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Influence of family caregiver caring behavior on COPD patients' self-care behavior in Taiwan.
- Source :
-
Respiratory care [Respir Care] 2012 Feb; Vol. 57 (2), pp. 263-72. Date of Electronic Publication: 2011 Jul 12. - Publication Year :
- 2012
-
Abstract
- Background: COPD becomes a long-term burden on family members who serve as day-to-day caregivers, and causes healthcare systems to incur substantial costs. COPD is both preventable and treatable, and one important aspect of COPD treatment is patients' self-management. This study aimed to investigate relationships between self-management and the caregiver burden, and the influence of family caregivers' caring behavior on COPD patients' self-care behavior.<br />Methods: In a cross-sectional study conducted between March 2007 and January 2008, 192 pairs of COPD patients (age > 40 years, normal cognitive function) and their primary family caregivers were recruited to answer questionnaires measuring COPD characteristics and COPD knowledge (patients and caregivers); functional status, health beliefs, self-efficacy, and self-care (patients); and caring behavior and caregiver response (family members). All questionnaires were shown to have acceptable validity and reliability, and the data were analyzed using univariate and multivariate techniques.<br />Results: Patients' ages, scores in health belief, self-efficacy and disease-related knowledge were shown to correlate with patients' self-care behavior. Patients' self-care behavior was negatively correlated with family caregivers' caring behavior (ρ = -0.21, P = .003), but positively with caring duration of family caregiver caring behavior (ρ = 0.15, P = .037). Patients with a spouse as caregiver exhibited higher self-care ability than patients not married to their caregivers (P = .038). However, patients' self-care behavior decreased with higher family caregivers' COPD knowledge (P = .041) and caring behavior (P = .01), and patients regularly taking medication exhibited low self-care scores.<br />Conclusions: Family caregivers' caring behavior had a partial negative effect on COPD patients' self-care behavior.
- Subjects :
- Activities of Daily Living
Adult
Aged
Aged, 80 and over
Attitude to Health
Cost of Illness
Cross-Sectional Studies
Empathy
Female
Helping Behavior
Humans
Illness Behavior
Interpersonal Relations
Male
Middle Aged
Quality of Life
Self Efficacy
Sick Role
Social Adjustment
Surveys and Questionnaires
Caregivers psychology
Long-Term Care methods
Long-Term Care psychology
Pulmonary Disease, Chronic Obstructive psychology
Pulmonary Disease, Chronic Obstructive therapy
Self Care methods
Self Care psychology
Social Support
Subjects
Details
- Language :
- English
- ISSN :
- 0020-1324
- Volume :
- 57
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Respiratory care
- Publication Type :
- Academic Journal
- Accession number :
- 21762551
- Full Text :
- https://doi.org/10.4187/respcare.00986