Portions of this manuscript are based on data included in an unpublished doctoral dissertation by the author (Brandt, ).
Study of Older Adults' Use of Self-Regulation for COPD Self-Management Informs An Evidence-Based Patient Teaching Plan
Article first published online: 28 AUG 2012
© 2012 Association of Rehabilitation Nurses
Volume 38, Issue 1, pages 11–23, January/February 2013
How to Cite
Brandt, C. L. (2013), Study of Older Adults' Use of Self-Regulation for COPD Self-Management Informs An Evidence-Based Patient Teaching Plan. Rehabilitation Nursing, 38: 11–23. doi: 10.1002/rnj.56
- Issue published online: 30 JAN 2013
- Article first published online: 28 AUG 2012
- COPD ;
- evidence-based practice;
- older adults;
- patient education;
- qualitative studies;
People with chronic obstructive pulmonary disease (COPD) have frequent hospitalizations and emergency department visits, often due to COPD exacerbations which worsen disease status. Recognizing exacerbations is challenging; patients must distinguish between day-to-day COPD symptom variations and exacerbation symptoms. Self-regulation theory (Bandura, 1999) is useful for understanding symptom recognition, interpretation, and response. In this article a qualitative study of self-regulation use by 28 older adults with COPD (Brandt, 2005) is summarized.
Twenty-eight community-dwelling older adults were interviewed. Data were analyzed using the interpretive description method.
Results and Discussion
Informants used self-regulation behaviors in varying degrees. Most attended primarily to their breathing, comparing their usual degree of breathlessness and intensifying their everyday self-management practices if breathlessness worsened.
A theory- and evidence-based COPD teaching plan for use by rehabilitation nurses is presented that includes attention to exacerbation recognition.