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慢性阻塞性肺疾病病人健康內外控與呼吸困難自我管理策略之相關性研究

Correlation Study between Health Locus of Control and Dyspnea Self-Management Strategies in Patients with Chronic Obstructive Pulmonary Disease

摘要


Background: Dyspnea is a debilitative condition that often affects chronic obstructive pulmonary disease (COPD) patients. Enhancing the efficacy of patient self‐management strategies for dyspnea is thus a very important issue. Purpose: This study explores the correlation between the health locus of control and dyspnea self‐management strategies in patients with chronic obstructive pulmonary disease. Methods: Using a cross‐section descriptive correlational approach, researchers enrolled a total of 200 COPD patients treated at a local teaching hospital in South Taiwan as participants. We used demographics and a post‐physical‐activity dyspnea survey forms to assess patient characteristics and the Multi‐Dimensional Health Locus of Control and Dyspnea Self‐Management Strategies scales to collect study data. Statistical analysis was performed using SPSS 17.0. Results: ”Powerful others” earned the highest locus of control orientation score (28.05 ± 6.07) followed by internal locus of control (25.02 ± 9.01). ”Chance” earned the lowest score (20.83 ± 9.78). We also found a positive correlation between internal locus of control and dyspnea self‐management strategies (p = .001) and negative correlations between the ”chance” and ”powerful others” locus of control and dyspnea self-management strategies (p = .001). Multiple linear regression analysis results showed the significant impact of internal locus control and ”chance” on the frequency and effectiveness of using dyspnea self‐management strategies. (p < .05) Conclusion: There is a correlation between health locus of control and dyspnea self‐management strategies. Those with better internal loci of control were found to have better relative dyspnea self‐management strategies. This conclusion may be applied in clinical practice to improve self‐management effectiveness.

並列摘要


Background: Dyspnea is a debilitative condition that often affects chronic obstructive pulmonary disease (COPD) patients. Enhancing the efficacy of patient self‐management strategies for dyspnea is thus a very important issue. Purpose: This study explores the correlation between the health locus of control and dyspnea self‐management strategies in patients with chronic obstructive pulmonary disease. Methods: Using a cross‐section descriptive correlational approach, researchers enrolled a total of 200 COPD patients treated at a local teaching hospital in South Taiwan as participants. We used demographics and a post‐physical‐activity dyspnea survey forms to assess patient characteristics and the Multi‐Dimensional Health Locus of Control and Dyspnea Self‐Management Strategies scales to collect study data. Statistical analysis was performed using SPSS 17.0. Results: ”Powerful others” earned the highest locus of control orientation score (28.05 ± 6.07) followed by internal locus of control (25.02 ± 9.01). ”Chance” earned the lowest score (20.83 ± 9.78). We also found a positive correlation between internal locus of control and dyspnea self‐management strategies (p = .001) and negative correlations between the ”chance” and ”powerful others” locus of control and dyspnea self-management strategies (p = .001). Multiple linear regression analysis results showed the significant impact of internal locus control and ”chance” on the frequency and effectiveness of using dyspnea self‐management strategies. (p < .05) Conclusion: There is a correlation between health locus of control and dyspnea self‐management strategies. Those with better internal loci of control were found to have better relative dyspnea self‐management strategies. This conclusion may be applied in clinical practice to improve self‐management effectiveness.

被引用紀錄


丁培修(2017)。台北都會區空氣污染和氣象變化與慢性阻塞性肺病患者健康風險之探討〔博士論文,國立臺灣大學〕。華藝線上圖書館。https://doi.org/10.6342%2fNTU201702437
張怡雅(2017)。自我管理促進方案在慢性阻塞性肺病病人之成效〔博士論文,國立臺灣大學〕。華藝線上圖書館。https://doi.org/10.6342%2fNTU201700226
吳香勳(2017)。慢性阻塞性肺部疾病病人習得智謀、憂鬱症狀與健康相關的生活品質之相關因素探討〔碩士論文,義守大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0074-2208201714292200

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