Factors Influencing Self-Management of Chronic Obstructive Pulmonary Disease by Community-Dwelling Adults

West J Nurs Res. 2020 Jun;42(6):423-430. doi: 10.1177/0193945919865532. Epub 2019 Jul 17.

Abstract

Individuals with chronic obstructive pulmonary disease (COPD) struggle with effective self-management, contributing to poor health outcomes and costly health care. More research is needed to understand the factors influencing COPD self-management better in order to improve outcomes and reduce health care costs for those living with this prevalent chronic illness. The purpose of this article is to describe factors influencing community-dwelling adults' COPD self-management. In-depth interviews were conducted with 28 people living with COPD. Braun and Clarke's thematic analysis approach was used to analyze interview data, and it resulted in the identification of themes providing insight into COPD self-management as described by those living with the disease. Specifically, factors impacting engagement in treatment recommendations are described. These findings have implications for informing evidence-based recommendations for self-management support and improving the quality of care provided to those with COPD.

Keywords: chronic illness; chronic obstructive pulmonary disease; health behavior; qualitative research; self-management.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Female
  • Humans
  • Independent Living / psychology*
  • Independent Living / statistics & numerical data
  • Interviews as Topic / methods
  • Male
  • Middle Aged
  • Pulmonary Disease, Chronic Obstructive / complications
  • Pulmonary Disease, Chronic Obstructive / psychology
  • Pulmonary Disease, Chronic Obstructive / therapy*
  • Qualitative Research
  • Quality of Life / psychology
  • Self-Management / methods*
  • Self-Management / psychology
  • Self-Management / statistics & numerical data