The Relationship Between Self-Efficacy And Self-Care Activity On The Quality Of Life In Chronic Obstructive Pulmonary Disease Patients
Keywords:
COPD, Self Efficacy, Self Care Activity, Quality of Life
Abstract
Currently, chronic obstructive pulmonary disease (COPD) is one of the main causes of increasing morbidity and mortality throughout the world. COPD is a disease that lasts a long time and is progressive and difficult to cure completely, so it has a bad impact on the quality of life. Therefore, efforts are needed to increase maximum therapeutic management in managing the disease, one of which is self management such as increasing self-efficacy and self-care activity. This research aimed to determine the relationship between self efficacy and self-care activity on the quality of life in COPD patients. The method used in this research was cross-sectional involving 150 participants who had been diagnosed with COPD. This research used the SCES (COPD Self Efficacy Scale), SGRQ (ST.George's Respiratory Questionnaire), and WHOQOL-BREF (World Health Organization Quality Of Life-Bref) questionnaires. The statistical analysis was carried out using the Chi-Square test. The results of this research showed that the majority of COPD patients at the Labuang Baji Regional Public Hospital of Makassar had low self-efficacy and self-care activity, which caused the quality of life of these COPD patients to be poor or bad. Therefore, it can be concluded that there is a relationship between self-efficacy and self-care activity on the quality of life in COPD patients, with a significance value of p<0.05.
References
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Bugajski, A., Frazier, S. K., Cousin, L., Rechenberg, K., Brown, J., Lengerich, A. J., Moser, D. K., & Lennie, T. A. (2019). Effects of a Digital Self-care Intervention in Adults with COPD: A Pilot Study. Western Journal of Nursing Research, 42(9), 736–746. https://doi.org/10.1177/0193945919892282
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Duan, R. R., Hao, K., & Yang, T. (2020). Air pollution and chronic obstructive pulmonary disease. Chronic Diseases and Translational Medicine, 6(4), 260–269. https://doi.org/10.1016/j.cdtm.2020.05.004
Ellis, P. R., Holm, K. E., Choate, R., Mannino, D. M., Stockley, R. A., Sandhaus, R. A., & Turner, A. M. (2023). Quality of Life and Mortality Outcomes for Augmentation Naïve and Augmented Patients with Severe Alpha-1 Antitrypsin Deficiency. Chronic Obstructive Pulmonary Diseases, 10(2), 139–147. https://doi.org/10.15326/jcopdf.2022.0339
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Guo, S. E., Chi, M. C., Hwang, S. L., Lin, C. M., & Lin, Y. C. (2020). Effects of particulate matter education on self-care knowledge regarding air pollution, symptom changes, and indoor air quality among patients with chronic obstructive pulmonary disease. International Journal of Environmental Research and Public Health, 17(11), 1–15. https://doi.org/10.3390/ijerph17114103
Jerpseth, H., Knutsen, I. R., Jensen, K. T., & Halvorsen, K. (2021). Mirror of shame: Patients experiences of late-stage COPD. A qualitative study. Journal of Clinical Nursing, 30(19–20), 2854–2862. https://doi.org/10.1111/jocn.15792
Jones, P. W. (2014). St. George’s Respiratory Questionnaire. Encyclopedia of Quality of Life and Well-Being Research, 44(June), 6314–6317. https://doi.org/10.1007/978-94-007-0753-5_2841
Kemenkes RI, 2019. (2019). KEPUTUSAN MENTERI KESEHATAN REPUBLIK INDONESIA.
Kim, C. Y., Kim, B. K., Kim, Y. J., Lee, S. H., Kim, Y. S., & Kim, J. H. (2020). Longitudinal Evaluation of the Relationship Between Low Socioeconomic Status and Incidence of Chronic Obstructive Pulmonary Disease: Korean Genome and Epidemiology Study (KoGES). International Journal of COPD, 15, 3447–3454. https://doi.org/10.2147/COPD.S276639
Kotaki, K., Ikeda, H., Fukuda, T., Yuhei, K., Yuki, F., Kawasaki, M., Wakamatsu, K., & Sugahara, K. (2019). Trends in the prevalence of COPD in elderly individuals in an air-polluted city in Japan: A cross-sectional study. International Journal of COPD, 14, 791–798. https://doi.org/10.2147/COPD.S189372
Lionthina, M., Wiwaha, G., Gondodiputro, S., Arya, I. F. D., Sukandar, H., & Sunjaya, D. K. (2020). Elderly Quality of Life and Its Predictors in Chronic Disease Management Program : Indonesian Version of WHOQOL-BREF and WHOQOL-OLD Kualitas Hidup Lanjut Usia dan Prediktornya pada Program Pengelolaan Penyakit Kronis : Versi Indonesia dari WHOQOL-BREF dan. Majalah Kedokteran Bandung, 52(1), 28–34.
Loubert, A., Regnault, A., Meunier, J., Gutzwiller, F. S., & Regnier, S. A. (2020). Is the st. George’s respiratory questionnaire an appropriate measure of symptom severity and activity limitations for clinical trials in copd? analysis of pooled data from five randomized clinical trials. International Journal of COPD, 15, 2103–2113. https://doi.org/10.2147/COPD.S261919
Lutter, J. I., Jörres, R. A., Welte, T., Watz, H., Waschki, B., Alter, P., Trudzinski, F. C., Ohlander, J., Behr, J., Bals, R., Studnicka, M., Holle, R., Vogelmeier, C. F., & Kahnert, K. (2020). Impact of education on copd severity and all-cause mortality in lifetime never-smokers and longtime ex-smokers: Results of the cosyconet cohort. International Journal of COPD, 15, 2787–2798. https://doi.org/10.2147/COPD.S273839
Matarese, M., Clari, M., De Marinis, M. G., Barbaranelli, C., Ivziku, D., Piredda, M., & Riegel, B. (2020). The Self-Care in Chronic Obstructive Pulmonary Disease Inventory: Development and Psychometric Evaluation. Evaluation and the Health Professions, 43(1), 50–62. https://doi.org/10.1177/0163278719856660
Miravitlles, M., & Ribera, A. (2017). Understanding the impact of symptoms on the burden of COPD. Respiratory Research, 18(1), 1–11. https://doi.org/10.1186/s12931-017-0548-3
Na’ima, A. L., & Prasetya, D. P. (2020). Penatalaksanaan Fisioterapi Dengan Nebulisasi Dan Chest Physiotherapy Terhadap Derajat Sesak Napas Dan Ekspansi Thoraks Pada Penderita Penyakit Paru Obstruksi Kronis (Ppok). Jurnal Kajian Ilmiah Kesehatan dan Teknologi, 2(1), 28–34. https://doi.org/10.52674/jkikt.v2i1.29
Perez, T. A., Castillo, E. G., Ancochea, J., Pastor Sanz, M. T., Almagro, P., Martínez-Camblor, P., Miravitlles, M., Rodríguez-Carballeira, M., Navarro, A., Lamprecht, B., Ramírez-García Luna, A. S., Kaiser, B., Alfageme, I., Casanova, C., Esteban, C., Soler-Cataluña, J. J., De-Torres, J. P., Celli, B. R., Marin, J. M., … Soriano, J. B. (2020). Sex differences between women and men with COPD: A new analysis of the 3CIA study. Respiratory Medicine, 171(July). https://doi.org/10.1016/j.rmed.2020.106105
Putri T., et al. (2021). Faktor-Faktor Kualitas Hidup Pasien Dengan Penyakit Paru Obstruktif Kronik. Jurnal Keperawatan BSI, 9(1).
R.Ahmad, F. F., Santoso, A., & Qanitha, A. (2020). Korelasi antara Kadar Kalsium Serum dengan Fungsi Paru pada Penderita Penyakit Paru Obstruksi Kronik (PPOK). Jurnal Ilmu Kesehatan Masyarakat, 9(01), 53–59. https://doi.org/10.33221/jikm.v9i01.488
Ritianingsih, N. (2017). Lama Sakit Berhubungan Dengan Kualitas Hidup Pasien Penyakit Paru Obstruksi Kronis (Ppok). Jurnal Kesehatan Bakti Tunas Husada: Jurnal Ilmu-ilmu Keperawatan, Analis Kesehatan dan Farmasi, 17(1), 133. https://doi.org/10.36465/jkbth.v17i1.199
Suprayitno, E., Khoiriyati, A., Hidayati, T., Program, S., Magister, K., Universitas, M., Yogyakarta, J., Lingkar Selatan, Y., Kedokteran, F., Kesehatan, I., Muhammadiyah, U., & Jl, Y. (2017). GAMBARAN EFIKASI DIRI DAN PEAK EXPIRATORY FLOW RATE PASIEN PENYAKIT PARU OBSTRUKSI KRONIS (PPOK). In Media Ilmu Kesehatan (Vol. 6, Nomor 1).
Susanto, A. D. (2021). Problems of Chronic Obstructive Pulmonary Disease (COPD) Among Workers. Jurnal Respirologi Indonesia, 41(1), 64–73. https://doi.org/10.36497/jri.v41i1.148
Vu, L. G., Nguyen, L. H., Nguyen, C. T., Vu, G. T., Latkin, C. A., Ho, R. C. M., & Ho, C. S. H. (2022). Quality of life in Vietnamese young adults: A validation analysis of the World Health Organization’s quality of life (WHOQOL-BREF) instrument. Frontiers in Psychiatry, 13(December), 1–13. https://doi.org/10.3389/fpsyt.2022.968771
Wang, C., Xu, J., Yang, L., Xu, Y., Zhang, X., Bai, C., Kang, J., Ran, P., Shen, H., Wen, F., Huang, K., Yao, W., Sun, T., Shan, G., Yang, T., Lin, Y., Wu, S., Zhu, J., Wang, R., … He, J. (2018). Prevalence and risk factors of chronic obstructive pulmonary disease in China (the China Pulmonary Health [CPH] study): a national cross-sectional study. The Lancet, 391(10131), 1706–1717. https://doi.org/10.1016/S0140-6736(18)30841-9
Yi., et al. (2021). Self-Efficacy Intervention Programs in Patients with Chronic Obstructive Pulmonary Disease: Narrative Review. International Journal of COPD, 16(December), 3397–3403. https://doi.org/10.2147/COPD.S338720
Yulanda, N. A., & Mita. (2019). Pengaruh Modul Supportive Educative Terhadap Perawatan Diri Pasien Penyakit Paru Obstruktif Kronik. Journals of Ners Community, 10(02), 157–168.
Adeloye, D., Song, P., Zhu, Y., Campbell, H., Sheikh, A., & Rudan, I. (2022). Global, regional, and national prevalence of, and risk factors for, chronic obstructive pulmonary disease (COPD) in 2019: a systematic review and modelling analysis. The Lancet Respiratory Medicine, 10(5), 447–458. https://doi.org/10.1016/S2213-2600(21)00511-7
Ahmed, R. E., Bdair, I. A., AL-Mugheed, K., Alshahrani, S. H., Alalyani, M. M., Ramaiah, R., Abdelrahman, S. I., Mahmoud, S. A., & Arrab, M. M. (2023). Empowering Self-Efficacy by Using Patient Empowerment among Chronic Obstructive Pulmonary Disease: Pre–Post-Test Study. Healthcare (Switzerland), 11(3), 1–12. https://doi.org/10.3390/healthcare11030430
Bircan, E., Bezirhan, U., Porter, A., Fagan, P., & Orloff, M. S. (2021). Erratum: Electronic cigarette use and its association with asthma, chronic obstructive pulmonary disease (COPD) and asthma- COPD overlap syndrome among never cigarette smokers (Tob Induc Dis. (2021) 19:75 DOI: 10.18332/tid/142579). Tobacco Induced Diseases, 19(September), 1–10. https://doi.org/10.18332/tid/141989
Bouza, E., Alvar, A., Almagro, P., Alonso, T., Ancochea, J., Barbé, F., Corbella, J., Gracia, D., Mascarós, E., Melis, J., Miravitlles, M., Pastor, M., Pérez, P., Rudilla, D., Torres, A., Soriano, J. B., Vallano, A., Vargas, F., & Palomo, E. (2020). Chronic obstructive pulmonary disease (COPD) in Spain and the different aspects of its social impact: A multidisciplinary opinion document. Revista Espanola de Quimioterapia, 33(1), 49–67. https://doi.org/10.37201/req/2064.2019
Bugajski, A., Frazier, S. K., Cousin, L., Rechenberg, K., Brown, J., Lengerich, A. J., Moser, D. K., & Lennie, T. A. (2019). Effects of a Digital Self-care Intervention in Adults with COPD: A Pilot Study. Western Journal of Nursing Research, 42(9), 736–746. https://doi.org/10.1177/0193945919892282
Cahyandari, R., Nashori, F., & Sulistyarini, I. (2015). Efektivitas Pelatihan Kebersyukuran Untuk Meningkatkan Kualitas Hidup Pasien Penyakit Paru Obstruktif Kronik (Ppok). In Jurnal Intervensi Psikologi (JIP) (Vol. 7, Nomor 1, hal. 1–14). https://doi.org/10.20885/intervensipsikologi.vol7.iss1.art1
Chen, S., Kuhn, M., Prettner, K., Yu, F., Yang, T., Bärnighausen, T., Bloom, D. E., & Wang, C. (2023). The global economic burden of chronic obstructive pulmonary disease for 204 countries and territories in 2020–50: a health-augmented macroeconomic modelling study. The Lancet Global Health, 11(8), e1183–e1193. https://doi.org/10.1016/S2214-109X(23)00217-6
Dewi, A. A. A. A. P., Inayati, R., Sumadewi, K. T., & Kerans, F. F. A. (2023). Molecular and Histological Changes in Airway Basal Stem Cells on Chronic Obstructive Pulmonary Disease. Indonesian Journal of Multidisciplinary Science, 2(10), 3248–3258. https://doi.org/10.55324/ijoms.v2i10.586
Duan, R. R., Hao, K., & Yang, T. (2020). Air pollution and chronic obstructive pulmonary disease. Chronic Diseases and Translational Medicine, 6(4), 260–269. https://doi.org/10.1016/j.cdtm.2020.05.004
Ellis, P. R., Holm, K. E., Choate, R., Mannino, D. M., Stockley, R. A., Sandhaus, R. A., & Turner, A. M. (2023). Quality of Life and Mortality Outcomes for Augmentation Naïve and Augmented Patients with Severe Alpha-1 Antitrypsin Deficiency. Chronic Obstructive Pulmonary Diseases, 10(2), 139–147. https://doi.org/10.15326/jcopdf.2022.0339
Fridolin, A., Musthofa, S. B., & Suryoputro, A. (2022). Factors affecting the quality of life elderly in the work area of the Gayamsari Health Center Semarang City. Jurnal Kesehatan Komunitas, 8(April), 381–389.
Guo, S. E., Chi, M. C., Hwang, S. L., Lin, C. M., & Lin, Y. C. (2020). Effects of particulate matter education on self-care knowledge regarding air pollution, symptom changes, and indoor air quality among patients with chronic obstructive pulmonary disease. International Journal of Environmental Research and Public Health, 17(11), 1–15. https://doi.org/10.3390/ijerph17114103
Jerpseth, H., Knutsen, I. R., Jensen, K. T., & Halvorsen, K. (2021). Mirror of shame: Patients experiences of late-stage COPD. A qualitative study. Journal of Clinical Nursing, 30(19–20), 2854–2862. https://doi.org/10.1111/jocn.15792
Jones, P. W. (2014). St. George’s Respiratory Questionnaire. Encyclopedia of Quality of Life and Well-Being Research, 44(June), 6314–6317. https://doi.org/10.1007/978-94-007-0753-5_2841
Kemenkes RI, 2019. (2019). KEPUTUSAN MENTERI KESEHATAN REPUBLIK INDONESIA.
Kim, C. Y., Kim, B. K., Kim, Y. J., Lee, S. H., Kim, Y. S., & Kim, J. H. (2020). Longitudinal Evaluation of the Relationship Between Low Socioeconomic Status and Incidence of Chronic Obstructive Pulmonary Disease: Korean Genome and Epidemiology Study (KoGES). International Journal of COPD, 15, 3447–3454. https://doi.org/10.2147/COPD.S276639
Kotaki, K., Ikeda, H., Fukuda, T., Yuhei, K., Yuki, F., Kawasaki, M., Wakamatsu, K., & Sugahara, K. (2019). Trends in the prevalence of COPD in elderly individuals in an air-polluted city in Japan: A cross-sectional study. International Journal of COPD, 14, 791–798. https://doi.org/10.2147/COPD.S189372
Lionthina, M., Wiwaha, G., Gondodiputro, S., Arya, I. F. D., Sukandar, H., & Sunjaya, D. K. (2020). Elderly Quality of Life and Its Predictors in Chronic Disease Management Program : Indonesian Version of WHOQOL-BREF and WHOQOL-OLD Kualitas Hidup Lanjut Usia dan Prediktornya pada Program Pengelolaan Penyakit Kronis : Versi Indonesia dari WHOQOL-BREF dan. Majalah Kedokteran Bandung, 52(1), 28–34.
Loubert, A., Regnault, A., Meunier, J., Gutzwiller, F. S., & Regnier, S. A. (2020). Is the st. George’s respiratory questionnaire an appropriate measure of symptom severity and activity limitations for clinical trials in copd? analysis of pooled data from five randomized clinical trials. International Journal of COPD, 15, 2103–2113. https://doi.org/10.2147/COPD.S261919
Lutter, J. I., Jörres, R. A., Welte, T., Watz, H., Waschki, B., Alter, P., Trudzinski, F. C., Ohlander, J., Behr, J., Bals, R., Studnicka, M., Holle, R., Vogelmeier, C. F., & Kahnert, K. (2020). Impact of education on copd severity and all-cause mortality in lifetime never-smokers and longtime ex-smokers: Results of the cosyconet cohort. International Journal of COPD, 15, 2787–2798. https://doi.org/10.2147/COPD.S273839
Matarese, M., Clari, M., De Marinis, M. G., Barbaranelli, C., Ivziku, D., Piredda, M., & Riegel, B. (2020). The Self-Care in Chronic Obstructive Pulmonary Disease Inventory: Development and Psychometric Evaluation. Evaluation and the Health Professions, 43(1), 50–62. https://doi.org/10.1177/0163278719856660
Miravitlles, M., & Ribera, A. (2017). Understanding the impact of symptoms on the burden of COPD. Respiratory Research, 18(1), 1–11. https://doi.org/10.1186/s12931-017-0548-3
Na’ima, A. L., & Prasetya, D. P. (2020). Penatalaksanaan Fisioterapi Dengan Nebulisasi Dan Chest Physiotherapy Terhadap Derajat Sesak Napas Dan Ekspansi Thoraks Pada Penderita Penyakit Paru Obstruksi Kronis (Ppok). Jurnal Kajian Ilmiah Kesehatan dan Teknologi, 2(1), 28–34. https://doi.org/10.52674/jkikt.v2i1.29
Perez, T. A., Castillo, E. G., Ancochea, J., Pastor Sanz, M. T., Almagro, P., Martínez-Camblor, P., Miravitlles, M., Rodríguez-Carballeira, M., Navarro, A., Lamprecht, B., Ramírez-García Luna, A. S., Kaiser, B., Alfageme, I., Casanova, C., Esteban, C., Soler-Cataluña, J. J., De-Torres, J. P., Celli, B. R., Marin, J. M., … Soriano, J. B. (2020). Sex differences between women and men with COPD: A new analysis of the 3CIA study. Respiratory Medicine, 171(July). https://doi.org/10.1016/j.rmed.2020.106105
Putri T., et al. (2021). Faktor-Faktor Kualitas Hidup Pasien Dengan Penyakit Paru Obstruktif Kronik. Jurnal Keperawatan BSI, 9(1).
R.Ahmad, F. F., Santoso, A., & Qanitha, A. (2020). Korelasi antara Kadar Kalsium Serum dengan Fungsi Paru pada Penderita Penyakit Paru Obstruksi Kronik (PPOK). Jurnal Ilmu Kesehatan Masyarakat, 9(01), 53–59. https://doi.org/10.33221/jikm.v9i01.488
Ritianingsih, N. (2017). Lama Sakit Berhubungan Dengan Kualitas Hidup Pasien Penyakit Paru Obstruksi Kronis (Ppok). Jurnal Kesehatan Bakti Tunas Husada: Jurnal Ilmu-ilmu Keperawatan, Analis Kesehatan dan Farmasi, 17(1), 133. https://doi.org/10.36465/jkbth.v17i1.199
Suprayitno, E., Khoiriyati, A., Hidayati, T., Program, S., Magister, K., Universitas, M., Yogyakarta, J., Lingkar Selatan, Y., Kedokteran, F., Kesehatan, I., Muhammadiyah, U., & Jl, Y. (2017). GAMBARAN EFIKASI DIRI DAN PEAK EXPIRATORY FLOW RATE PASIEN PENYAKIT PARU OBSTRUKSI KRONIS (PPOK). In Media Ilmu Kesehatan (Vol. 6, Nomor 1).
Susanto, A. D. (2021). Problems of Chronic Obstructive Pulmonary Disease (COPD) Among Workers. Jurnal Respirologi Indonesia, 41(1), 64–73. https://doi.org/10.36497/jri.v41i1.148
Vu, L. G., Nguyen, L. H., Nguyen, C. T., Vu, G. T., Latkin, C. A., Ho, R. C. M., & Ho, C. S. H. (2022). Quality of life in Vietnamese young adults: A validation analysis of the World Health Organization’s quality of life (WHOQOL-BREF) instrument. Frontiers in Psychiatry, 13(December), 1–13. https://doi.org/10.3389/fpsyt.2022.968771
Wang, C., Xu, J., Yang, L., Xu, Y., Zhang, X., Bai, C., Kang, J., Ran, P., Shen, H., Wen, F., Huang, K., Yao, W., Sun, T., Shan, G., Yang, T., Lin, Y., Wu, S., Zhu, J., Wang, R., … He, J. (2018). Prevalence and risk factors of chronic obstructive pulmonary disease in China (the China Pulmonary Health [CPH] study): a national cross-sectional study. The Lancet, 391(10131), 1706–1717. https://doi.org/10.1016/S0140-6736(18)30841-9
Yi., et al. (2021). Self-Efficacy Intervention Programs in Patients with Chronic Obstructive Pulmonary Disease: Narrative Review. International Journal of COPD, 16(December), 3397–3403. https://doi.org/10.2147/COPD.S338720
Yulanda, N. A., & Mita. (2019). Pengaruh Modul Supportive Educative Terhadap Perawatan Diri Pasien Penyakit Paru Obstruktif Kronik. Journals of Ners Community, 10(02), 157–168.
Published
2025-04-21
How to Cite
Wijayanti, P. M., Wahyudin, E., Madolangan, J., & Arifin, B. (2025). The Relationship Between Self-Efficacy And Self-Care Activity On The Quality Of Life In Chronic Obstructive Pulmonary Disease Patients. Indonesian Journal of Pharmacy. https://doi.org/10.22146/ijp.11158
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Section
Research Article
