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

本研究采用纵向研究方法，探讨慢性阻塞性肺疾病急性加重的相关因素。结果显示，急性发作的患者在控制疾病和症状的能力以及在观察开始时处理呼吸急促方面的自信心低于未急性发作的患者。由于肺功能程度或呼吸短促的严重程度没有差异，这些结果表明，即使身体功能相同，病情控制感低的患者也更容易发生急性加重。此外，控制感低的人往往没有得到任何详细的治疗。因此，为患者提供支持，以增强他们的控制感和自信心，不仅对改善他们的自我管理很重要，而且对防止病情恶化也很重要。

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.