Chain mediating effect of empowerment and activation between chronic disease resources and self-management in elderly COPD patients
10.3760/cma.j.cn115682-20250318-01340
- VernacularTitle:赋能和积极度在老年COPD患者慢性病资源和自我管理间的链式中介作用
- Author:
Huizhen ZHOU
1
;
Guowen WANG
1
Author Information
1. 绍兴文理学院附属医院（绍兴市立医院）呼吸与危重症医学科一，绍兴 312000
- Publication Type:Journal Article
- Keywords:
Aged;
Chronic obstructive pulmonary disease;
Chronic disease resources;
Self-management;
Activation;
Empowerment
- From:
Chinese Journal of Modern Nursing
2025;31(28):3868-3873
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the chain mediating effect of empowerment and activation between chronic disease resources and self-management in elderly patients with chronic obstructive pulmonary disease (COPD) .Methods:A convenience sampling method was used to select 306 elderly COPD patients who were treated at the Affiliated Hospital of Shaoxing University from December 2022 to May 2024. General information questionnaires, COPD Self-Management Scale (COPD-SMS), Chronic Illness Resources Survey-Chinese version (CIRS-C), COPD Empowerment Evaluation Scale, and the Patient Activation Measure (PAM 13) were used for the survey. AMOS 22.0 software was employed to construct a structural equation model to analyze the pathways influencing self-management in COPD patients.Results:A total of 306 questionnaires were distributed, with 291 valid ones returned, resulting in an effective response rate of 95.10%. Empowerment and activation played a mediating role between chronic disease resources and self-management in elderly COPD patients. A total of three pathways were identified: chronic disease resources→activation→self-management (effect size=0.099, accounting for 18.07% of the total effect), chronic disease resources→empowerment→self-management (effect size=0.084, accounting for 15.33% of the total effect), and chronic disease resources→empowerment →activation→self-management (effect size=0.039, accounting for 7.11% of the total effect). Chronic disease resources also had a direct effect on self-management (effect size=0.326, accounting for 59.49% of the total effect) .Conclusions:The self-management level of elderly COPD patients urgently needs improvement. Nursing staff should focus on optimizing the allocation of chronic disease resources for elderly COPD patients, empowering them to stimulate activation and promote the improvement of their self-management abilities.
