Analysis of pulmonary rehabilitation adapted index of self-efficacy and influencing factors in elderly patients with chronic obstructive pulmonary disease
10.3760/cma.j.cn211501-20230721-00071
- VernacularTitle:老年慢性阻塞性肺疾病患者肺康复自我效能适应指数及影响因素分析
- Author:
Yuting CHEN
1
;
Junmei QIN
;
Fei DUAN
;
Xiaoyan ZHANG
Author Information
1. 新疆维吾尔自治区人民医院重症医学科，乌鲁木齐 830000
- Keywords:
Pulmonary disease, chronic obstructive;
Pulmonary rehabilitation;
Self-efficacy;
Influencing factors
- From:
Chinese Journal of Practical Nursing
2024;40(17):1338-1343
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the adaptive index of pulmonary rehabilitation self-efficacy and its influencing factors in elderly patients with chronic obstructive pulmonary disease (COPD), and to provide reference for formulating and implementing effective intervention strategies.Methods:This was a cross-sectional study. The convenience sampling method was used to select 279 elderly COPD patients hospitalized in the Department of Respiratory and Critical Care Medicine of Xinjiang Uygur Autonomous Region People′s Hospital from March 2023 to June 2023. They were investigated by the general information questionnaire, Chinese version of Pulmonary Rehabilitation Adapted Index of Self-Efficacy, Social Support Scale and Frailty Phenotype. Multiple linear stepwise regression analysis was used to explore the influencing factors of pulmonary rehabilitation self-efficacy in elderly patients with COPD.Results:The age distribution of 279 elderly COPD patients was 117 cases aged 60-69, 102 cases aged 70-79, and 60 cases aged ≥ 80, including 134 males and 145 females. The total score of Chinese version of Pulmonary Rehabilitation Adapted Index of Self-Efficacy in elderly COPD patients was (24.95 ± 5.20) points, and the highest dimension of item mean score was exercise self-efficacy (1.99 ± 0.62) points, while the lowest mean score was strain capacity (1.88 ± 0.44) points. Multiple linear regression analysis showed that educational level, pulmonary function grade, COPD assessment test (CAT) score, social support level and frailty were influencing factors of pulmonary rehabilitation self-efficacy in elderly COPD patients ( t values were - 9.01-3.36, all P<0.05), accounting for 43.4% of the total variation. Conclusions:The self-efficacy adaptation index of pulmonary rehabilitation in the elderly patients with COPD is at the middle-lower level. Health care providers should fully understand the relevant influencing factors, and establish targeted and individualized pulmonary rehabilitation intervention strategies on these basis to maximize the subjective initiative of patients.
