title: [Influence of perception of chronic obstructive pulmonary disease in promotion of self-management of disease].
abstract: OBJECTIVE
  Identify the state of the art about the influence of illness perceptions in the promotion of self -management in patients with COPD.
  
  
  METHODS
  We conducted a systematic review of the literature, using the method of PICOS, the systematic literature review includes the years 2004 to 2009 and was conducted between August and September 2009.
  
  
  RESULTS
  Four articles met the inclusion criteria, including a review of the literature and three qualitative studies. Clients with higher perception of disease control and greater self -efficacy, with stable emotional situations, have better results in self -control of the disease. The evaluation, discussion and clarification of beliefs, attitudes and their impact on self -confidence and self -control should be integrated into clinical practice.
  
  
  CONCLUSIONS
  The perceived lack of control over the course of the disease contributes to reduced quality of life, creates anxiety, leads to social isolation, can lead to depression, and reduces the motivation to acquire knowledge and skills for self -control disease. The lack of motivation, the inability to recognize the cognitive, instrumental capabilities, social support and support of health professionals, power the low self -control of the disease and non -adherence to therapy.
authors.affiliation: Escola Superior de Enfermagem do Porto, Portugal. miguelpadilha@esenf.pt
authors.forename: José Miguel dos Santos C
authors.initials: JM
authors.lastname: Padilha
mesh_terms: D006801:Humans; D029424:Pulmonary Disease, Chronic Obstructive / Q000523:psychology* / Q000628:therapy*; D012648:Self Care; D012649:Self Concept