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Rehabil Nurs. 2013 Jan-Feb;38(1):11-23. doi: 10.1002/rnj.56. Epub 2012 Aug 28.

Study of older adults' use of self-regulation for COPD self-management informs an evidence-based patient teaching plan.

Author information

  • 1Department of Nursing, University of Wisconsin Eau Claire, Eau Claire, WI, USA. brandtcl@uwec.edu

Abstract

PURPOSE:

People with chronic obstructive pulmonary disease (COPD) have frequent hospitalizations and emergency department visits, often due to COPD exacerbations which worsen disease status. Recognizing exacerbations is challenging; patients must distinguish between day-to-day COPD symptom variations and exacerbation symptoms. Self-regulation theory (Bandura, 1999) is useful for understanding symptom recognition, interpretation, and response. In this article a qualitative study of self-regulation use by 28 older adults with COPD (Brandt, 2005) is summarized.

METHODS:

Twenty-eight community-dwelling older adults were interviewed. Data were analyzed using the interpretive description method.

RESULTS AND DISCUSSION:

Informants used self-regulation behaviors in varying degrees. Most attended primarily to their breathing, comparing their usual degree of breathlessness and intensifying their everyday self-management practices if breathlessness worsened.

CLINICAL RELEVANCE:

A theory- and evidence-based COPD teaching plan for use by rehabilitation nurses is presented that includes attention to exacerbation recognition.

© 2012 Association of Rehabilitation Nurses.

PMID:
23365001
[PubMed - indexed for MEDLINE]
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