@article {Wang263, author = {Kwua-Yun Wang and Pei-Yi Sung and Sheng-Tzu Yang and Chi-Huei Chiang and Wann-Cherng Perng}, title = {Influence of Family Caregiver Caring Behavior on COPD Patients{\textquoteright} Self-Care Behavior in Taiwan}, volume = {57}, number = {2}, pages = {263--272}, year = {2012}, doi = {10.4187/respcare.00986}, publisher = {Respiratory Care}, abstract = {BACKGROUND: COPD becomes a long-term burden on family members who serve as day-to-day caregivers, and causes healthcare systems to incur substantial costs. COPD is both preventable and treatable, and one important aspect of COPD treatment is patients{\textquoteright} self-management. This study aimed to investigate relationships between self-management and the caregiver burden, and the influence of family caregivers{\textquoteright} caring behavior on COPD patients{\textquoteright} self-care behavior. METHODS: In a cross-sectional study conducted between March 2007 and January 2008, 192 pairs of COPD patients (age \> 40 years, normal cognitive function) and their primary family caregivers were recruited to answer questionnaires measuring COPD characteristics and COPD knowledge (patients and caregivers); functional status, health beliefs, self-efficacy, and self-care (patients); and caring behavior and caregiver response (family members). All questionnaires were shown to have acceptable validity and reliability, and the data were analyzed using univariate and multivariate techniques. RESULTS: Patients{\textquoteright} ages, scores in health belief, self-efficacy and disease-related knowledge were shown to correlate with patients{\textquoteright} self-care behavior. Patients{\textquoteright} self-care behavior was negatively correlated with family caregivers{\textquoteright} caring behavior (ρ = -0.21, P = .003), but positively with caring duration of family caregiver caring behavior (ρ = 0.15, P = .037). Patients with a spouse as caregiver exhibited higher self-care ability than patients not married to their caregivers (P = .038). However, patients{\textquoteright} self-care behavior decreased with higher family caregivers{\textquoteright} COPD knowledge (P = .041) and caring behavior (P = .01), and patients regularly taking medication exhibited low self-care scores. CONCLUSIONS: Family caregivers{\textquoteright} caring behavior had a partial negative effect on COPD patients{\textquoteright} self-care behavior.}, issn = {0020-1324}, URL = {https://rc.rcjournal.com/content/57/2/263}, eprint = {https://rc.rcjournal.com/content/57/2/263.full.pdf}, journal = {Respiratory Care} }