慢性阻塞性肺疾病患者呼吸功能锻炼现状调查

Investigation on current situation of respiratory rehabilitation exercise in patients of chronic obstructive pulmonary disease

目的了解慢性阻塞性肺疾病（COPD）患者呼吸功能锻炼的现状，以找出和发现呼吸功能锻炼依从性差的原因，为开展呼吸功能锻炼和护理提供依据。方法采用问卷调查法对84例COPD患者进行呼吸功能锻炼的情况及可能的影响因素进行了调查。结果84例COPD患者中，没听说过呼吸功能锻炼者28例，听说过但不清楚者25例，知道者31例；从未做过者59例，开始做后来不做者9例，偶尔做者10例，一直坚持做者6例。直线相关分析显示，患者对呼吸功能锻炼的了解程度、必要性认识及实施程度与其文化程度及自我效能呈正相关关系（P〈0．01）。结论COPD患者进行呼吸功能锻炼的现状是不容乐观，护理人员应加强相关知识的宣教，提高患者对呼吸功能锻炼的认识及依从性，真正达到延缓疾病发展，提高患者生活质量的目的。

Objective To survey the current situation of respiratory rehabilitation exercise （RRE） in patients of chronic obstructive pulmonary disease（COPD） , to identify and find the reasons of poor adherence of respiratory function exercise and provide the evidence for RRE. Methods A total of 84 patients of COPD were investigated using a questionnaires concerned about RRE and possible influencing factors. Results In 84 patients, 28（33.3% ） nerve heard RRE, 25 （29.8%） heard but not fully understood, 31 （36.9%） fully understood. 59（70. 2% ） nerve exercised, 9 （ 10. 7% ） given up, 10 （ 11.9% ） occasionally exercised, 6 （7.1% ） insistently exercised. According to linear regression, the understanding of RRE, understanding of the necessity of RRE, and implementation of RRE were correlated with education and self-efficacy of the patient （P 〈 0. 01）. Conclusions Current situation of RRE in COPD patient is dissatisfied. Nursing staff should strengthen the propaganda, improve the relevant knowledge of respiratory function and exercise adherence, achieve true delaying disease development and improve their quality of life.