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

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.

journal_name

Patient Educ Couns

journal_title

Patient education and counseling

authors

Bentsen SB,Wentzel-Larsen T,Henriksen AH,Rokne B,Wahl AK

doi

10.1016/j.pec.2009.11.019

subject

Has Abstract

pub_date

2010-10-01 00:00:00

pages

5-13

issue

1

eissn

0738-3991

issn

1873-5134

pii

S0738-3991(09)00597-7

journal_volume

81

pub_type

临床试验,杂志文章

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