Factors affecting self-care behavior in Koreans with COPD

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8 Citations (Scopus)


Background Despite the importance of self-care in people with COPD, little is known about the effect of symptoms and symptom clusters on self-care behavior in people with exacerbated COPD. This study was designed to describe their level of self-care and to examine factors associated with self-care behavior, including symptoms and symptom clusters. Methods For this cross-sectional descriptive study, the researcher recruited Koreans with exacerbated COPD (N = 71) from three tertiary care hospitals. Self-care behavior was measured with Alberto Chronic Obstructive Pulmonary Disease Self-care Behavior Inventory. Descriptive and inferential statistics were used to analyze the data from structured interviews, questionnaires, and clinical measures. Results Mean score of self-care behavior was 119.30. Level of education, comorbidities, emergency department visits during past year, general health perception, and education about exacerbation and symptom management explained 43.9% of total variance in self-care behavior. When individual symptoms were added to the regression model, anxiety accounted for the largest change in total variance in self-care behavior. When a symptom cluster group variable was added to the regression model, change in total variance in self-care behavior was significantly greater than change in variance from individual symptoms. Conclusion Study results indicate that nurses should assess level of self-care in people with COPD and provide them with appropriate education to improve their self-care behavior. Further, it will remind nurses to heed symptom levels and other variables that affect self-care behavior. COPD patients with a lower level of multiple symptoms should be targeted for intervention to improve self-care.

Original languageEnglish
Pages (from-to)29-37
Number of pages9
JournalApplied Nursing Research
Publication statusPublished - 2017 Dec

Bibliographical note

Funding Information:
This research study was funded by National Research Foundation of Korea ( NRF-2014R1A1A1037712 ).

Publisher Copyright:
© 2017 Elsevier Inc.


  • Chronic obstructive pulmonary disease
  • Exacerbation
  • Self-care
  • Symptoms

ASJC Scopus subject areas

  • General Nursing


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