Xing Zhang, Yefei Ruan, Lin Qiu
This article aims to review the current status, challenges, and optimization strategies of self-management in patients with Chronic Obstructive Pulmonary Disease (COPD). As a core component of comprehensive COPD treatment, self-management plays a key role in controlling symptoms, preventing acute exacerbations, improving quality of life, and reducing the healthcare burden. This narrative review comprehensively outlines the core definitions, current implementation models, key influencing factors, and evaluation systems of self-management, and provides an in-depth analysis of the current bottlenecks in patient adherence, knowledge and skill acquisition, psychosocial support, and integration of medical resources. Based on these findings, this article proposes the integration of behavioral change theory, digital health technologies (such as mobile applications, remote monitoring), home monitoring and early warning systems, and minimal resource rehabilitation interventions as strategic approaches to overcome these barriers. This review concludes that building a personalized, technology-enabled, and sustainable support system is crucial for improving the effectiveness of COPD self-management and reducing the healthcare burden.