慢性阻塞性肺疾病病人健康內外控與呼吸困難自我管理策略之相關性研究

Correlation Study between Health Locus of Control and Dyspnea Self-Management Strategies in Patients with Chronic Obstructive Pulmonary Disease

10.6225/JNHR.09.1.42

張迺馨(Nai‐Hsin Chang)；邱啟潤(Chii‐Jun Chiou)；王金洲(Chin‐Chou Wang)；蘇茂昌(Mao‐Chang Su)；駱淑惠(Shu‐Hui Lo)

慢性阻塞性肺疾病 ； 呼吸困難 ； 健康內外控 ； 自我管理 ； COPD ； dyspnea ； health locus of control ； self‐management

護理暨健康照護研究

9卷1期（2013 / 03 / 01）

42 - 52

繁體中文

Background: Dyspnea is a debilitative condition that often affects chronic obstructive pulmonary disease (COPD) patients. Enhancing the efficacy of patient self‐management strategies for dyspnea is thus a very important issue. Purpose: This study explores the correlation between the health locus of control and dyspnea self‐management strategies in patients with chronic obstructive pulmonary disease. Methods: Using a cross‐section descriptive correlational approach, researchers enrolled a total of 200 COPD patients treated at a local teaching hospital in South Taiwan as participants. We used demographics and a post‐physical‐activity dyspnea survey forms to assess patient characteristics and the Multi‐Dimensional Health Locus of Control and Dyspnea Self‐Management Strategies scales to collect study data. Statistical analysis was performed using SPSS 17.0. Results: ”Powerful others” earned the highest locus of control orientation score (28.05 ± 6.07) followed by internal locus of control (25.02 ± 9.01). ”Chance” earned the lowest score (20.83 ± 9.78). We also found a positive correlation between internal locus of control and dyspnea self‐management strategies (p = .001) and negative correlations between the ”chance” and ”powerful others” locus of control and dyspnea self-management strategies (p = .001). Multiple linear regression analysis results showed the significant impact of internal locus control and ”chance” on the frequency and effectiveness of using dyspnea self‐management strategies. (p ＜ .05) Conclusion: There is a correlation between health locus of control and dyspnea self‐management strategies. Those with better internal loci of control were found to have better relative dyspnea self‐management strategies. This conclusion may be applied in clinical practice to improve self‐management effectiveness.

Background: Dyspnea is a debilitative condition that often affects chronic obstructive pulmonary disease (COPD) patients. Enhancing the efficacy of patient self‐management strategies for dyspnea is thus a very important issue. Purpose: This study explores the correlation between the health locus of control and dyspnea self‐management strategies in patients with chronic obstructive pulmonary disease. Methods: Using a cross‐section descriptive correlational approach, researchers enrolled a total of 200 COPD patients treated at a local teaching hospital in South Taiwan as participants. We used demographics and a post‐physical‐activity dyspnea survey forms to assess patient characteristics and the Multi‐Dimensional Health Locus of Control and Dyspnea Self‐Management Strategies scales to collect study data. Statistical analysis was performed using SPSS 17.0. Results: ”Powerful others” earned the highest locus of control orientation score (28.05 ± 6.07) followed by internal locus of control (25.02 ± 9.01). ”Chance” earned the lowest score (20.83 ± 9.78). We also found a positive correlation between internal locus of control and dyspnea self‐management strategies (p = .001) and negative correlations between the ”chance” and ”powerful others” locus of control and dyspnea self-management strategies (p = .001). Multiple linear regression analysis results showed the significant impact of internal locus control and ”chance” on the frequency and effectiveness of using dyspnea self‐management strategies. (p ＜ .05) Conclusion: There is a correlation between health locus of control and dyspnea self‐management strategies. Those with better internal loci of control were found to have better relative dyspnea self‐management strategies. This conclusion may be applied in clinical practice to improve self‐management effectiveness.

1. 吳香勳(2017)。慢性阻塞性肺部疾病病人習得智謀、憂鬱症狀與健康相關的生活品質之相關因素探討。義守大學護理學系學位論文。2017。1-75。