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Moderating Effect of Dyspnea in the Relationship Between Death Anxiety and Self-Management in COPD: A Structural Equation Modeling Analysis    
Yazarlar
Dr. Öğr. Üyesi Yasemin CEYHAN
Kırşehir Ahi Evran Üniversitesi, Türkiye
Cihan Aydın
Özet
The study was conducted to examine the moderating effect of dyspnea (according to Modified Medical Research Council-mMRC scale) on the relationship between death anxiety (DA) and self-management (SM) levels in patients suffering from chronic obstructive pulmonary disease (COPD) (n = 313). Model fit indices are within appropriate limits (chi 2/DF = 2.284, GFI = .855, CFI = .796, RMSEA = .064). In mMRC 2, females had 33 times more DA than males. In mMRC 3, DA increased 36 times with increasing age and 14 times with comorbidity. It decreased 15-fold in those with past exacerbation experience. The second model explained DA by 18% while the moderating effect of severe dyspnea contributed 28% to this association. In this group of patients, a one unit increase in DA led to a 53-fold increase in SM. Age, gender, comorbidity and previous exacerbation history affect DA in patients with COPD. Increased DA decreases self-management. Severe dyspnea has a moderating effect between DA and SM.
Anahtar Kelimeler
death anxiety, self management, dyspnea, chronic obstructive pulmonary disease, nursing
Makale Türü Özgün Makale
Makale Alt Türü SSCI, AHCI, SCI, SCI-Exp dergilerinde yayımlanan tam makale
Dergi Adı OMEGA-JOURNAL OF DEATH AND DYING
Dergi ISSN 0030-2228
Dergi Tarandığı Indeksler SSCI
Dergi Grubu Q3
Makale Dili İngilizce
Basım Tarihi 02-2024
Doi Numarası 10.1177/00302228231224572