A study of intervention method to promote self-management in COPD (Chronic Obstructive Pulmonary Disease) patients

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Factors associated with acute exacerbation of chronic obstructive pulmonary disease were investigated in a longitudinal study. The results revealed that patients with exacerbation showed lower self-confidence than those without exacerbation in terms of their ability to control the disease and symptoms and to deal with shortness of breath at the start of observation. As no difference was seen in the degree of pulmonary function or the severity of shortness of breath, these results suggest that even if physical functions are the same, exacerbation may be more likely to occur in patients with a low sense of control regarding their condition. Furthermore, individuals with a low sense of control tended not to have received any detailed treatment. Providing support to patients to enhance their sense of control and self-confidence may thus be important not only for improving their self-management, but also in preventing exacerbation.