慢性阻塞性肺疾病患者呼吸功能锻炼依从性的影响因素分析
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摘要
目的了解慢性阻塞性肺疾病(COPD)患者呼吸功能锻炼的依从性,并探讨其影响因素,为开展临床护理干预提供依据。方法选择COPD住院患者236例,采用自行设计及BCKQ设计的问卷调查表对患者进行调查和评估,应用卡方检验和相关性分析等方法,探讨影响呼吸功能锻炼的因素。结果 236例COPD患者中,进行呼吸功能锻炼者80例(33. 9%),其影响因素主要与年龄、文化程度和家庭个人收入有关,同时COPD知识掌握情况与呼吸功能锻炼依从性呈正相关(r=0. 847,P <0. 001)。结论 COPD患者呼吸功能锻炼依从性整体较差,应加强COPD相关知识和呼吸功能锻炼方法的健康教育,同时定期对患者进行督促和鼓励,调动其锻炼积极性。
Objective To understand the exercise compliance of respiratory function in patients with chronic obstructive pulmonary disease( COPD),and explore its influencing factors to provide basis for clinical nursing intervention. Methods A total of 236 patients with COPD were selected. The patients with COPD were investigated and evaluated by self-designed and BCKQ designed questionnaire. Through chi-square test,correlation analysis and other methods to explore the influencing factors of respiratory function exercise. Results There were 80 patients( 33. 9%) performed respiratory function training in 236 patients with COPD,and the main influencing factors to their compliance were age,education level,and family personal income. At the same time,COPD knowledge was positively correlated with compliance of respiratory exercise( r = 0. 847,P < 0. 001). Conclusions The overall compliance of respiratory function training in COPD patients is poor,and the health education of COPD knowledge and respiratory function training methods should be strengthened. At the same time,patients should be followed up regularly to urge and encourage them to exercise.
Objective To understand the exercise compliance of respiratory function in patients with chronic obstructive pulmonary disease( COPD),and explore its influencing factors to provide basis for clinical nursing intervention. Methods A total of 236 patients with COPD were selected. The patients with COPD were investigated and evaluated by self-designed and BCKQ designed questionnaire. Through chi-square test,correlation analysis and other methods to explore the influencing factors of respiratory function exercise. Results There were 80 patients( 33. 9%) performed respiratory function training in 236 patients with COPD,and the main influencing factors to their compliance were age,education level,and family personal income. At the same time,COPD knowledge was positively correlated with compliance of respiratory exercise( r = 0. 847,P < 0. 001). Conclusions The overall compliance of respiratory function training in COPD patients is poor,and the health education of COPD knowledge and respiratory function training methods should be strengthened. At the same time,patients should be followed up regularly to urge and encourage them to exercise.
引文
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[2] CHARUSUSIN N,GOSSELINK R,MCCONNELL A,et al. Inspiratory muscle training improves breathing pattern during exercise in COPD patients[J]. Eur Respir J,2016,47(4):1261-1264.
[3] BASSOVANELLI R P,DI L V,LABADESSA I G,et al.Effects of inspiratory muscle training and calisthenicsand-breathing exercises in COPD with and without respiratory muscle weakness[J]. Resp Care,2015,61(1):50.
[4]石群,康明.慢性阻塞性肺疾病患者呼吸锻炼依从性的研究进展[J].护理管理杂志,2011,11(9):635-636.
[5] HAYTON C,CLARK A,OLIVE S,et al. Barriers to pulmonary rehabilitation:characteristics that predict patient attendance and adherence.[J]. Resp Med,2013,107(3):401-407.
[6]宋玛丽,岑慧红,罗俏玲,等.社区COPD患者家庭肺康复现状调查及影响因素分析[J].中华现代护理杂志,2016,22(11):1486-1493.
[7]韩燕霞.自我管理项目对COPD患者知识、信念及行为的影响研究[D].苏州:苏州大学,2012.
[8]邵燕儿,周磊.呼吸功能锻炼对老年慢性阻塞性肺气肿患者肺功能及生活质量影响的研究[J].中国康复,2015,30(5):370-371.
[9]贺胜男,倪静玉,钮美娥,等. COPD患者呼吸功能锻炼方法的研究进展[J].护士进修杂志,2015,30(17):1567-1570.