Related Factors and Patient Assessment of Chronic Illness Care in Patients with Chronic Obstructive Pulmonary Disease

Aim: The purpose of this to determine perceive chronic care management and related factors of the people with Chronic Obstructive Pulmonary Disease (COPD). Method: Sample of study which designed descriptive and cross-sectional consisted of 300 patients who treated in health care centers or hospitals in Istanbul. The data has been collected with Patient Identification Form and Patient Assessment of Chronic Illness CarePatient Form. Analysis of the data; number, percent, mean, standart deviation, median, t test, ANOVA, correlation were used. Results: Average age of sample group were 63.89 +/- 11.14 (min-max=1-5), most of them were male (% 70.3), married (% 83), primary school graduated (% 41.7) and does not work (% 81). Average score of Patient Assessment of Chronic Illness Care is 1.69 +/- 0.37 (min-max=1-5). Average scores of subscales were; patient activation 1.86 +/- 0.72, decision support 2.34 +/- 0.63, goal setting 1.56 +/- 0.39, problem-solving 1.81 +/- 0.51, follow-up 1.24 +/- 0.50. No statiscally significant difference was found with age, sex, marital status, operating state, chronic conditions, duration of treatment, status of visit emergency and duration of hospitalization. The satisfaction with chronic care management was higger in patients with educated, treated in hospital and informed about illness. Also average score of satisfaction increases if duration of disease increases. Conclusion: Findings revealed that patients with Chronic Obstructive Pulmonary Disease have low satisfaction about chronic care management. Deficiencies according to "patient activation, decision support, goal setting, problem solving and follow up" are mean reasons to reduce patient satisfaction. Results of the study is recommended in health programme and quality improvement study in patients with Chronic Obstructive Pulmonary Disease.