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Changes in personal control as a predictor of quality of life after pulmonary rehabilitation.

Abstract：

OBJECTIVE:Perceptions of mastery and self-efficacy may be related to better outcomes in pulmonary rehabilitation in patients with chronic obstructive pulmonary disease (COPD). This study examined (1) whether patients with COPD improved during a rehabilitation programme with respect to quality of life (QoL) and perceptions of self-efficacy and mastery, and (2) whether increased perceptions of mastery and self-efficacy contributed to a higher QoL after rehabilitation. METHODS:Thirty-nine consecutive COPD patients (aged 60.5 +/- 9.0) were included from a rehabilitation centre and completed self-report questionnaires assessing symptoms, QoL, and perceptions of personal control. RESULTS:COPD patients improved during rehabilitation in overall QoL and self-efficacy, although no significant changes were found in QoL domains and mastery. Changes in self-efficacy during rehabilitation contributed to the explanation of the social and psychological functioning QoL domains. CONCLUSION:Even in seriously impaired COPD patients in advanced stages of illness, positive changes in self-efficacy and overall well-being can be established during rehabilitation. Changes in self-efficacy were related to a better QoL, suggesting the importance of personal control in the adjustment to COPD. PRACTICE IMPLICATIONS:Focussing more explicitly on the enhancement of perceptions of personal control in COPD patients may be an important aim of pulmonary rehabilitation.

journal_name

Patient Educ Couns

journal_title

Patient education and counseling

authors

Arnold R,Ranchor AV,Koëter GH,de Jongste MJ,Wempe JB,ten Hacken NH,Otten V,Sanderman R

doi

10.1016/j.pec.2005.02.015

subject

Has Abstract

pub_date

2006-04-01 00:00:00

pages

99-108

issue

1

eissn

0738-3991

issn

1873-5134

pii

S0738-3991(05)00066-2

journal_volume

61

pub_type

杂志文章

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