The Impact of Self-Management on the Quality of Life Among COPD Patients
DOI:
https://doi.org/10.36497/jri.v46i3.1120Keywords:
COPD, QoL, self-managementAbstract
Background: Chronic obstructive pulmonary disease (COPD) patients report progressive, persistent shortness of breath that worsens with activity. Progressive shortness of breath affects the quality of life of patients with COPD. Patients with good self-management are expected to have greater independence, which will impact their quality of life. This study aimed to examine the relationship between self-management and quality of life among patients with COPD at a respiratory referral hospital in Yogyakarta.
Methods: This study used descriptive correlational research with a cross-sectional design to examine the impact of self-management on quality of life among COPD patients. The sample comprised 100 COPD patients at the respiratory referral hospital polyclinic. The sampling technique was a non-random accidental technique, with sampling continued until the quota was fulfilled. The questionnaires used in this research were the Self-Management Scale (CSMS) to measure self-management and the St. George’s Respiratory Questionnaire (SGRQ) to measure quality of life. Both have been tested for validity and reliability in their Indonesian versions. Spearman's rho was used to examine the impact of self-management on the quality of life among COPD patients.
Results: The majority of the respondents were female (56%), aged 55–65 years (54%), had a low level of education (70%), had suffered from COPD for 1–5 years (61%), were passive smokers (34%), took bronchodilators regularly (97%), and had no comorbidities (71%). In the Spearman test, self-management had a significant correlation (P=0.01) with quality of life, with a correlation coefficient of 0.613 and a positive direction of relationship.
Conclusion: Self-management has a significant and strong correlation with quality of life, and good self-management means better quality of life.
Downloads
References
1. World Health Organization. Chronic obstructive pulmonary disease (COPD) [Internet]. 2024 [cited 2025 Dec 6]. Available from: https://www.who.int/news-room/fact-sheets/detail/chronic-obstructive-pulmonary-disease-(copd)
2. Boers E, Barrett M, Su JG, Benjafield A V., Sinha S, Kaye L, et al. Global burden of chronic obstructive pulmonary disease through 2050. JAMA Netw Open. 2023;6(12):e2346598.
3. World Economic Forum. Why we urgently need to reduce the global burden of COPD. 2024.
4. Stoleski S, Minov J, Mijakoski D, Brborović H, Milošević M, Žaja R. COPD prevalence and characteristics among sample of working population. Front Public Health. 2025;13:1598290.
5. Bhatt SP, Nakhmani A, Fortis S, Strand MJ, Silverman EK, Sciurba FC, et al. FEV1/FVC severity stages for chronic obstructive pulmonary disease. Am J Respir Crit Care Med. 2023;208(6):676–84.
6. Puspasari SFA. Clinical factor affecting quality of life in chronic obstructive pulmonary disease patients. Jurnal Keperawatan Respati Yogyakarta [Internet]. 2024 [cited 2026 Aug 15];11(1):41–7. Available from: https://nursingjurnal.respati.ac.id/index.php/JKRY/article/view/722
7. Supu NM, Muhith A. The impact of self-management program on quality of life and neurological function in stroke patients: A systematic review. JANH. 2024;6(2):587–98.
8. Cravo A, Attar D, Freeman D, Holmes S, Ip L, Singh SJ. The importance of self-management in the context of personalized care in COPD. Int J Chron Obstruct Pulmon Dis. 2022;17:231–43.
9. Scicluna V, Han ML. COPD in women: Future challenges. Arch Bronconeumol. 2023;59(1):3–4.
10. Steinberg AW, Ozga JE, Tang Z, Stanton CA, Sargent JD, Paulin LM. Gender, tobacco and chronic obstructive pulmonary disease: Analysis of the 2020 National Health Interview Survey. BMJ Open Respir Res. 2025;12(1):e002462.
11. Polverino M, Capuozzo A, Cicchitto G, Ferrigno F, Mauro I, Santoriello C, et al. Smoking pattern in men and women: A possible contributor to sex differences in smoke-related lung diseases. Am J Respir Crit Care Med. 2020;202(7):1048–51.
12. Atchley WT, Montgomery A, Seth R, Gandhi T, Brewer S. Navigating COPD in aging populations: Insights into pathophysiology and comprehensive care. Semin Respir Crit Care Med. 2024;45(5):560–73.
13. Morena D, Izquierdo JL, Rodríguez J, Cuesta J, Benavent M, Perralejo A, et al. The clinical profile of patients with COPD is conditioned by age. J Clin Med. 2023;12(24):7595.
14. Guo CJ, Godbole S, Labaki WW, Pratte KA, Curtis JL, Paine R, et al. Metabolic aging as an increased risk for chronic obstructive pulmonary disease. Metabolites. 2024;14(12):647.
15. Lutter JI, Jörres RA, Welte T, Watz H, Waschki B, Alter P, et al. Impact of education on COPD severity and all-cause mortality in lifetime never-smokers and longtime ex-smokers: results of the cosyconet cohort. Int J Chron Obstruct Pulmon Dis. 2020;15:2787–98.
16. Singh D, Litewka D, Páramo R, Rendon A, Sayiner A, Tanni SE, et al. DElaying disease progression in COPD with early initiation of dual bronchodilator or triple inhaled pharmacotherapy (DEPICT): A predictive modelling approach. Adv Ther. 2023;40(10):4282–97.
17. IQAir. 2024 world air quality report: Region & city PM2.5 ranking. IQAir; 2024.
18. Liu Q, Weng J, Li C, Feng Y, Xie M, Wang X, et al. Attenuation of PM2.5-induced alveolar epithelial cells and lung injury through regulation of mitochondrial fission and fusion. Part Fibre Toxicol. 2023;20:28.
19. Cronin E, Cushen B. Diagnosis and management of comorbid disease in COPD. Breathe (Sheff). 2025;21(1):240099.
20. Qama E, Rubinelli S, Diviani N. Factors influencing the integration of self-management in daily life routines in chronic conditions: A scoping review of qualitative evidence. BMJ Open. 2022;12(12):e066647.
21. Coakley M, Drohan M, Bruce E, Hughes S, Jackson N, Holmes S. COPD self-management: A patient–physician perspective. Pulm Ther. 2024;10(2):145–54.
22. Schrijver J, Lenferink A, Brusse-Keizer M, Zwerink M, van der Valk PDLPM, van der Palen J, et al. Self-management for people with chronic obstructive pulmonary disease. Cochrane Database Syst Rev. 2022;1(1):CD002990.
23. Kharbanda S, Anand R. Health-related quality of life in patients with chronic obstructive pulmonary disease: A hospital-based study. Indian J Med Res. 2021;153(4):459–64.
24. Jarab AS, Al-Qerem W, Alzoubi KH, Abu Heshmeh S, Mukattash TL, Naser AY, et al. Health-related quality of life and its associated factors in patients with chronic obstructive pulmonary disease. PLoS One. 2023;18(10):e0293342.
25. Lareau S, ZuWallack R, Nici L. Increasing quality and quantity of life in individuals with chronic obstructive pulmonary disease: A narrative review with an emphasis on pulmonary rehabilitation. 2025;15(5):750.
26. Benzo M V., Novotny P, Benzo RP. Adding granularity of COPD self-management to impact quality of life. Chronic Obstr Pulm Dis. 2022;9(2):277–84.
27. López Luque M, Chuecos Molina M, Ortega Cuelva G, Vázquez López MJ, Orfila Pernas F, Granel Giménez N, et al. Effectiveness of a structured self-management intervention to improve quality of life in individuals with chronic obstructive pulmonary disease (AMPOC study). Open Respir Arch. 2025;7(2):100426.
28. Salgado R, Fernandes H, De Goumoëns V, Kiszio B, Costa P, Delmas P, et al. Effectiveness of self-management digital interventions for improving health-related outcomes in patients with chronic obstructive pulmonary disease: An umbrella review protocol. JBI Evid Synth. 2025;23(6):1246–56.
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Scholastica Fina Aryu Puspasari, Margaretha Kurniastuti, Margareta Hesti Rahayu
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
- The authors own the copyright of published articles. Nevertheless, Jurnal Respirologi Indonesia has the first-to-publish license for the publication material.
- Jurnal Respirologi Indonesia has the right to archive, change the format and republish published articles by presenting the authors’ names.
- Articles are published electronically for open access and online for educational, research, and archiving purposes. Jurnal Respirologi Indonesia is not responsible for any copyright issues that might emerge from using any article except for the previous three purposes.
