Analysis of distribution characteristics on exercise behavior stages and its predictive factors in patients with chronic obstructive pulmonary disease after discharge
10.3761/j.issn.0254-1769.2024.17.005
- VernacularTitle:慢性阻塞性肺疾病患者出院后运动行为特征及预测因素分析
- Author:
Huan TANG
1
;
Guihua CHEN
;
Qin LI
;
Xixin ZHOU
;
Xiucen WU
;
Penghua SHEN
Author Information
1. 400010 重庆市 重庆医科大学附属第二医院呼吸与危重症医学科
- Keywords:
Pulmonary Disease,Chronic Obstructive;
Exercise Behavior;
The Transtheoretical Model;
Predictive Factors;
Nursing Care
- From:
Chinese Journal of Nursing
2024;59(17):2084-2092
- CountryChina
- Language:Chinese
-
Abstract:
Objective To understand the characteristics and the predictors of the distribution of exercise behavior stages in COPD patients after discharge from the hospital,and to provide a reference basis for the implementation of the whole process and continuous rehabilitation care decision-making.Methods Using the convenience sampling method,380 COPD patients who were hospitalized in the departments of respiratory medicine or geriatrics in 2 tertiary-level hospitals in Chongqing from February 2022 to February 2023 were selected for the study,and were followed up until 6 months after the patients were discharged from the hospital.Questionnaires were administered using the self-designed General and Disease-Related Information Questionnaire,Exercise Stages of Change Scale,Exercise Benefits and Barriers Scale,Exercise Self-Regulatory Efficacy Scale,Social Support Rate Scale and Hospital Anxiety and Depression Scale.Characteristics and predictors of exercise behavior in COPD patients after hospital discharge were analyzed using univariate analysis and ordered multicategorical logistic regression.Results The included 380 COPD patients of post-discharge exercise behavior were 53 cases(14.0％)in the pre-intentional stage,97 cases(25.5％)in the intentional stage,103 cases(27.1％)in the preparatory stage,75 cases(19.7％)in the action stage,and 52 cases(13.7％)in the maintenance stage.The age,monthly household income,daily chores,sleep,exercise habits,and history of the current inpatient rehabilitation,number of acute episodes in the last year,whether home oxygen therapy and regular use of medication for respiratory diseases,degree of dyspnea,perceived exercise benefit/impairment,social support,and depression were the main predictors of the distribution of the stages of exercise behavior in COPD patients after discharge from the hospital.Conclusion Most COPD patients did not develop regular exercise behavior habits after discharge,and the level of their exercise behavior was affected by a variety of factors,including individual characteristics,disease factors,decision-making balance,social support,and psychology,suggesting that healthcare professionals should develop personalized early exercise interventions according to the characteristics of the behavioral stage in which the patient is located in order to increase the long-term effects of the intervention.
