Factors Influencing Self-Care Behaviors and Quality of Life in COPD Patients
Keywords:
COPD, Self-Care, Stress-coping, Quality of lifeAbstract
Chronic Obstructive Pulmonary Disease (COPD) is a serious health condition that makes it difficult for sufferers to breathe and carry out daily activities. Despite treatment and self-care efforts, many COPD patients continue to experience a decline in quality of life because their lung function continues to deteriorate, making them more susceptible to various complications. This study aims to identify the factors that influence self-care behavior with stress-coping mechanisms and their impact on the quality of life of COPD patients at Jember Lung Hospital. The study used an explanatory survey design with a cross-sectional approach. A total of 110 COPD patients were selected through simple random sampling from the total number of COPD patient visits in 2023 at Jember Lung Hospital. The independent variables include personal and situational factors, the intervening variables are stress coping and self-care behavior, and the dependent variable is quality of life. Data analysis was carried out using the Partial Least Squares (PLS) technique. The results showed that most COPD patients had moderate (54.5%) and high (45.5%) levels of stress coping. The majority of patients showed adequate self-care behavior (96.4%), while only a small proportion showed inadequate self-care behavior (3.6%). The analysis revealed that personal and situational factors had a significant impact on the quality of life of COPD patients. Stress coping affected self-care behavior and quality of life, and self-care behavior, in turn, influenced the quality of life of patients, with all effects having p-values <0.05. The self-care behavior model, based on the stress-coping framework, can be used to design effective interventions that improve the quality of life for COPD patients. Interventions that focus on improving self-care behavior and stress coping are expected to have a positive impact on the quality of life of COPD patients at Jember Lung Hospital.
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