稳定期COPD患者呼吸功能锻炼知行度及其影响因素分析

Analysis on the Degree of Knowing and Practicing about Respiratory Functional Exercise in Stable COPD and its Influencing Factors

目的了解目前慢性阻塞性肺疾病(COPD)患者呼吸功能锻炼知行度的情况,分析影响知行度的因素。方法采用自行设计的问卷,对某三甲医院呼吸科80名住院的COPD患者进行呼吸功能锻炼知行度的调查。结果调查的COPD患者仅有32.50%知道呼吸功能锻炼,其中按标准完成呼吸训练的患者仅占7.70%,所在社区医院宣传或讲解COPD呼吸功能锻炼的有4例;影响因素分析显示患者的文化程度、自我效能与呼吸功能锻炼的知行度呈正相关,年龄、病程与呼吸功能锻炼的知行度成负相关。结论 COPD患者对呼吸功能锻炼的知行度较低;患者的文化程度、自我效能、年龄及病程均影响COPD患者呼吸功能锻炼的知行度。

Objective To understand the degree of knowing and practicing about respiratory functional exercise in pa- tiants with chronic obstructive pulmonary disease （COPD） and its influencing factors. Methods A self- designed ques- tionnaire survey was conducted in 80 hospitalized patients with COPD in a three level of first - class hospital on the de- gree of knowing and practicing about exercise on respiratory function. Results The investigation showed that only 32. 50% of COPD patients had some knowledge of respiratory functional exercise, 7.70% completed the training by stan- dard, and only four patients were given health education on the training of respiratory function in community hospitals. The analysis showed that the degree of knowing and practicing about respiratory functional exercise in COPD was positive- ly correlated with education level and self - efficacy, and negatively with age and course of disease. Conclusions The de- gree of knowing and practicing about respiratory functional exercise is low in patients with stable COPD, which can be af- fected by the patient＇s education level, salf-efficacy, age and course of disease.