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18-06-2019 | Uitgave 11/2019

Quality of Life Research 11/2019

Self-management and health related quality of life in persons with chronic obstructive pulmonary disease

Tijdschrift:
Quality of Life Research > Uitgave 11/2019
Auteurs:
Heidi B. Bringsvor, Eva Langeland, Bjørg Frøysland Oftedal, Knut Skaug, Jörg Assmus, Signe Berit Bentsen
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Electronic supplementary material

The online version of this article (https://​doi.​org/​10.​1007/​s11136-019-02231-8) contains supplementary material, which is available to authorized users.

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Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Abstract

Purpose

Although it is well-known that persons with COPD experience lower health related quality of life (HRQoL), little is known about the importance of self-management related domains on HRQoL in persons with COPD. Therefore, the purpose of this study is to examine associations between self-management related domains and HRQoL, adjusting for sociodemographic and clinical characteristics, self-efficacy, and sense of coherence.

Methods

Cross-sectional data of 225 persons with COPD, recruited from a hospital register, were analyzed. Self-management related domains were measured using the Health education impact questionnaire (heiQ) and HRQoL was measured using the St. George’s Respiratory Questionnaire (SGRQ). Multiple linear regression analysis was used.

Results

The final models showed significant associations between the self-management domains constructive attitudes and approaches and emotional distress and HRQoL. Dyspnea, number of comorbidities, self-efficacy, and the various self-management related domains explained 51.3 to 55.1% of the variance in HRQoL.

Conclusions

The findings suggest that addressing self-management related domains, in addition to self-efficacy, dyspnea, and comorbidities, may be of importance for enhancement of HRQoL in persons with COPD.

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