Self-management behavior and its influencing factors among adults with chronic obstructive pulmonary disease in Colombo, Sri Lanka: A cross-sectional study
Original Research Article

Self-management behavior and its influencing factors among adults with chronic obstructive pulmonary disease in Colombo, Sri Lanka: A cross-sectional study

Original Research Article
Categories: Adult Nursing (Medical-Surgical Nursing)
https://doi.org/10.33546/bnj.3660
Kanchana Warnakula Royal Weerasooriya
Master of Nursing Science (International Program), Faculty of Nursing, Burapha University, Chonburi 20131, Thailand
https://orcid.org/0009-0002-3383-6237
Niphawan Samartkit
Department of Adult Nursing, Faculty of Nursing, Burapha University, Chonburi 20131, Thailand
https://orcid.org/0000-0002-8193-3042
Khemaradee Masingboon
Department of Adult Nursing, Faculty of Nursing, Burapha University, Chonburi 20131, Thailand
https://orcid.org/0000-0002-6278-7860
Pachanok Witheethamasak
Department of Adult Nursing, Faculty of Nursing, Burapha University, Chonburi 20131, Thailand
https://orcid.org/0000-0001-8800-533X
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Keywords

COPD knowledge
chronic obstructive pulmonary disease
self-management
dyspnea
perceived stress
social support

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Weerasooriya, K. W. R., Samartkit, N., Masingboon, K., & Witheethamasak, P. Self-management behavior and its influencing factors among adults with chronic obstructive pulmonary disease in Colombo, Sri Lanka: A cross-sectional study. Belitung Nursing Journal, 11(1). https://doi.org/10.33546/bnj.3660
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Abstract

Background: Self-management behaviors are essential to take care of chronic obstructive pulmonary disease (COPD). However, data on COPD self-management practices in Sri Lankan adults is limited. Therefore, identifying the level of COPD self-management and examining its influencing factors are essential for healthcare providers to manage COPD effectively.

Objectives: This research aimed to describe the level of self-management behaviors and determine whether dyspnea, perceived stress, COPD knowledge, and social support can predict self-management in adults with COPD in Colombo, Sri Lanka.

Methods: A predictive correlational study was conducted, and 108 adults with mild to moderate COPD were recruited from the central chest clinic in Colombo, Sri Lanka, from March to April 2024 using a simple random sampling technique. A self-administered questionnaire was used to gather data included demographic characteristics. The other instruments used were the COPD Self-Management Scale, the Perceived Stress Scale, the COPD Knowledge Questionnaire, and the Perceived Social Support Scale. Descriptive statistics and multiple regression were used for data analysis.

Results: The study showed a moderate self-management level with a mean of 3.04 ± 0.35. All variables could explain 41.7% of the variance in self-management among adults with mild to moderate COPD and COPD self-management behaviors significantly predicted by dyspnea (β = 0.212, p = 0.006), perceived stress (β = -0.195, p = 0.018), COPD knowledge (β = 0.263, p = 0.001), and perceived social support (β = 0.366, p <0.001).

Conclusion: The study shows evidence that a program to intervene targeting COPD knowledge and perceived social support, in addition to reducing dyspnea and perceived stress, can be beneficial in promoting better self-management behaviors among adults with mild to moderate COPD.

https://doi.org/10.33546/bnj.3660
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Copyright (c) 2025 Kanchana Warnakula Royal Weerasooriya, Niphawan Samartkit, Khemaradee Masingboon, Pachanok Witheethamasak

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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

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