Construction and practice of exercise rehabilitation program for COPD patients based on health action process approach
10.3760/cma.j.cn115682-20200210-00554
- VernacularTitle:基于健康行动过程取向理论的COPD患者运动康复方案的构建与实践
- Author:
Xiangping HAN
1
;
Lei HE
;
Hongyan LI
;
Huimin LU
;
Hui LIU
Author Information
1. 河南省驻马店市中心医院康复医学科 463000
- Keywords:
Pulmonary disease, chronic obstructive;
Health action process approach;
Exercise;
Self efficacy;
Resilience, psychological
- From:
Chinese Journal of Modern Nursing
2020;26(23):3183-3186
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effects of exercise rehabilitation program for chronic obstructive pulmonary disease (COPD) patients based on health action process approach (HAPA) on exercise self-efficacy and psychological resilience in COPD patients.Methods:From January to August 2019, we selected 100 COPD inpatients from Zhumadian Central Hospital as the research objects by convenience sampling. A total of 50 patients hospitalized from January to April 2019 were in control group, and 50 patients hospitalized from May to August 2019 were in observation group. Control group carried out the COPD routine nursing, while observation group implemented the exercise rehabilitation program for COPD patients based on HAPA. The effect of intervention was evaluated with the Exercise Self-Efficacy Scale and the Connor-Davidson Resilience Scale (CD-RISC) .Results:In the end, there were 46 valid questionnaires in control group, and 47 valid questionnaires in observation group. The scores of exercise self-efficacy of patients in observation group and control group three months after discharge were (8.89±2.70) and (7.73±1.67) respectively with a statistical difference ( t=2.485, P=0.015) . Three months after discharge, scores of three dimensions of CD-RISC, namely hardiness, strength and optimism, of observation group were (35.55±6.16) , (23.79±4.88) and (11.25±2.72) respectively, and those of control group were (32.33±6.79) , (21.22±4.17) and (9.80±2.56) , and differences were statistically significant ( t=2.396, 2.728, 2.646; P<0.05) . Conclusions:HAPA-based exercise rehabilitation program for COPD patients has a positive significance for improving the patients' exercise self-efficacy and psychological resilience.
