Relationship between active exercise rehabilitation behavior and symptoms trajectory in middle aged patients with chronic obstructive pulmonary disease
10.3761/j.issn.0254-1769.2025.16.011
- VernacularTitle:中年慢性阻塞性肺疾病患者主动运动康复行为与症状变化轨迹的关系研究
- Author:
Rong CHENG
1
;
Zhixia ZHANG
;
Limin LIU
;
Qiuxia CHEN
;
Zhen YANG
;
Hui WU
;
Fang JIANG
;
Linru QIAO
Author Information
1. 430064 武汉市武汉科技大学附属天佑医院护理部
- Publication Type:Journal Article
- Keywords:
Middle-Aged;
Pulmonary Disease,Chronic Obstructive;
Active Exercise Rehabilitation Behaviour;
Symptom;
Ecological Momentary Assessment;
Rehabilitation Nursing
- From:
Chinese Journal of Nursing
2025;60(16):1996-2002
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the temporal characteristics and correlation between active exercise rehabilitation behaviour and related symptoms in middle-aged chronic obstructive pulmonary disease(COPD)patients,and to provide a basis for constructing a full cycle precision rehabilitation management system.Methods The ecological momentary assessment method was used to select 63 middle-aged COPD patients from the respiratory and critical care medicine department of a tertiary comprehensive hospital in Wuhan from October 15 to December 1,2024,using convenience sampling.Their active exercise rehabilitation behaviour(number of exercise projects,duration)and related symptoms(dyspnea,fatigue,anxiety)were continuously monitored for a week by using baseline survey,daily active exercise rehabilitation behavior assessment questionnaire,daily symptom assessment questionnaire.A multi-layer linear model was used to analyze the dynamic correlation between active exercise rehabilitation behaviour and symptoms.Results 58 patients were included.During the 1-week ecological momentary assessment,the system triggered a total of 1,218 momentary assessments and obtained 1,120 valid responses(with the valid response rate of 91.95％),with patients completing an average of(2.76±0.39)assessments per day.Multilevel linear models showed that momentary dyspnoea,fatigue,anxiety symptoms and baseline kinesiophobia all significantly negatively influenced active exercise rehabilitation behaviour(P＜0.05).Conclusion There are dynamic changes in the active exercise rehabilitation behaviour and related symptoms of middle-aged COPD patients.Nursing staff should establish a precise rehabilitation intervention system based on symptom fluctuations,strengthen patient self-management efficiency through dynamic monitoring and hierarchical management,and achieve long-term optimization of lung rehabilitation effects.
