만성폐쇄성폐질환자의 자가관리 경험과 구조화된 자가관리 측정도구의 내용 비교

Comparison of Self-Management Experiences in Chronic Obstructive Pulmonary Disease Patients with Structured Self-Management Measurement Tools

Purpose: This study aimed to compare interviews on self-management experiences in patients with the chronic obstructive pulmonary disease (COPD) using structured self-management measurement tools (SMTs). Methods: Secondary analysis of interview data was conducted for the frequency of symptom monitoring items and management in daily life and during acute exacerbation (AE). The interview contents were compared with the categories and items of the three COPD SMTs selected through a systematic review. Results: Daily symptom monitoring included 13 symptoms, such as dyspnea, coughing, and sputum. Regarding daily self-care, five categories including ‘disease prevention’, ‘exercise’, ‘medication’, ‘diet’, and ‘rest’, and 13 items were identified. Symptoms of AE included 12 symptoms, such as dyspnea at rest, coughing, and dyspnea during exercise. In terms of AE management, four categories including ‘medication’, ‘medical service’, ‘enough rest’, and ‘breathing technique’, and eight items were identified. The categories and items of daily self-care in AE, derived from interviews, were consistent with those from SMTs. However, two items of daily self-care derived from interviews (i.e., “Take health supplements,” “Eat mainly vegetables”) were not included in the SMTs. Conclusion: The interviews revealed that COPD patients’ self-management experiences presented the categories and items of the SMTs. Further research is needed to identify the scientific evidence of the self-care items of patients with COPD not included in the SMTs. These findings should be reflected in COPD SMTs.