Predictors of Self-Efficacy in Patients with Chronic Obstructive Pulmonary Disease
DOI:
https://doi.org/10.59141/-.v8i1.514Keywords:
Self-efficacy, Chronic Obstructive Pulmonary Disease, Predictor FactorsAbstract
Chronic obstructive pulmonary disease (COPD) is a growing global health concern with increasing morbidity and mortality. Self-efficacy plays a key role in COPD self-management, influencing patients’ ability to control symptoms, perform daily activities, manage emotions, and access health information. Identifying factors that affect self-efficacy is essential to improve patient outcomes and quality of life. This quantitative cross-sectional study involved 100 outpatient COPD patients at Respira Hospital Yogyakarta. Data were collected using the validated Indonesian version of the Chronic Self-Management Scale (CSMS) and analyzed through univariate and multiple linear regression methods. The mean self-efficacy score was 35.83 (SD = 7.609). Regression analysis showed that symptom management, activity management, emotional management, and information management collectively had a significant effect on self-efficacy (p = 0.001; R = 0.582; R² = 0.339). Partially, emotional management (p < 0.001) and information management (p = 0.026) were significant predictors, while symptom management (p = 0.092) and activity management (p = 0.266) were not. In conclusion, emotional and information management are key predictors of self-efficacy in COPD patients, with emotional management as the most dominant factor. Interventions should prioritize emotional regulation and improving health literacy to enhance self-efficacy and overall quality of life.
Downloads
References
Boers, E., Barrett, M., Su, J. G., Benjafield, A. V., Sinha, S., Kaye, L., et al. (2023). Global burden of chronic obstructive pulmonary disease through 2050. JAMA Network Open, 6(12), e2346598. https://doi.org/10.1001/jamanetworkopen.2023.46598
Chen, X., Zhang, J., & Liu, Y. (2022). The influence of social support on self-efficacy in patients with chronic obstructive pulmonary disease. BMC Pulmonary Medicine, 22(1), 1–9. https://doi.org/10.1186/s12890-022-01945-3
Effing, T. W., Vercoulen, J. H., Bourbeau, J., Trappenburg, J., Lenferink, A., Cafarella, P., Bucknall, C., Dewan, N., Early, F., Fan, V., Frith, P., Janssen, D., Mitchell, K., Morgan, M., Nici, L., Patel, I., Rice, K., Singh, S., Zuwallack, R., & Kerstjens, H. (2016). Definition of a COPD self-management intervention: International expert group consensus. European Respiratory Journal, 48(1), 46–54. https://doi.org/10.1183/13993003.00025-2016
JPNN.com. (2025). Penderita penyakit paru-paru kronis meningkat, GSK-PDPI kampanyekan kesadaran PPOK. https://www.jpnn.com/news/penderita-penyakit-paru-paru-kronis-meningkat-gsk-pdpi-kampanyekan-kesadaran-ppok
Lenferink, A., Brusse-Keizer, M., van der Valk, P., Frith, P., Zwerink, M., Monninkhof, E., van der Palen, J., Effing, T., et al. (2017). Self-management interventions including action plans for exacerbations versus usual care in patients with chronic obstructive pulmonary disease. Cochrane Database of Systematic Reviews, 2017(8), CD011682. https://doi.org/10.1002/14651858.CD011682.pub2
Li, H., Liu, X., & Zheng, Y. (2022). Health literacy and self-efficacy among patients with chronic obstructive pulmonary disease: A cross-sectional study. Patient Preference and Adherence, 16, 1823–1832. https://doi.org/10.2147/PPA.S365214
Liao, S. Y., Chen, K. M., & Hsu, Y. L. (2023). Factors associated with quality of life and self-efficacy in COPD patients. International Journal of Chronic Obstructive Pulmonary Disease, 18, 1123–1134. https://doi.org/10.2147/COPD.S402567
Miravitlles, M., Ribera, A., & Soler-Cataluña, J. J. (2021). Impact of symptoms on quality of life in COPD patients. Respiratory Research, 22(1), 1–10. https://doi.org/10.1186/s12931-021-01650-2
Paneroni, M., Vitacca, M., Bernocchi, P., Bertacchini, L., Scalvini, S., et al. (2020). Home-based telerehabilitation in COPD: Effects on self-efficacy and health outcomes. International Journal of Chronic Obstructive Pulmonary Disease, 15, 2441–2449. https://doi.org/10.2147/COPD.S264906
Prasad, B. (2020). Chronic obstructive pulmonary disease (COPD). International Journal of Pharmacy Research & Technology (IJPRT), 10(1), 67–71.
Puspasari, S. (2019). Asuhan keperawatan pada pasien dengan gangguan sistem pernapasan. Pustaka Baru Press.
Puspasari, S. F. A., Kurniastuti, M., & McGenggeng, K. d’A. (2025). Spirituality well-being, health status, nutritional status and their relation to illness perception in chronic obstructive pulmonary disease. Jurnal Berita Ilmu Keperawatan, 18(2), 193–206.
Riset Kesehatan Dasar. (2018). Laporan nasional Riskesdas 2018. Kementerian Kesehatan Republik Indonesia. https://kupdf.net/download/riskesdas-2013pdf_59df771e08bbc59c72e65534_pdf
Wang, T., Tan, J. Y., Xiao, L. D., & Deng, R. (2020). Effectiveness of self-management interventions on COPD: Systematic review and meta-analysis. International Journal of Nursing Studies, 110, 103691. https://doi.org/10.1016/j.ijnurstu.2020.103691
World Health Organization. (2023). Chronic obstructive pulmonary disease (COPD). https://www.who.int/news-room/fact-sheets/detail/chronic-obstructive-pulmonary-disease-(copd)
Yang, Y., Guo, Y., & Wang, L. (2021). Anxiety, depression, and self-efficacy in COPD patients: A cross-sectional study. Nursing & Health Sciences, 23(2), 456–463. https://doi.org/10.1111/nhs.12832
Zhang, H., Wang, Q., & Zhao, Q. (2020). Factors influencing self-efficacy in patients with chronic obstructive pulmonary disease. Patient Preference and Adherence, 14, 143–152. https://doi.org/10.2147/PPA.S231234
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Scholastica Fina Aryu Puspasari
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under aCreative Commons Attribution-ShareAlike 4.0 International (CC-BY-SA). that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
