Construction and application of a graded exercise rehabilitation program for patients with acute exacerbation of chronic obstructive pulmonary disease
10.3761/j.issn.0254-1769.2024.07.001
- VernacularTitle:慢性阻塞性肺疾病急性加重期患者肺康复分级方案的构建与应用
- Author:
Nana YANG
1
;
Hui ZENG
;
Dandan FU
;
Yan WANG
;
Chuanli CHENG
;
Rong LIU
;
Luwen LUO
Author Information
1. 563000 遵义市遵义医科大学护理学院
- Keywords:
Pulmonary Disease;
Chronic Obstructive;
Acute Exacerbation;
Exercise Rehabilitation;
Triangle Model;
Delphi Method;
Nursing Care
- From:
Chinese Journal of Nursing
2024;59(7):773-781
- CountryChina
- Language:Chinese
-
Abstract:
Objective To construct and preliminarily apply a graded exercise rehabilitation program for patients with acute exacerbation of chronic obstructive pulmonary disease(AECOPD),and to provide a theoretical basis for the scientific implementation of exercise rehabilitation by medical staff.Methods Based on Triangle model and evidence-based method,the first draft of the graded exercise rehabilitation program was constructed,and the items were revised through 2 rounds of expert consultations from March to October,2023.The graded exercise rehabilitation program was preliminarily applied in 10 patients with AECOPD.Results The effective recovery rates of the 2 rounds of expert consultation questionnaires were 100％;the expert authority coefficients were 0.857 and 0.863;the coefficients of variation were 0-0.285 and 0.052-0.244;the Kendall's harmony coefficients were 0.167 and 0.145,respectively(all P＜0.001).The final plan includes 4 first-level indicators,13 second-level indicators,and 25 third-level indicators.The scores of 6 min walking test,mMRC and CAT after exercise were improved compared with those before exercise,and the differences were statistically significant(all P＜0.05).Conclusion The graded exercise rehabilitation program for patients with AECOPD constructed in this study has good scientificity and practicability,which can provide references for clinical implementation of exercise rehabilitation.
