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Patient Educ Couns. 2010 Oct;81(1):5-13. doi: 10.1016/j.pec.2009.11.019. Epub 2010 Mar 31.

Self-efficacy as a predictor of improvement in health status and overall quality of life in pulmonary rehabilitation--an exploratory study.

Author information

1
Stord/Haugesund University College, Department of Nursing Education, Haugesund, Norway. signe.bentsen@hsh.no

Abstract

OBJECTIVE:

To evaluate developments in health status (HS) and overall quality of life (QOL), and the impact of self-efficacy on HS and QOL in relation to COPD pulmonary rehabilitation (PR).

METHODS:

A longitudinal study of 100 COPD patients before and up to 3 months after COPD PR. Self-efficacy was measured by the COPD self-efficacy scale, HS by the St. George Respiratory Questionnaire and QOL by the Quality of Life Scale. Mixed effect models were used.

RESULTS:

Patients reported significantly reduced psychosocial impact of disease (estimate=-4.05, p=0.019) immediately after the PR programme. Higher levels of self-efficacy at baseline predicted significantly reduced psychosocial impact of disease and improved physical activity, total HS and QOL (p<0.05). Better exercise capacity at baseline predicted significantly reduced psychosocial impact of disease, improved physical activity and QOL (p<0.05). Older age at baseline predicted significantly fewer respiratory symptoms and improved total HS (p<0.05).

CONCLUSIONS:

Patients reported significantly reduced psychosocial impact of disease immediately after a COPD PR, and better exercise capacity and higher self-efficacy at baseline predicted significantly improved HS and QOL.

PRACTICE IMPLICATIONS:

Increasing self-efficacy is suggested to be an important aim in relation to COPD PR.

PMID:
20356700
DOI:
10.1016/j.pec.2009.11.019
[Indexed for MEDLINE]

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