Pemberdayaan Pasien PPOK melalui Manajemen Diri: Pengembangan dan Uji Coba Buku Panduan Berbasis Written Action Plan
Abstract
Chronic obstructive pulmonary disease (COPD) remains a significant global health burden. Effective self-management by patients is crucial and involves regular monitoring by healthcare providers, patient education, and a collaboratively agreed-upon written action plan. This study aimed to design and apply a self-management guidebook incorporating a written action plan for individuals with COPD. The study used a pre-experimental design with 9 participants. Data were collected through self-management knowledge questionnaires and evaluations of the guidebook implementation. Results showed a significant increase in self-management knowledge after the intervention (p < 0.05), along with good acceptance from the participants. In conclusion, the written action plan-based guidebook shows promise as a tool to facilitate ongoing care and self-management in COPD patients. Larger-scale studies are recommended to validate these results.
References
Agatha, V., Sitanggang, H. D., Wisudariani, E., Hubaybah, H., Fitri, A., & Gultom, M. D. (2024). Factors Determining the Risk Level of Chronic Obstructive Lung Disease (COPD) in Smokers in Bandung City: A Secondary Data Analysis. Journal of Health Sciences and Epidemiology, 2(1), 29–37. https://doi.org/10.62404/jhse.v2i1.37
British Lung Fondation, B. (2022). Your COPD self-management plan.
Celli, B., Fabbri, L., Criner, G., Martinez, F. J., Mannino, D., Vogelmeier, C., Montes de Oca, M., Papi, A., Sin, D. D., Han, M. K., & Agusti, A. (2022). Definition and Nomenclature of Chronic Obstructive Pulmonary Disease: Time for Its Revision. American Journal of Respiratory and Critical Care Medicine, 206(11), 1317–1325. https://doi.org/10.1164/rccm.202204-0671PP
Clari, M., Riva-Rovedda, F., Dimonte, V., & Matarese, M. (2024). Self-care styles of patients with chronic obstructive pulmonary disease: A mixed methods case study. Heart & Lung, 68, 231–241. https://doi.org/10.1016/j.hrtlng.2024.07.011
Cravo, A., Attar, D., Freeman, D., Holmes, S., Ip, L., & Singh, S. J. (2022). The Importance of Self-Management in the Context of Personalized Care in COPD. International Journal of Chronic Obstructive Pulmonary Disease, 17, 231–243. https://doi.org/10.2147/COPD.S343108
Feiring, E., & Friis, T. (2020). Facilitators and barriers to clinicians’ use of COPD action plans in self-management support: A qualitative study. Patient Education and Counseling, 103(4), 693–701. https://doi.org/10.1016/j.pec.2019.11.002
GOLD. (2024). Global Initiative for Chronic Obstructive Lung Disease: 2024 Report.
Jain, V. V., & Jalota, L. (2016). Action plans for COPD: strategies to manage exacerbations and improve outcomes. International Journal of Chronic Obstructive Pulmonary Disease, 1179. https://doi.org/10.2147/COPD.S76970
Jarhyan, P., Hutchinson, A., Khaw, D., Prabhakaran, D., & Mohan, S. (2022). Prevalence of chronic obstructive pulmonary disease and chronic bronchitis in eight countries: a systematic review and meta-analysis. Bulletin of the World Health Organization, 100(03), 216–230. https://doi.org/10.2471/BLT.21.286870
Kim-Dorner, S.-J., Schmidt, T., Kuhlmann, A., Graf von der Schulenburg, J.-M., Welte, T., & Lingner, H. (2022). Age- and gender-based comorbidity categories in general practitioner and pulmonology patients with COPD. Npj Primary Care Respiratory Medicine, 32(1), 17. https://doi.org/10.1038/s41533-022-00278-8
Lenferink, A., Brusse-Keizer, M., van der Valk, P. D., Frith, P. A., Zwerink, M., Monninkhof, E. M., van der Palen, J., & Effing, T. W. (2017). Self-management interventions including action plans for exacerbations versus usual care in patients with chronic obstructive pulmonary disease. Cochrane Database of Systematic Reviews, 2017(8). https://doi.org/10.1002/14651858.CD011682.pub2
Miller, W. R., Lasiter, S., Bartlett Ellis, R., & Buelow, J. M. (2015). Chronic disease self-management: A hybrid concept analysis. Nursing Outlook, 63(2), 154–161. https://doi.org/10.1016/j.outlook.2014.07.005
Morrison, D., Mair, F. S., Yardley, L., Kirby, S., & Thomas, M. (2017). Living with asthma and chronic obstructive airways disease: Using technology to support self-management – An overview. Chronic Respiratory Disease, 14(4), 407–419. https://doi.org/10.1177/1479972316660977
Ntritsos, G., Franek, J., Belbasis, L., Christou, M. A., Markozannes, G., Altman, P., Fogel, R., Sayre, T., Ntzani, E. E., & Evangelou, E. (2018). Gender-specific estimates of COPD prevalence: a systematic review and meta-analysis. International Journal of Chronic Obstructive Pulmonary Disease, Volume 13, 1507–1514. https://doi.org/10.2147/COPD.S146390
Schrijver, J., Effing, T., van Helden, J., van der Palen, J., van der Valk, P., Brusse-Keizer, M., & Lenferink, A. (2024). Does adherence to exacerbation action plans matter? Insights from two COPD self-management studies. Heliyon, 10(20), e39070. https://doi.org/10.1016/j.heliyon.2024.e39070
Schrijver, J., Lenferink, A., Brusse-Keizer, M., Zwerink, M., van der Valk, P. D., van der Palen, J., & Effing, T. W. (2022). Self-management interventions for people with chronic obstructive pulmonary disease. Cochrane Database of Systematic Reviews, 2023(3). https://doi.org/10.1002/14651858.CD002990.pub4
Tang, Y., Ye, Q. J., Toh, H. P., Tan, J., Tan, G. L., & Sharma, K. (2024). Quality Improvement Project to Develop a Pictorial Chronic Obstructive Pulmonary Disease (COPD) Action Plan. Cureus. https://doi.org/10.7759/cureus.68171
Tripathi, G., Sabherwal, M., & Singh, P. (2024). “I know I have this till my Last Breath”: Unmasking the Gaps in Chronic Obstructive Pulmonary Disease (COPD) Care in India. Proceedings of the CHI Conference on Human Factors in Computing Systems, 1–16. https://doi.org/10.1145/3613904.3642504
Van de Velde, D., De Zutter, F., Satink, T., Costa, U., Janquart, S., Senn, D., & De Vriendt, P. (2019). Delineating the concept of self-management in chronic conditions: a concept analysis. BMJ Open, 9(7), e027775. https://doi.org/10.1136/bmjopen-2018-027775
Wafaa, P., Alseraty, H., Ahmad, W., Eisa, H., & Mohamed, S. (2020). Self-Management written action plan impacts on asthmatic patients ’ outcomes and asthma coping strategies . Turkish Journal of Physiotherapy and Rehabilitation, 32(3), 24799–24809.
Wang, Z., Lin, J., Liang, L., Huang, F., Yao, X., Peng, K., Gao, Y., & Zheng, J. (2025). Global, regional, and national burden of chronic obstructive pulmonary disease and its attributable risk factors from 1990 to 2021: an analysis for the Global Burden of Disease Study 2021. Respiratory Research, 26(1), 2. https://doi.org/10.1186/s12931-024-03051-2
Weerasooriya, K. W. R., Samartkit, N., Masingboon, K., & Witheethamasak, P. (2025). Self-management behavior and its influencing factors among adults with chronic obstructive pulmonary disease in Colombo, Sri Lanka: A cross-sectional study. Belitung Nursing Journal, 11(1), 67–74. https://doi.org/10.33546/bnj.3660
Wireklint, P., Hasselgren, M., Montgomery, S., Lisspers, K., Ställberg, B., Janson, C., & Sundh, J. (2021). Factors associated with knowledge of self-management of worsening asthma in primary care patients: a cross-sectional study. Journal of Asthma, 58(8), 1087–1093. https://doi.org/10.1080/02770903.2020.1753209
Ying, Y., Khunthason, S., Apidechkul, T., & Nilvarangkul, K. (2024). Influencing factors of good quality of life among chronic obstructive pulmonary disease patients living in Zhejiang Province, China. Scientific Reports, 14(1), 8687. https://doi.org/10.1038/s41598-024-59289-9
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