Zhang XL, Li SS, Qin JQ, Han XY, Su XH, Qin LM, Pan C. Correlation between self-management, psychological cognitive impairment, and quality of life in elderly chronic obstructive pulmonary disease patients. World J Psychiatry 2025; 15(4): 102494 [DOI: 10.5498/wjp.v15.i4.102494]
Corresponding Author of This Article
Chang Pan, PhD, Associate Professor, Department of Nursing, Liuzhou Traditional Chinese Medical Hospital (Liujcouh Si Ywcuengh Yihyen), No. 6 Honghu Road, Chengzhong District, Liuzhou 545000, Guangxi Zhuang Autonomous Region, China. 519997279@qq.com
Research Domain of This Article
Psychology, Clinical
Article-Type of This Article
Observational Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Psychiatry. Apr 19, 2025; 15(4): 102494 Published online Apr 19, 2025. doi: 10.5498/wjp.v15.i4.102494
Correlation between self-management, psychological cognitive impairment, and quality of life in elderly chronic obstructive pulmonary disease patients
Xiao-Li Zhang, Su-Shu Li, Jian-Qing Qin, Xiao-Yu Han, Xing-Hui Su, Liu-Mei Qin, Chang Pan
Xiao-Li Zhang, Su-Shu Li, Jian-Qing Qin, Xiao-Yu Han, Xing-Hui Su, Liu-Mei Qin, Respiratory and Critical Care Medicine, Ward 1, Liuzhou Traditional Chinese Medical Hospital (Liujcouh Si Ywcuengh Yihyen), Liuzhou 545000, Guangxi Zhuang Autonomous Region, China
Chang Pan, Department of Nursing, Liuzhou Traditional Chinese Medical Hospital (Liujcouh Si Ywcuengh Yihyen), Liuzhou 545000, Guangxi Zhuang Autonomous Region, China
Co-first authors: Xiao-Li Zhang and Su-Shu Li.
Author contributions: Zhang XL and Pan C managed data; Li SS analyzed data; Zhang XL and Li SS contributed equally as co-first authors; Qin JQ performed investigation; Han XH contributed to project administration; Zhang XL and Pan C contributed to resources; Zhang XL and Pan C supervised the study; Zhang XL wrote, reviewed and edited the draft; Zhang XL, Li SS, Qin JQ, Han XY, Su XH, Qin LM, and Pan C have reviewed and agreed to the published version of the manuscript.
Institutional review board statement: This study has been approved by the Ethics Committee of LiuZhou Traditional Chinese Medical Hospital (Ethics Approval No. 2024-KY-XS-051-01).
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
STROBE statement: The authors have read the STROBE Statement-checklist of items, and the manuscript was prepared and revised according to the STROBE Statement-checklist of items.
Data sharing statement: Upon reasonable request, the study data can be obtained from the corresponding author.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Chang Pan, PhD, Associate Professor, Department of Nursing, Liuzhou Traditional Chinese Medical Hospital (Liujcouh Si Ywcuengh Yihyen), No. 6 Honghu Road, Chengzhong District, Liuzhou 545000, Guangxi Zhuang Autonomous Region, China. 519997279@qq.com
Received: November 13, 2024 Revised: January 1, 2025 Accepted: February 17, 2025 Published online: April 19, 2025 Processing time: 132 Days and 2.1 Hours
Abstract
BACKGROUND
The correlation conclusions between self-management, frailty, and quality of life (QoL) of chronic obstructive pulmonary disease (COPD) patients are inconsistent.
AIM
To comprehensively assess the current status of self-management, psychological cognitive impairment, and QoL in elderly patients with COPD.
METHODS
Convenient sampling was employed to select 312 elderly patients with COPD who were receiving treatment in the respiratory and critical care medicine department of a tertiary grade A hospital from November 2023 to February 2024. The study utilized demographic information and clinical characteristics, self-management behavior, occurrence of psychological cognitive impairment, and QoL as evaluated through general information questionnaires, the COPD patient self-management scale, simple frailty scale, simple mental status scale, clinical dementia assessment scale, and the clinical COPD assessment test questionnaire. This research aims to describe the current status and correlations among self-management behavior, cognitive impairment occurrence, and QoL.
RESULTS
The average score for self-management behavior in elderly COPD patients was 136.00 (119.00, 164.50), indicating a moderate level overall. There were 98 cases of cognitive impairment, accounting for 31.4%, with a mental status score of 3 (2, 3.75). The average QoL score was 24 (19, 28), indicating a low level. Additionally, there was a negative correlation between total self-management behavior score and cognitive impairment occurrence (r = -0.589, P < 0.001), and QoL total score (r = -0.409, P < 0.001). Cognitive impairment occurrence was positively correlated with QoL total score (r = 0.345, P < 0.001). Disease course and self-management behavior score were independent factors affecting the total QoL score in elderly COPD patients (P < 0.05).
CONCLUSION
The self-management behavior of elderly patients with COPD is at a moderate level. However, the occurrence of cognitive impairment is high and significantly influenced by disease course, level of self-management, and mental status. The QoL is low, emphasizing the urgent need to intervene in the self-management behaviors of elderly COPD patients, actively reduce the occurrence of cognitive impairment, and mitigate the impact of the disease on QoL.
Core Tip: This study investigates the relationship between self-management, cognitive impairment, and quality of life (QoL) in elderly chronic obstructive pulmonary disease patients. Findings reveal that self-management behavior is at a moderate level, cognitive impairment is prevalent, and QoL is generally low. A negative correlation exists between self-management and both cognitive impairment and QoL. Additionally, disease duration and self-management are independent factors affecting QoL. Interventions targeting self-management and cognitive health are essential to improve the overall well-being and QoL of elderly chronic obstructive pulmonary disease patients. This study provides valuable insights for personalized disease management strategies.
