Self-management and symptom monitoring among older adults with chronic obstructive pulmonary disease

Warwick, M; Gallagher, R; Chenoweth, L; Stein-Parbury, J

Self-management and symptom monitoring among older adults with chronic obstructive pulmonary disease

Warwick, M Gallagher, R

Chenoweth, L

Stein-Parbury, J

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Publication Type:: Journal Article
Citation:: Journal of Advanced Nursing, 2010, 66 (4), pp. 784 - 793
Issue Date:: 2010-04-01

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Field	Value	Language
dc.contributor.author	Warwick, M	en_US
dc.contributor.author	Gallagher, R https://orcid.org/0000-0001-5588-9351	en_US
dc.contributor.author	Chenoweth, L https://orcid.org/0000-0002-1783-9289	en_US
dc.contributor.author	Stein-Parbury, J https://orcid.org/0000-0002-0018-3236	en_US
dc.date.issued	2010-04-01	en_US
dc.identifier.citation	Journal of Advanced Nursing, 2010, 66 (4), pp. 784 - 793	en_US
dc.identifier.issn	0309-2402	en_US
dc.identifier.uri	http://hdl.handle.net/10453/15537
dc.description.abstract	Aims: To describe self-management, symptom monitoring and the associated influences among older adults with chronic obstructive pulmonary disease. Background: Optimal self-management and monitoring of key symptoms in patients with chronic obstructive pulmonary disease reduces dyspnoea and preventable hospitalizations. Method: A prospective, descriptive survey design was used and data collected from patients with moderate severity chronic obstructive pulmonary disease during home interviews between April 2005 and June 2006. Predictors of self-management and symptom monitoring were determined by linear regression analyses. Results: Patients' (n = 78) mean age was 73·37 years (sd 7·52); 55·1% were male and 66·7% were married. Most (92·3%) had concurrent illnesses, and 48·7% had been admitted to hospital for chronic obstructive pulmonary disease in the past 6 months. Self-management was good to very good, with poorer self-management predicted by lower self-efficacy (β = -0·21), a weaker sense of coherence (β = -0·03), and no hospitalization in the past 6 months (β = -05). Symptom monitoring was not ideal, with more than 20% of patients not monitoring any of the key symptoms. More frequent symptom monitoring occurred among participants who were married (β = 5.14) and had more severe disease (β = 0·79). Conclusion: As self-management and symptom monitoring ensure better outcomes among patients with chronic obstructive pulmonary disease, health professionals should encourage these behaviours. Involving partners, promoting self-efficacy and understanding of sense of coherence are helpful in this process. © 2010 Blackwell Publishing Ltd.	en_US
dc.relation.ispartof	Journal of Advanced Nursing	en_US
dc.relation.isbasedon	10.1111/j.1365-2648.2009.05238.x	en_US
dc.subject.classification	Nursing	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Pulmonary Disease, Chronic Obstructive	en_US
dc.subject.mesh	Cough	en_US
dc.subject.mesh	Dyspnea	en_US
dc.subject.mesh	Fatigue	en_US
dc.subject.mesh	Hospitalization	en_US
dc.subject.mesh	Self Care	en_US
dc.subject.mesh	Prospective Studies	en_US
dc.subject.mesh	Adaptation, Psychological	en_US
dc.subject.mesh	Attitude to Health	en_US
dc.subject.mesh	Self Efficacy	en_US
dc.subject.mesh	Aged	en_US
dc.subject.mesh	Aged, 80 and over	en_US
dc.subject.mesh	Middle Aged	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Male	en_US
dc.title	Self-management and symptom monitoring among older adults with chronic obstructive pulmonary disease	en_US
dc.type	Journal Article
utslib.citation.volume	4	en_US
utslib.citation.volume	66	en_US
utslib.for	1110 Nursing	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
utslib.copyright.status	closed_access
pubs.issue	4	en_US
pubs.publication-status	Published	en_US
pubs.volume	66	en_US

Abstract:

Aims: To describe self-management, symptom monitoring and the associated influences among older adults with chronic obstructive pulmonary disease. Background: Optimal self-management and monitoring of key symptoms in patients with chronic obstructive pulmonary disease reduces dyspnoea and preventable hospitalizations. Method: A prospective, descriptive survey design was used and data collected from patients with moderate severity chronic obstructive pulmonary disease during home interviews between April 2005 and June 2006. Predictors of self-management and symptom monitoring were determined by linear regression analyses. Results: Patients' (n = 78) mean age was 73·37 years (sd 7·52); 55·1% were male and 66·7% were married. Most (92·3%) had concurrent illnesses, and 48·7% had been admitted to hospital for chronic obstructive pulmonary disease in the past 6 months. Self-management was good to very good, with poorer self-management predicted by lower self-efficacy (β = -0·21), a weaker sense of coherence (β = -0·03), and no hospitalization in the past 6 months (β = -05). Symptom monitoring was not ideal, with more than 20% of patients not monitoring any of the key symptoms. More frequent symptom monitoring occurred among participants who were married (β = 5.14) and had more severe disease (β = 0·79). Conclusion: As self-management and symptom monitoring ensure better outcomes among patients with chronic obstructive pulmonary disease, health professionals should encourage these behaviours. Involving partners, promoting self-efficacy and understanding of sense of coherence are helpful in this process. © 2010 Blackwell Publishing Ltd.

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http://hdl.handle.net/10453/15537