만성폐쇄성폐질환자의 우울, 사회적 지지, 불확실성이 자가관리이행에 미치는 영향: 서술적 조사연구

The influence of depression, social support, and uncertainty on self-management compliance in patients with chronic obstructive pulmonary diseases: A descriptive survey study

Purpose In this study aimed to identify the impact of depression, social support, and uncertainty on self-management compliance in patients with chronic obstructive pulmonary disease (COPD). Methods Participants were 160 patients with COPD in a university hospital located in B metropolitan city. Data were collected from August to September 2023 using a questionnaire on depression, social support, uncertainty, and self-management compliance. We analyzed data using descriptive statistics, independent t-test, one-way ANOVA, Pearson's correlation coefficient, and multiple regression. Results The average age of the participants was 66.94±6.83 years; men accounted for 73.1%. Self-management compliance showed a significant statistical positive correlation with social support (r=.53, p<.001) and negative correlations with depression (r=-.64, p<.001) and uncertainty (r=-.65, p<.001). Total explanatory power was 62.0% of the total variance in self-management compliance (F=38.04, p<.001). Related factors of self-management compliance were depression (β=-.35, p<.001), uncertainty (β=-.32, p<.001), social support (β=.17, p=.006), current smoking status (β=.14, p=.007), and gender (β=.11, p=.038). Conclusion These results provide basic data for the development of patient-education protocols to promote the self-management compliance of patients with COPD.