Introduction
Chronic obstructive pulmonary disease (COPD) results
in millions of visits to medical care facilities annually. In Taiwan, crude COPD mortality was unchanged from 1981
to 1993 (8.26–8.47 deaths per 100,000 population) and
then increased steadily thereafter to 17.88 per 100,000 in
2002; after age standardization, mortality decreased from
8.6 to 4.91 per 100,000 population from 1981 to 1993 and then peaked at 7.36 per 100,000 in 1999. The obstructive
airway disease category, including COPD and other lower
respiratory diseases, ranked seventh among leading causes of death in Taiwan in 2008, according to the government’s annual report. As a chronic condition, COPD can be debilitating, become a long-term burden on family members who serve as day-to-day caregivers, and cause healthcare systems to incur substantial costs. COPD is both preventable and treatable. One important aspect of COPD treatment is patient self-management. A study comparing patients with COPD and congestive heart failure found that COPD patients had lower self-efficacy and worse self-care behavior, attributable to differences in the nature of COPD versus congestive heart failure.
IntroductionChronic obstructive pulmonary disease (COPD) resultsin millions of visits to medical care facilities annually. In Taiwan, crude COPD mortality was unchanged from 1981to 1993 (8.26–8.47 deaths per 100,000 population) andthen increased steadily thereafter to 17.88 per 100,000 in2002; after age standardization, mortality decreased from8.6 to 4.91 per 100,000 population from 1981 to 1993 and then peaked at 7.36 per 100,000 in 1999. The obstructiveairway disease category, including COPD and other lowerrespiratory diseases, ranked seventh among leading causes of death in Taiwan in 2008, according to the government’s annual report. As a chronic condition, COPD can be debilitating, become a long-term burden on family members who serve as day-to-day caregivers, and cause healthcare systems to incur substantial costs. COPD is both preventable and treatable. One important aspect of COPD treatment is patient self-management. A study comparing patients with COPD and congestive heart failure found that COPD patients had lower self-efficacy and worse self-care behavior, attributable to differences in the nature of COPD versus congestive heart failure.
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