{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T12:08:36Z","timestamp":1775477316131,"version":"3.50.1"},"reference-count":48,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2023,2,28]],"date-time":"2023-02-28T00:00:00Z","timestamp":1677542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Respir Care"],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND:<\/jats:title>\n                    <jats:p>COPD is a common but irreversible disease. Nevertheless, patients with COPD can maintain good quality of life through psychological resilience and effective self-management. However, limited studies have investigated the relationship between self-management behaviors and resilience in patients with COPD. Thus, the present study aimed to determine the factors associated with self-management behaviors and resilience among patients with COPD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS:<\/jats:title>\n                    <jats:p>A total of 100 subjects with COPD were recruited from a medical center in northern Taiwan from February 2020 to January 2021. Each subject completed a questionnaire based on the 20-item COPD Self-Management Scale and 25-item Resilience Scale through a face-to-face interview. A multiple linear regression model that controlled for sociodemographic and clinical factors was used to examine the relationship between self-management behaviors and resilience.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>\n                      Analysis of our data indicated that differences in educational level, smoking status, religion, modified Medical Research Council dyspnea scale score, degree of COPD impacting wellbeing, number of COPD-related hospitalizations within 1 year, and self-reported comorbidities were associated with differences in self-management and resilience scores. The GOLD (Global Initiative for Chronic Obstructive Lung Disease) D group had the lowest scores for self-management and resilience among GOLD groups A, B, C, and D. Self-management and resilience were positively correlated (r = 0.703,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .001). In the linear regression model, a better self-management value was associated with a higher resilience score (\u03b2 = 0.749,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .001), whereas an increasing resilience score was also associated with a better self-management score (\u03b2 = 0.461,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS:<\/jats:title>\n                    <jats:p>This study revealed that self-management and psychological resilience were positively correlated and associated in our linear regression model. Future work may focus on finding the causative relationship between self-management and resilience among patients with COPD.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4187\/respcare.10416","type":"journal-article","created":{"date-parts":[[2023,2,28]],"date-time":"2023-02-28T08:45:20Z","timestamp":1677573920000},"page":"511-519","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":15,"title":["Associations Between Self-Management Behaviors and Psychological Resilience in Patients With COPD"],"prefix":"10.1177","volume":"68","author":[{"given":"En-Ming","family":"Chang","sequence":"first","affiliation":[{"name":"Department of Long-Term Care, National Taipei University of Nursing and Health Science, Taipei City, Taiwan."},{"name":"Department of Respiratory Care, Shin Kong Wu Ho Su Memorial Hospital, Taipei City, Taiwan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Li-Sheng","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Respiratory Therapy, Georgia State University, Atlanta, Georgia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yang-Tzu","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Long-Term Care, National Taipei University of Nursing and Health Science, Taipei City, Taiwan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chi-Tsung","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Respiratory Care, Shin Kong Wu Ho Su Memorial Hospital, Taipei City, Taiwan."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,2,28]]},"reference":[{"key":"e_1_3_3_2_2","unstructured":"Global Initiative for Chronic Obstructive Lung Disease \u2013 GOLD. 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