sri Lanka: A cross-sectional study |
| title_fullStr | Self-management behavior and its influencing factors among adults with chronic obstructive pulmonary disease in Colombo, Sri Lanka: A cross-sectional study |
| title_full_unstemmed | Self-management behavior and its influencing factors among adults with chronic obstructive pulmonary disease in Colombo, Sri Lanka: A cross-sectional study |
| title_short | Self-management behavior and its influencing factors among adults with chronic obstructive pulmonary disease in Colombo, Sri Lanka: A cross-sectional study |
| title_sort | self management behavior and its influencing factors among adults with chronic obstructive pulmonary disease in colombo sri lanka a cross sectional study |
| topic | COPD knowledge chronic obstructive pulmonary disease self-management dyspnea perceived stress social support |
| url | https://www.belitungraya.org/BRP/index.php/bnj/article/view/3660 |
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