The Open Nursing Journal

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Association Between Perceived Family Social Support and Self-care Behaviors in Elders with Chronic Obstructive Pulmonary Disease (COPD): A Medical Center-based Study from Iran

Nayereh Jafari Shirvani1, Fatemeh Ghaffari2, Zahra Fotokian2, *, Mahmoud Monadi2
1 Nursing Care Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, I.R.Iran
2 Clinical Research Development Unite of Rouhani Hospital, Babol University of Medical Sciences, Babol, I.R.Iran



One of the effective factors in the participation and cooperation of elderly patients with Chronic Obstructive Pulmonary Disease (COPD) in self-care activities is to receive medical, caring, emotional and psychological support from family members. However, an elders’ perception of the received support can affect the effectiveness of family social support.


The aim of this study was to determine the association between perceived family social support and self-care behaviors of elders with COPD.


This is a descriptive cross-sectional study. The research setting is Omid Chronic Disease Clinic, Babol city, north of Iran. Two hundred elderly people with COPD were enrolled in the study by convenience sampling. Demographic and clinical data were recorded. Perceived Family Social Support Scale (developed by Procidona and Heller 1983) and self-care behaviors for COPD patients’ questionnaire (developed by Alberto 1993) were used for data collection. Statistical analysis was performed by SPSS software version 16.


The mean age of 200 Iranian elderly people with COPD was 71.25±7.15 years and the mean duration of disease was 5.21±3.6 years. The mean score of perceived family social support was 17.69±2.74, which was considered as good and the mean score of self-care behaviors was 105.36±20.27, which was considered as good. There was a negative, significant relationship between the perception of family social support and self-care behaviors of the elderly with COPD (r=-0.44; P<0.001). Also, a positive, significant relationship was identified between self-care behaviors with gender (be male), high education level and living with family (not alone) variables (P<0.05).


The results of this study showed that elders with COPD had good self-care behavior. But for some self-care behaviors (60-101 subjects) reported, they “rarely” performed the desired self-care behavior, which supports the need for patient and family educational interventions in the future. So, because of patient's aging and growing care needs, there is a need for planning continuing education for the elderly and their family in order to continue and improve self-care behaviors and reduce patient dependence on caregivers. It is suggested that improving the elderly's perception of the received supports should be included in patient education programs and family education programs should emphasize family support to increase the patient's motivation for self-care.

Relevance to Clinical Practice:

The assessment of the perceived family social support, and self-care behaviors of the elders with COPD should be an essential part of nursing practice. The study also provides the foundation for the conduct of future studies of self-care behavior training for managing elder patients with COPD.

Keywords: Family, Social Support, Nursing, Elderly, COPD, Self-Care Behaviors.

Article Information

Identifiers and Pagination:

Year: 2020
Volume: 14
First Page: 1
Last Page: 7
Publisher Id: TONURSJ-14-1
DOI: 10.2174/1874434602014010001

Article History:

Received Date: 16/10/2019
Revision Received Date: 11/12/2019
Acceptance Date: 18/12/2019
Electronic publication date: 14/02/2020
Collection year: 2020

© 2020 Shirvani et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: ( This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the Nursing Care Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, I.R. Iran; Tel: +98 (11) 55225151; E-mail:

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